Clinical Management of 81 Patients With Acute upper digestive Tract Bleeding / 中华创伤杂志

Eighty-one patients with acute upper digestive tract bieeding were treated in the intensive care unit (ICU) of the neuro surgery between Mar. 1986 and Apr. 1992. Of them 75 cases were treated by routine therapy, the cure being in 35 (43.2%), improvement in 24 (29.6%), death 16 (19.75%). While digital subtraction angiography (DSA) was applied in 3 patients repeated bleeding, and the bleeding seats were shown on it. Consequentially, two of the 3 cases stopped bleeding and other one got impovement by embolization procedure. In addition, Omeprazole, a new inhibitor of gastric acid secretion, was used in 3 bleeding cases, with a satisfactory effect. The authors believe that ICU is most favourabie to medical management of such patients.