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[伴有出血和穿孔并发症的胃肠道急性溃疡]

[Acute ulcers of the gastrointestinal tract complicated by hemorrhage and perforation].

作者信息

Gorbashko A I, Merzlikin G S, Danilov A M, Pisareva T N

出版信息

Vestn Khir Im I I Grek. 1978 Jan;120(1):30-4.

PMID:305679
Abstract

The data on 130 patients with acute ulcers of the gastrointestinal tract complicated hemorrhage and perforation are reported. Acute ulcers developed in patients with cardiovascular diseases (47%), intoxication (17.7%), postoperative paresis of the stomach and intestine (10%), other pathology (15.3%), and in medication (10%). The former manifested in acute hemorrhage in 108 patients, perforation--in 8, hemorrhage and perforation--in 14. In 86% of cases ulcers were located in the stomach, and in 63%--these were multiple. Conservative therapy was employed in 97 patients and 33 patients were operated upon. The mortality after early operations was 2.5 times as low as in the expectation policy and conservative therapy.

摘要

报告了130例患有胃肠道急性溃疡并发出血和穿孔的患者的数据。急性溃疡发生在患有心血管疾病的患者中(47%)、中毒患者中(17.7%)、术后胃肠麻痹患者中(10%)、其他病理情况患者中(15.3%)以及药物治疗患者中(10%)。前者表现为108例急性出血、8例穿孔、14例出血并穿孔。86%的病例溃疡位于胃,63%为多发。97例患者采用保守治疗,33例患者接受了手术。早期手术后的死亡率比预期策略和保守治疗低2.5倍。

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