Mikhaĭlov A P, Danilov A M, Napalkov A N, Gubkov I I, Smirnov V Iu
Vestn Khir Im I I Grek. 2005;164(6):74-7.
An analysis of results of surgical treatment of 107 elderly and senile patients with gastroduodenal ulcer bleedings was made. Emergency operations were fulfilled on 47 patients, urgent operations on 56 patients and planned operations--on 4 patients. Ulcers of large size prevailed. Most of the patients had complications of ulcer disease. Palliative interventions were performed on 27 patients: suturing the vessel--in 20, ablation of the ulcer--in 7. Lethality was 33.3%. Radical operations were performed on 80 patients: resection of the stomach--in 75, vagotomy--in 5. Lethality was 16.3%.
对107例老年和高龄胃十二指肠溃疡出血患者的外科治疗结果进行了分析。47例患者进行了急诊手术,56例患者进行了紧急手术,4例患者进行了择期手术。以大面积溃疡为主。大多数患者患有溃疡病并发症。对27例患者进行了姑息性干预:20例缝合血管,7例切除溃疡。死亡率为33.3%。80例患者进行了根治性手术:75例胃切除术,5例迷走神经切断术。死亡率为16.3%。