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应激性病变术后出血的前瞻性研究。I. 流行病学(作者译)

[A prospective study of post-operative bleeding from stress lesions. I. Epidemiology (author's transl)].

作者信息

Weber E, Akovbiantz A, Landolt M, Koeltz H R, Nussbaumer U, Peter P, Blum A L

出版信息

Dtsch Med Wochenschr. 1977 Feb 4;102(5):152-5. doi: 10.1055/s-0028-1104857.

Abstract

Among 5776 patients operated on under general anaesthesia there was an increased risk of postoperative gastro-intestinal bleeding from stress lesions among those aged over 70 years, after major surgery, or with complications such as hypovolaemia, septicaemia or respiratory failure (n = 551). In this group of patients the incidence of fatal haemorrhage was 0.5%. Stress lesions were a certain cause of bleeding from the gastro-intestinal tract in 5.1% and a probable one in 5.1%. Time of year, sex, past history of peptic ulcer, or anticoagulation did not increase the risk of bleeding.

摘要

在5776例接受全身麻醉手术的患者中,70岁以上、接受大手术或伴有低血容量、败血症或呼吸衰竭等并发症(n = 551)的患者,术后因应激性病变导致胃肠道出血的风险增加。在这组患者中,致命性出血的发生率为0.5%。应激性病变是胃肠道出血的确定病因的占5.1%,可能病因的占5.1%。一年中的时间、性别、消化性溃疡病史或抗凝治疗均未增加出血风险。

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