胃十二指肠出血
Gastroduodenal haemorrhage.
作者信息
Grime R T
出版信息
Ann R Coll Surg Engl. 1979 Mar;61(2):123-31.
Before the First World War the treatment of gastroduodenal haemorrhage was predominantly medical, though the results, especially with recurrent haemorrhage, were far less satisfactory than was claimed by some physicians. It was not until Finsterer, in 1939, demonstrated the virtues of early operation that surgery began to take its place in the treatment of this condition, mainly by gastric resection. Results remained poor, however, until 1958 with the introduction of conservative treatment by vagotomy, pyloroplasty, and under-running of the bleeding point. Personal experience, both with partial gastrectomy in the 1950s and 1960s and with mainly conservative treatment between 1967 and 1970, is described and the results presented.
第一次世界大战之前，胃十二指肠出血的治疗主要是内科治疗，不过其治疗效果，尤其是对于复发性出血，远不如一些医生所宣称的那样令人满意。直到1939年芬斯特勒证实了早期手术的优点，外科手术才开始在这种疾病的治疗中占据一席之地，主要是通过胃切除术。然而，在1958年采用迷走神经切断术、幽门成形术和出血点缝扎术的保守治疗方法引入之前，治疗效果一直很差。本文描述了20世纪50年代和60年代行部分胃切除术以及1967年至1970年间主要采用保守治疗的个人经验，并展示了治疗结果。
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