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[胃十二指肠溃疡穿孔手术后的胃肠道出血]

[Gastrointestinal hemorrhage after operations for perforated gastroduodenal ulcers].

作者信息

Shtrapov A A, Seregin V A, Skriabin O N

出版信息

Khirurgiia (Mosk). 1991 Mar(3):70-1.

PMID:1861391
Abstract

On the basis of clinical observation over 521 patients who underwent operations in the clinic for perforating gastric and duodenal ulcer, the authors determined the frequency of massive gastrointestinal hemorrhage (3.2%) in the early postoperative period and the mortality rate in this complication. It is shown that the performance of radical surgical interventions instead of simple closure of the perforating ulcer with sutures, in the absence of life-threatening concomitant diseases and the terminal phase of peritonitis, may improve the results of operative management of this disease.

摘要

基于对521例在该诊所接受胃和十二指肠溃疡穿孔手术患者的临床观察,作者确定了术后早期大量胃肠道出血的发生率(3.2%)以及该并发症的死亡率。结果表明,在不存在危及生命的伴随疾病和腹膜炎终末期的情况下,实施根治性手术干预而非单纯用缝线缝合穿孔性溃疡,可能会改善该疾病的手术治疗效果。

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