[溃疡出血：积极的手术治疗是否仍有合理性？]
[Ulcer hemorrhage: is aggressive surgical therapy still defensible?].
作者信息
Schröders C P, Glutig H, Frieling T, Imhof M, Röher H D
机构信息
Klinik für Allgemeine und Unfallchirurgie, Heinrich-Heine-Universität Düsseldorf.
出版信息
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1191-3.
PMID:9574374
Abstract
A total of 155 patients admitted with Forrest 1a/2a peptic ulcer bleeding were prospectively recorded. Primarily conservatively treated patients developed recurrent bleeding in 27.4% of cases, with a mortality of 10.5% compared to 8.7% mortality after early elective surgery. In our opinion, the indication for surgery has to be reassessed in patients with Forrest 2a peptic ulcer bleeding.
摘要
前瞻性记录了总共155例因福雷斯特1a/2a型消化性溃疡出血入院的患者。主要接受保守治疗的患者中，27.4%的病例出现复发性出血，死亡率为10.5%，而早期择期手术后的死亡率为8.7%。我们认为，对于福雷斯特2a型消化性溃疡出血的患者，必须重新评估手术指征。
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