Checa Ceballos J, Martínez de Dueñas J L, Dabán Collado E, García Martos J B
Rev Esp Enferm Apar Dig. 1989 Jun;75(6 Pt 2):671-5.
Hemorrhage continues to be a serious complication of peptic ulcer, especially in patients over 65 years. Gastric location, delay in the surgical intervention, the amount and characteristics of hemorrhage and the use of laborious resection techniques are factors that worsen the prognosis and contribute to increased mortality. In the authors' experience, the comparison of two series separated in time led them to conclude that restriction of the use of resection techniques for gastric ulcers and improved medical-surgical collaboration, facilitated by use of a special protocol for bleeding peptic ulcers, has reduced mortality from 12.5% to 4.08% in 49 patients operated in the last 3 years.
出血仍然是消化性溃疡的一种严重并发症,尤其是在65岁以上的患者中。溃疡位于胃、手术干预延迟、出血量及出血特征以及采用复杂的切除技术等因素会使预后恶化并导致死亡率增加。根据作者的经验,对两个不同时期的系列病例进行比较后得出结论,通过使用针对出血性消化性溃疡的特殊方案,限制胃溃疡切除技术的使用并改善内科与外科的协作,使得过去3年接受手术的49例患者的死亡率从12.5%降至4.08%。