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目的探讨胃十二指肠溃疡并发急性出血的临床诊断及治疗方式。方法回顾性分析确山县第一人民医院2005年至2010年收治的胃十二指肠溃疡并发出血患者的临床资料。结果采取非手术治疗38例(49.4%),经手术治疗39例(50.65%)。术后死亡1例,再次手术治疗1例,自动出院2例,其余73例未发生其他术后并发症(94.8%),痊愈出院。结论及时明确诊断,正确估计失血量,把握好手术指征及选择好手术方式,对胃十二指肠溃疡并发急性出血患者可以明显降低病死率,获得较好的治疗效果。
Objective To investigate the clinical diagnosis and treatment of gastroduodenal ulcer with acute hemorrhage. Methods The clinical data of patients with gastroduodenal ulcer complicated with hemorrhage admitted from 2005 to 2010 in the First People’s Hospital of Queshan County were retrospectively analyzed. Results Non-surgical treatment of 38 cases (49.4%), surgically treated in 39 cases (50.65%). 1 patient died after operation, 1 patient was treated again, 2 patients were discharged automatically, and the other 73 patients did not have other postoperative complications (94.8%). All patients were discharged. Conclusions Timely and definite diagnosis, correct estimation of blood loss, good surgical indication and selection of operative methods can significantly reduce the mortality of patients with gastroduodenal ulcer complicated by acute hemorrhage, and obtain better therapeutic effect.