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1947 - 1977年悉尼皇家北岸医院:消化性溃疡出血疾病死亡率的改善情况

Improvement in mortality rates in bleeding peptic ulcer disease: Royal North Shore Hospital of Sydney, 1947-1977.

作者信息

Kang J Y, Piper D W

出版信息

Med J Aust. 1980 Mar 8;1(5):213-5. doi: 10.5694/j.1326-5377.1980.tb134770.x.

DOI:10.5694/j.1326-5377.1980.tb134770.x
PMID:6966372
Abstract

A series of patients with upper gastrointestinal haemorrhage treated at the Royal North Shore Hospital from 1976 to 1977 was compared to a similar series treated from 1947 to 1949. Although over-all mortality rates were similar, a clear improvement emerged when variceal, carcinoma and stress ulcer patients were excluded, and when the effect of age was taken into account (the mortality rate in the non-variceal, non-cancer, non-stress patients being 2% over-all, and 1.5% in those under 60 years of age). A review of the English literature on upper gastrointestinal haemorrhage from 1930 to 1977 showed no improvement in over-all mortality over this period. When these same factors were taken into account, however, the survival in the non-stress, chronic peptic ulcer group aged over 60 years was found to have significantly improved over this time.

摘要

将1976年至1977年在皇家北岸医院接受治疗的一系列上消化道出血患者与1947年至1949年治疗的类似系列患者进行了比较。尽管总体死亡率相似,但排除静脉曲张、癌症和应激性溃疡患者,并考虑年龄因素后(非静脉曲张、非癌症、非应激患者的总体死亡率为2%,60岁以下患者为1.5%),明显出现了改善。对1930年至1977年关于上消化道出血的英文文献进行回顾发现,在此期间总体死亡率没有改善。然而,考虑到这些相同因素后,发现60岁以上非应激性慢性消化性溃疡组的生存率在此期间有显著提高。

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Improvement in mortality rates in bleeding peptic ulcer disease: Royal North Shore Hospital of Sydney, 1947-1977.1947 - 1977年悉尼皇家北岸医院:消化性溃疡出血疾病死亡率的改善情况
Med J Aust. 1980 Mar 8;1(5):213-5. doi: 10.5694/j.1326-5377.1980.tb134770.x.
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引用本文的文献

1
Surgical management of bleeding chronic peptic ulcer. A 10-year prospective study.出血性慢性消化性溃疡的外科治疗。一项为期10年的前瞻性研究。
Ann Surg. 1984 Jan;199(1):44-50. doi: 10.1097/00000658-198401000-00008.
2
Endoscopic injection of adrenaline for actively bleeding ulcers: a randomised trial.内镜下注射肾上腺素治疗活动性出血性溃疡:一项随机试验。
Br Med J (Clin Res Ed). 1988 Jun 11;296(6637):1631-3. doi: 10.1136/bmj.296.6637.1631.