Taylor T V
Br Med J (Clin Res Ed). 1985 Sep 7;291(6496):653-4. doi: 10.1136/bmj.291.6496.653.
Deaths due to peptic ulceration can be prevented only by curing the ulcer and preventing the ulcer diathesis permanently by either medical or surgical means. Recurrence of ulcers after drug treatment is a major problem, so continuous treatment is often necessary, but there is no evidence that this decreases mortality. Surgery is the only means of permanently removing the ulcer diathesis in most patients, and subsequent mortality is low. A reasonable balance has to be achieved between the two kinds of treatment to prevent most deaths from peptic ulcer.
只有通过治愈溃疡并通过药物或手术手段永久预防溃疡素质,才能预防消化性溃疡导致的死亡。药物治疗后溃疡复发是一个主要问题,因此通常需要持续治疗,但没有证据表明这会降低死亡率。手术是大多数患者永久消除溃疡素质的唯一方法,且随后的死亡率较低。必须在这两种治疗方法之间取得合理平衡,以预防大多数消化性溃疡导致的死亡。