胃肠道出血的保守治疗。
Conservative treatment of gastrointestinal haemorrhage.
作者信息
Rofe S B, Duggan J M, Smith E R, Thursby C J
出版信息
Gut. 1985 May;26(5):481-4. doi: 10.1136/gut.26.5.481.
Abstract
The Gastroenterology Unit of the Royal Newcastle Hospital treats all acute bleeders in the hospital and has followed a policy of conservative blood transfusion and early surgery directed to gastric ulcer upon rebleeding. A prospective study of 201 consecutive episodes is presented and compared with recent series treated more conventionally. Our patients were transfused less, and operated upon less often with a lower mortality rate in those with chronic peptic ulcers. The data suggest that a reversion to the less aggressive treatment policies of several decades ago, combined with early limited surgery directed to endoscopically proven gastric ulcer is worthy of trial.
摘要
皇家纽卡斯尔医院胃肠病科负责治疗医院内所有急性出血患者，并遵循保守输血和再次出血时针对胃溃疡进行早期手术的政策。本文介绍了对201例连续病例的前瞻性研究，并与近期采用更传统治疗方法的系列病例进行了比较。我们的患者输血较少，接受手术的频率较低，慢性消化性溃疡患者的死亡率也较低。数据表明，回归几十年前不那么激进的治疗策略，结合针对内镜证实的胃溃疡进行早期有限手术，值得一试。
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