Huber O, Houriet M, Kobel T, Rohner A
Schweiz Med Wochenschr. 1985 Jul 20;115(29):1019-21.
Between 1972 and 1981, 290 patients underwent emergency surgery in this Department for hemorrhagic (n = 104) or perforated (n = 186) gastric or duodenal ulcer. The introduction of cimetidine in 1977 did not influence the annual number of operations for complicated ulcer. Operative mortality was 15% for haemorrhage and 11% for perforation. Age, associated diseases, total bleeding, and delay between perforation and surgery were the most significant risk factors. In the case of inaugural complication or of brief peptic disease, simple closure, with a recurrence rate of 21%, remains the procedure of choice.
1972年至1981年间，该科室有290例患者因出血性（n = 104）或穿孔性（n = 186）胃溃疡或十二指肠溃疡接受了急诊手术。1977年西咪替丁的引入并未影响复杂溃疡的年手术例数。出血患者的手术死亡率为15%，穿孔患者为11%。年龄、相关疾病、总出血量以及穿孔与手术之间的延迟是最重要的危险因素。对于首发并发症或短期消化性疾病，单纯缝合仍是首选术式，复发率为21%。
