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[消化性溃疡出血的手术策略]

[Surgical tactics in peptic ulcer hemorrhage].

作者信息

Grinberg A A, Ermolov A S, Zatevakhin I I, Nesterenko Iu A, Izbekova M L, Shchegolev A A

出版信息

Khirurgiia (Mosk). 1990 Feb(2):81-4.

PMID:2335898
Abstract

The article discusses the results of treatment of 256 patients with gastroduodenal hemorrhages. The routine actively temporizing strategy was employed in the treatment of the first group of patients. The total mortality in the group was 13%, postoperative one, 33%. In the second group active surgical strategy was based on the results of recurrent hemorrhage prognosis. The total mortality was 6%, postoperative one, 6.5%. It is concluded that active surgical strategy which is based on prediction of recurrent hemorrhage yields better results of management of patients with ulcerative hemorrhages.

摘要

本文讨论了256例胃十二指肠出血患者的治疗结果。第一组患者采用常规积极保守策略进行治疗。该组总死亡率为13%,术后1个月死亡率为33%。第二组基于复发性出血预后结果采用积极手术策略。总死亡率为6%,术后1个月死亡率为6.5%。得出的结论是,基于复发性出血预测的积极手术策略能取得更好的溃疡性出血患者管理效果。

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