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弥漫性糜烂性胃炎所致急性胃出血。115例治疗后手术失败原因及策略效果。

Acute gastric bleeding due to diffuse erosive gastritis. Causes of the surgical failures and results from a policy after treatment of 115 cases.

作者信息

Lygidakis N J

出版信息

Acta Chir Belg. 1980 Nov-Dec;79(6):391-5.

PMID:6972682
Abstract

One hundred and fifteen cases with acute gastric bleeding due to diffuse erosive gastritis, seen and treated surgically from 1964 to 1980, are presented in this paper. An attempt is made to discuss and assess the causes of failure and of high mortality encountered after surgical approach in these cases. It is postulate from the results obtained in this study that proximal gastric vagotomy offers the more promising chances for the successful management of this disease, and that immediate re-operation in cases of persisting postoperative re-bleeding greatly eliminates and diminishes the high mortality which has been proved to be due mainly to a prolonged high postoperative re-bleeding rate.

摘要

本文介绍了1964年至1980年间经手术治疗的115例因弥漫性糜烂性胃炎导致急性胃出血的病例。试图讨论和评估这些病例手术治疗后失败和高死亡率的原因。根据本研究获得的结果推测,近端胃迷走神经切断术为成功治疗这种疾病提供了更有希望的机会,并且术后持续再出血病例的立即再次手术极大地消除并降低了高死亡率,事实证明高死亡率主要是由于术后再出血率长期居高不下。

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Acute gastric bleeding due to diffuse erosive gastritis. Causes of the surgical failures and results from a policy after treatment of 115 cases.弥漫性糜烂性胃炎所致急性胃出血。115例治疗后手术失败原因及策略效果。
Acta Chir Belg. 1980 Nov-Dec;79(6):391-5.
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