ABSTRACT
The article discusses the results of treatment of 256 patients with gastroduodenal hemorrhages. The routine actively temporizing strategy was employed in the treatment of the first group of patients. The total mortality in the group was 13%, postoperative one, 33%. In the second group active surgical strategy was based on the results of recurrent hemorrhage prognosis. The total mortality was 6%, postoperative one, 6.5%. It is concluded that active surgical strategy which is based on prediction of recurrent hemorrhage yields better results of management of patients with ulcerative hemorrhages.
Subject(s)
Duodenal Ulcer/complications , Peptic Ulcer Hemorrhage/surgery , Postoperative Complications/prevention & control , Stomach Ulcer/complications , Adult , Aged , Emergencies , Gastrectomy/methods , Humans , Middle Aged , Postoperative Complications/etiology , Postoperative Complications/mortality , Pyloric Antrum/surgery , Recurrence , Time Factors , Vagotomy, TruncalABSTRACT
In order to prognoze recurrent bleedings during the nearest time after admission to the hospital the authors have analyzed the most frequently used objective data on patients with gastro-duodenal hemorrhages (the activity and intensity of bleeding, size and character of the ulcer, duration and severity of blood loss). A rule for prognozing recurrent bleedings is proposed.
