大量上消化道出血。369例接受手术治疗患者的数据。
Massive upper gastrointestinal bleeding. Data on 369 surgically treated patients.
作者信息
Gajo R, Castell E, Puig-LaCalle J
出版信息
Am J Surg. 1980 Nov;140(5):639-41. doi: 10.1016/0002-9610(80)90047-1.
PMID:6969041
Abstract
An analysis of 369 patients operated on for massive upper gastrointestinal bleeding is presented. Gastroscopy was performed in all patients. Duodenal ulcer remains the most common cause of such bleeding (45.4 percent of cases). The type of treatment that should be used is the most controversial in patients with bleeding esophageal varices. It is concluded that the procedure that corrects the patient's primary disease is also the most suitable one for treating massive bleeding.
摘要
本文对369例因上消化道大出血接受手术治疗的患者进行了分析。所有患者均接受了胃镜检查。十二指肠溃疡仍是此类出血最常见的原因（占病例的45.4%）。对于食管静脉曲张出血的患者，应采用的治疗方式最具争议性。得出的结论是，纠正患者原发性疾病的手术也是治疗大出血最合适的方法。
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