Lebedev N V, Klimov A E
Khirurgiia (Mosk). 2009(11):10-3.
900 patients with gastrointestinal bleedings were included in the study. Basing on the endoscopic findings, prognosis for recurrent bleeding and clinical evaluation of the patients, diagnostic algorithm and treatment protocol were worked out. Use of forecasting system concerning the bleeding risk and clinical evaluation of the patients applying SAPS II for medical tactics choice allowed decreasing lethality from acute hemorrhage from 6.1 to 0.9%, in case of conservative treatment--from 4.5 to 1.0%, postoperative lethality--from 14.5% to 0.
900例胃肠道出血患者被纳入该研究。基于内镜检查结果、复发性出血的预后以及患者的临床评估，制定了诊断算法和治疗方案。使用关于出血风险的预测系统以及应用简化急性生理学评分系统（SAPS II）对患者进行临床评估以选择治疗策略，使得急性出血的致死率从6.1%降至0.9%，保守治疗时从4.5%降至1.0%，术后致死率从14.5%降至0。
