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老年人大量上消化道出血

Massive upper gastrointestinal hemorrhage in the elderly.

作者信息

Chang F C, Drake J E, Farha G J

出版信息

Am J Surg. 1977 Dec;134(6):721-3. doi: 10.1016/0002-9610(77)90310-5.

DOI:10.1016/0002-9610(77)90310-5
PMID:304315
Abstract

Sixty-six elderly patients with massive upper gastrointestinal bleeding were retrospectively analyzed. This study supports the concept of vigorous resuscitation, early diagnosis with fiberoptic endoscopy, and prompt surgical intervention in patients with continued bleeding. When this approach was utilized in a community hospital, operative mortality was reduced to 5 per cent.

摘要

对66例老年上消化道大出血患者进行了回顾性分析。本研究支持积极复苏、通过纤维内镜进行早期诊断以及对持续出血患者进行及时手术干预的理念。当在一家社区医院采用这种方法时,手术死亡率降至5%。

相似文献

1
Massive upper gastrointestinal hemorrhage in the elderly.老年人大量上消化道出血
Am J Surg. 1977 Dec;134(6):721-3. doi: 10.1016/0002-9610(77)90310-5.
2
[The role of endoscopy in determining the indications for the surgical treatment of the Mallory-Weiss syndrome and of bleeding acute gastroduodenal ulcers].[内镜检查在确定马洛里-魏斯综合征及急性胃十二指肠溃疡出血手术治疗适应证中的作用]
Vestn Khir Im I I Grek. 1997;156(2):35-7; discussion 38-9.
3
[Atypical cases of gastric bleeding].[胃出血的非典型病例]
Vestn Khir Im I I Grek. 2000;159(1):96-7.
4
[The surgeon's procedure in acute esophagogastroduodenal hemorrhage].[外科医生处理急性食管胃十二指肠出血的手术步骤]
Klin Khir (1962). 1993(4):18-20.
5
The current diagnosis and management of upper gastrointestinal bleeding.上消化道出血的当前诊断与管理
Adv Surg. 1992;25:331-61.
6
The visible vessel as an indicator of uncontrolled or recurrent gastrointestinal hemorrhage.可见血管作为未控制或复发性胃肠道出血的一个指标。
N Engl J Med. 1979 Jun 21;300(25):1411-3. doi: 10.1056/NEJM197906213002503.
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[Emergency fibrogastroduodenoscopy in the diagnosis and treatment of peptic gastroduodenal hemorrhages in the middle-aged and elderly].[急诊纤维胃十二指肠镜检查在中老年消化性胃十二指肠出血诊断与治疗中的应用]
Vestn Khir Im I I Grek. 1985 Dec;135(12):14-6.
8
Endoscopic ligation for non-esophageal variceal upper gastrointestinal hemorrhage.内镜下套扎术治疗非食管静脉曲张性上消化道出血
Endoscopy. 1998 Nov;30(9):774-7. doi: 10.1055/s-2007-1001420.
9
Emergency diagnosis of upper gastrointestinal bleeding by fiberoptic endoscopy.纤维内镜对上消化道出血的急诊诊断
Ann Surg. 1977 Mar;185(3):367-74. doi: 10.1097/00000658-197703000-00019.
10
Editorial: Massive upper gastrointestinal bleeding.社论:大量上消化道出血
Br Med J. 1974 Mar 9;1(5905):403-4. doi: 10.1136/bmj.1.5905.403.

引用本文的文献

1
Digestive hemorrhages of obscure origin.
Surg Endosc. 2002 Apr;16(4):711-3. doi: 10.1007/s004640090074. Epub 2002 Jan 7.
2
[Surgical treatment of gastroduodenal ulcers in the elderly (author's transl)].
Langenbecks Arch Chir. 1982;356(2):95-103. doi: 10.1007/BF01239457.
3
Surgical management of bleeding chronic peptic ulcer. A 10-year prospective study.出血性慢性消化性溃疡的外科治疗。一项为期10年的前瞻性研究。
Ann Surg. 1984 Jan;199(1):44-50. doi: 10.1097/00000658-198401000-00008.
4
Optimal timing of operation for bleeding peptic ulcer: prospective randomised trial.消化性溃疡出血的最佳手术时机:前瞻性随机试验。
Br Med J (Clin Res Ed). 1984 Apr 28;288(6426):1277-80. doi: 10.1136/bmj.288.6426.1277.
5
Importance of hypovolaemic shock and endoscopic signs in predicting recurrent haemorrhage from peptic ulceration: a prospective evaluation.低血容量性休克及内镜表现对预测消化性溃疡再出血的重要性:一项前瞻性评估
Br Med J (Clin Res Ed). 1985 Jul 27;291(6490):245-7. doi: 10.1136/bmj.291.6490.245.
6
Bleeding gastroduodenal ulcers: nonoperative treatment.胃十二指肠溃疡出血:非手术治疗
World J Surg. 1987 Jun;11(3):295-303. doi: 10.1007/BF01658106.
7
Why have controlled trials failed to demonstrate a benefit of esophagogastroduodenoscopy in acute upper gastrointestinal bleeding? A probability model analysis.为什么对照试验未能证明食管胃十二指肠镜检查对急性上消化道出血有益?一项概率模型分析。
Dig Dis Sci. 1986 Jul;31(7):760-8. doi: 10.1007/BF01296455.
8
Upper gastrointestinal bleeding--when to operate.上消化道出血——何时进行手术
Postgrad Med J. 1990 Nov;66(781):926-31. doi: 10.1136/pgmj.66.781.926.
9
Causes and mortality in patients aged over 75 years with gastrointestinal haemorrhage.75岁以上胃肠道出血患者的病因及死亡率
J R Soc Med. 1991 Jan;84(1):32-4. doi: 10.1177/014107689108400112.