Xu R, Guan H, Jiang X
Third Affiliated Hospital, Sun Yatsen University of Medical Sciences, Guangzhou.
Zhonghua Wai Ke Za Zhi. 1996 Jan;34(1):36-9.
Thirteen patients with acute gastric mucosal lesion and bleeding were treated with gastric devascularization. Of all, 11 apparently stopped bleeding, two failed to respond to the procedure, one rebled, and three died. Clinical analysis of the patients suggested that low blood pressure, damage of liver function, serious infection, acidosis and uremia were precipitating factors of the disease and for AGML in portal hypertension, the effect of this procedure was poor. Meanwhile, the etiology and pathological mechanism of AGML, the selection of operation types for the disease, and the anatomical and physiological bases of gastric devascularization were also discussed.
13例急性胃黏膜病变并出血患者接受了胃去血管化治疗。其中，11例出血明显停止，2例对该手术无反应，1例再次出血，3例死亡。对患者的临床分析表明，低血压、肝功能损害、严重感染、酸中毒和尿毒症是该疾病的促发因素，对于门静脉高压症合并急性胃黏膜病变，该手术效果不佳。同时，还讨论了急性胃黏膜病变的病因和病理机制、该疾病手术方式的选择以及胃去血管化的解剖和生理基础。
