Lebedev N V, Klimov A E, Abuladze I O
Vestn Khir Im I I Grek. 2009;168(3):31-4.
The work deals with problems of prophylactics and treatment of patients with symptomatic gastroduodenal ulcers complicated by bleedings. In somatically critical patients the main disease in 14% of cases is complicated by the appearance of symptomatic gastroduodenal ulcer which in its turn results in bleedings or perforation in 50% of cases. H. pylori is of no leading significance in formation of acute gastroduodenal ulcers. The only indication to surgery in patients with bleedings from acute ulcers is persistent bleeding which can not be arrested by the method of endoscopic hemostasis or a recurrent bleeding in patients with the state of severity not less that 30 scores by the SAPS II scale.
该研究涉及症状性胃十二指肠溃疡合并出血患者的预防和治疗问题。在患有躯体危重症的患者中，14%的病例主要疾病会并发症状性胃十二指肠溃疡，而后者又会导致50%的病例出现出血或穿孔。幽门螺杆菌在急性胃十二指肠溃疡的形成中不具有主导意义。急性溃疡出血患者进行手术的唯一指征是内镜止血方法无法止住的持续性出血，或SAPS II量表评分不低于30分的严重状态患者的复发性出血。
