Bachev I I
Vestn Khir Im I I Grek. 1991 Feb;146(2):20-4.
An analysis of results of operative treatment of 945 patients with peptic ulcers has been made. Among the factors responsible for bleeding the author names the elder age of the patients, bleeding in medical history, localization of the ulcer on the posterior wall of the duodenum, in the middle and upper thirds of the stomach on the lesser curvature, large size of the ulcer, penetration of the ulcer into the pancreas and liver. Perforations are potentially dangerous for ulcers of the frontal wall of the pyloroduodenal zone in patients of young and middle age with an aggressive course of the disease.
对945例消化性溃疡患者的手术治疗结果进行了分析。在导致出血的因素中,作者指出患者年龄较大、有出血病史、溃疡位于十二指肠后壁、胃小弯中上部、溃疡面积大、溃疡穿透胰腺和肝脏。对于年轻和中年且病情进展迅速的患者,幽门十二指肠区前壁溃疡的穿孔具有潜在危险性。