Homer A C, Powell S, Vicary F R
Postgrad Med J. 1985 Jan;61(711):19-22. doi: 10.1136/pgmj.61.711.19.
104 consecutive patients with upper gastrointestinal bleeding admitted to a district general hospital over a period of 20 months were considered for laser photocoagulation. 58 patients were found to have peptic ulcers, of which 42 had stigmata of recent haemorrhage accessible to laser photocoagulation. 17 were treated with a Nd-YAG laser and 25 were managed conservatively. There was no significant difference in the number of patients who re-bled and required surgery, mortality rate, length of stay in hospital or the amount of blood transfusion required in either group. We suggest that the routine use of a laser for bleeding peptic ulcers in a district general hospital is not justified.
在20个月的时间里，一家地区综合医院收治了104例连续性上消化道出血患者，并考虑对其进行激光光凝治疗。发现58例患者患有消化性溃疡，其中42例有近期出血的迹象，可进行激光光凝治疗。17例接受了钕钇铝石榴石激光治疗，25例采用保守治疗。两组在再出血和需要手术的患者数量、死亡率、住院时间或所需输血量方面均无显著差异。我们认为，在地区综合医院对出血性消化性溃疡常规使用激光是不合理的。
