Filimonbov R M, Denisova N A
Ter Arkh. 1990;62(2):136-8.
An analysis was made of the potentialities and efficacy of the treatment of adolescents suffering from duodenal ulcer under outpatient conditions. 65 patients aged 14 to 18 years with duodenal ulcer in the stage of clinical exacerbation and with the presence of ulcer in the acute phase were placed under observation. Outpatient treatment appeared effective in 83.3% of patients. The time of ulcer healing under out- and inpatient conditions was 21.5 +/- 2.5 and 23.5 +/- 3.1 days, respectively. Therefore, selection of adolescent patients with duodenal ulcer for outpatient treatment requires a strictly differentiated approach depending on the disease stage and the character of macroscopic changes in the gastric and duodenal mucosae. At the same time it is necessary to take into consideration the rate and accuracy of removing the painful and dyspeptic syndromes, the lack of complications, consent and interest on the part of adolescents and their parents.
对门诊条件下治疗青少年十二指肠溃疡的潜力和疗效进行了分析。对65例年龄在14至18岁、处于临床加重期且急性期存在溃疡的十二指肠溃疡患者进行了观察。门诊治疗在83.3%的患者中显示有效。门诊和住院条件下溃疡愈合时间分别为21.5±2.5天和23.5±3.1天。因此,对于青少年十二指肠溃疡患者选择门诊治疗需要根据疾病阶段以及胃和十二指肠黏膜宏观变化的特征采取严格的区别对待方法。同时,有必要考虑消除疼痛和消化不良综合征的速度和准确性、无并发症情况、青少年及其父母的同意和意愿。