Vagner D O, Shlyk I V, Verbitskiĭ V G
Vestn Khir Im I I Grek. 2013;172(1):55-9.
An experience of treatment of 133 patients with severe bums was analyzed. Bleedings from the upper parts of the gastrointestinal tract were diagnosed in 16 patients in different terms since their admission to the hospital. At the moment of carrying out of the endoscopic research all bleedings were considered as taking place. Statistically significant risk factors of the development of gastroduodenal bleedings were considered to be an alcoholic intoxication at the moment of injury and insufficient fluid therapy during the pre-admission stage and young age of the patients. The antisecretory therapy showed that the detection of risk factors in question should be regarded as an indication to the reinforced regime of preventive measures for gastroduodenal injuries.
分析了133例重度烧伤患者的治疗经验。16例患者自入院后不同时间被诊断为上消化道出血。在内镜检查时，所有出血均被视为正在发生。胃十二指肠出血发生的具有统计学意义的危险因素被认为是受伤时的酒精中毒、入院前阶段液体治疗不足以及患者年龄较轻。抗分泌治疗表明，发现上述危险因素应被视为加强胃十二指肠损伤预防措施的指征。
