di Felice G
Divisione di Chirurgia Generale U.L.S.S. n. 3, Belluno, Italie.
Schweiz Rundsch Med Prax. 1990 Apr 10;79(15):461-3.
Out of 88 patients suffering from bleeding gastroduodenal ulcer 36 with active bleeding or stigmata of recent hemorrhage and shock underwent endoscopic hemostatic injection treatment. There were three rebleedings, two of them from the same bleeding source (chronic duodenal ulcer). These two patients underwent emergency surgery without postoperative complications. A third patient had been operated for perforating gastric ulcer and died from pulmonary embolism. Injection treatment is considered the hemostatic technique of choice in patients with bleeding peptic ulcer.
在88例胃十二指肠溃疡出血患者中,36例有活动性出血或近期出血及休克的征象,接受了内镜止血注射治疗。发生了3例再出血,其中2例来自同一出血源(慢性十二指肠溃疡)。这2例患者接受了急诊手术,术后无并发症。第3例患者因胃溃疡穿孔接受手术,死于肺栓塞。注射治疗被认为是消化性溃疡出血患者的首选止血技术。