Stoianov G, Aleksandrova A
Khirurgiia (Sofiia). 1990;43(6):61-4.
Two patients have been operated at the acme of gastric hemorrhage: one of them had disseminated gastric and the other--combination of giant bleeding ulcer with total acute hemorrhagic-erosive gastritis. Gastrectomy was performed. The former patient recovered, the latter died of hemorrhagic shock 36 hours after the operation. Inferences are drawn on the need of emergency fiber gastroscopy for exact diagnosis of the hemorrhage and early operative intervention in an optimal term after the possibilities for nonoperative treatment have been exhausted. Indications are determined for gastrectomy at the acme of the hemorrhage as a radical operation promising a better outlook during the postoperative period.
其中一名患有弥漫性胃出血，另一名是巨大出血性溃疡合并全急性出血性糜烂性胃炎。实施了胃切除术。前一名患者康复，后一名患者在术后36小时死于失血性休克。得出的结论是，在非手术治疗可能性用尽后，需要进行急诊纤维胃镜检查以准确诊断出血情况，并在最佳时机进行早期手术干预。确定了在出血高峰期进行胃切除术的指征，这是一种根治性手术，有望在术后有更好的预后。
