Koshelev V N, Shapkin Iu G, Sedelkova E E
Khirurgiia (Mosk). 1991 Mar(3):85-8.
It is shown on the basis of analysis of the results of treatment of 179 patients that the use of hyperbaric oxygenation in the complex surgical management of ulcerative gastroduodenal bleeding reduced the number of postoperative complications by a factor of 3.3 and led to a decrease of mortality from 20 to 1%. The authors confirm the expedience of including hyperbaric oxygenation in the complex of therapeutic measures in patients with bleeding ulcers under conditions of accomplished hemostasis by conservative or surgical methods in one of three suggested variants: in preparation of the patients for operation in the postponed period; after operative interventions carried out at the peak of bleeding; before and after operations on patients with moderate and severe blood loss and concomitant diseases. The sessions should be conducted under pressure of 2 atm for 60 minutes.
对179例患者的治疗结果分析表明，在溃疡型胃十二指肠出血的综合手术治疗中使用高压氧疗，可使术后并发症数量减少3.3倍，并使死亡率从20%降至1%。作者确认，在以下三种建议的方案之一中，在通过保守或手术方法实现止血的情况下，将高压氧疗纳入溃疡出血患者的综合治疗措施是适宜的：在延期手术患者的术前准备中；在出血高峰期进行手术干预后；对中度和重度失血及伴有其他疾病的患者，在手术前后进行。治疗应在2个大气压的压力下进行60分钟。
