Rubanovich G L, Bluvberg V M, Borodkina T G
Vestn Khir Im I I Grek. 1978 Apr;120(4):51-6.
The authors believe that the decrease of mortality in operations for gastroduodenal bleeding does not depend on the time interval between the start of bleeding and surgical interventions, but it depends upon the conditions under which these interventions are carried out. The conditions should approximate the conditions existing in planned gastric surgery as much as possible. In this regard the results of the treatment of 188 cases with massive gastroduodenal bleeding (69 cases aged over 60) are analyzed. The applied method permitted to ensure a sufficient volume of the examination of a case and of his preparation to the operation to avoid "desperate operations" and to decrease considerably the mortality in gastroduodenal bleeding. Among patients under 65 there were no fatal cases.
作者认为，胃十二指肠出血手术死亡率的降低并不取决于出血开始至手术干预之间的时间间隔，而是取决于实施这些干预的条件。这些条件应尽可能接近计划性胃手术时的现有条件。就此，对188例胃十二指肠大出血病例（69例年龄超过60岁）的治疗结果进行了分析。所采用的方法能够确保对病例进行充分的检查以及为手术做好准备，以避免“绝望手术”，并显著降低胃十二指肠出血的死亡率。65岁以下患者中无死亡病例。
