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[巨大胃十二指肠溃疡手术策略的选择]

[Choice of surgical strategy in giant gastric and duodenal ulcers].

作者信息

Zhantalinova N A

出版信息

Khirurgiia (Mosk). 2005(12):30-2.

PMID:16353023
Abstract

The results of surgical treatment of 361 patients with giant ulcers of the stomach (54.5%) and duodenum (41.3%) were analyzed. Emergency (within 1 day) surgery was performed in 179 (49.6%) patients, urgent (within 3 days) surgery -- in 158 (43.8%). Active surgical policy decreases lethality and complications rate. Resection of the stomach is the surgery of choice. Palliative surgery aims at stabilization of the patient's condition in critical situation.

摘要

分析了361例胃巨大溃疡(54.5%)和十二指肠巨大溃疡(41.3%)患者的手术治疗结果。179例(49.6%)患者进行了急诊(1天内)手术,158例(43.8%)进行了紧急(3天内)手术。积极的手术策略可降低死亡率和并发症发生率。胃切除术是首选手术方式。姑息性手术旨在在危急情况下稳定患者病情。

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