Bittersohl H J, Hartmann G
Zentralbl Chir. 1987;112(5):294-302.
Treatment was applied to 243 patients for bleeding gastro-duodenal ulcer, over a period of ten years. In recent years, conventional radiographic diagnosis has been replaced by emergency gastroscopy. Particular importance is attributed to surgical therapy. Prognosis of bleeding ulcer is substantively affected by intensity of bleeding, age of patient, and multi-morbidity. Therapeutic early elective surgery has so far yielded the best results. The overall lethality of 20.5 per cent included 19.2 per cent after conservative therapy and 21.9 per cent following surgical treatment.
在十年期间,对243例胃十二指肠溃疡出血患者进行了治疗。近年来,常规放射学诊断已被急诊胃镜检查所取代。手术治疗被赋予特别重要的地位。出血性溃疡的预后受到出血强度、患者年龄和多种疾病的实质性影响。迄今为止,治疗性早期选择性手术取得了最佳效果。总体死亡率为20.5%,其中保守治疗后为19.2%,手术治疗后为21.9%。