[胃十二指肠溃疡穿孔伴急性消化性出血的外科治疗]
[Surgical treatment of acute peptic hemorrhage associated with perforation of gastroduodenal ulcer].
作者信息
Fomin P D, Povch O A, Kozlov S M
出版信息
Klin Khir. 1997(9-10):11-2.
PMID:9511310
Abstract
In 1982-1996 yrs of 8822 patients with ulcer bleeding in 122 (1.4%) it was concurrent with gastroduodenal ulcer perforation. In 34 (27.9%) simultaneous perforation and bleeding were observed, in 88 (72.1%) perforation occurred in 1-7 days after bleeding, in 48 (54.5%) it was concurrent with recurrent bleeding. Postoperative mortality lowered from 25 to 7.1% due to application of the principles elaborated.
摘要
1982年至1996年间，8822例溃疡出血患者中有122例（1.4%）同时合并胃十二指肠溃疡穿孔。其中34例（27.9%）观察到穿孔与出血同时发生，88例（72.1%）穿孔发生在出血后1至7天，48例（54.5%）与反复出血同时发生。由于采用了详细阐述的原则，术后死亡率从25%降至7.1%。
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