Pimpl W, Wayand W, Umlauft M
Wien Klin Wochenschr. 1985 Mar 15;97(6):285-9.
24 patients (8 female, 16 male) with severe gastroduodenal haemorrhage were treated by vagotomy; in 17 cases highly selective vagotomy was performed, in 3 case truncal vagotomy + pyloroplasty and in 4 patients vagotomy was combined with excision or purse-string suture of the ulcer. Treatment was effective in 23 patients, without recurrence of haemorrhage. In 19 patients vagotomy not only curbed the bleeding but provided definitive therapy (Visick I-II); 4 patients died (mortality rate 16%).
24例(8例女性,16例男性)严重胃十二指肠出血患者接受了迷走神经切断术治疗;其中17例行高选择性迷走神经切断术,3例行迷走神经干切断术加幽门成形术,4例行迷走神经切断术联合溃疡切除术或荷包缝合术。23例患者治疗有效,未再出血。19例患者迷走神经切断术不仅控制了出血,还提供了确定性治疗(Visick I-II级);4例患者死亡(死亡率16%)。