Cocks J R, Desmond A M, Swynnerton B F, Tanner N C
Gut. 1972 May;13(5):331-40. doi: 10.1136/gut.13.5.331.
An analysis was made of the results of 566 partial gastrectomies for haemorrhage from gastroduodenal ulceration between 1953 and 1962 with regard to mortality, morbidity, and long-term follow up. With rigid criteria for selection of patients for surgery, the overall mortality rate for ulcerative gastroduodenal haemorrhage was 8.6%. The actual operative mortality rate more than doubles if an emergency operation is performed later than four days after the patient's admission with haemorrhage. Postoperative and later bleeding complications occurred in 5% of patients. Regardless of the length of ulcerative history, over 92% of patients have clinically satisfactory long-term results. Six per cent required further operation, after which, they too had clinically satisfactory results.
对1953年至1962年间因胃十二指肠溃疡出血而进行的566例部分胃切除术的结果进行了分析，涉及死亡率、发病率和长期随访情况。采用严格的手术患者选择标准后，溃疡性胃十二指肠出血的总体死亡率为8.6%。如果在患者因出血入院四天后进行急诊手术，实际手术死亡率会增加一倍多。5%的患者出现术后及后期出血并发症。无论溃疡病史长短，超过92%的患者长期临床效果良好。6%的患者需要进一步手术，术后他们的临床效果也令人满意。
