胃去动脉术治疗急性胃粘膜病变大出血13例临床体会

CLINICAL REPORT OF 13 CASES OF ACUTE GASTRIC MUCOSAL LESION AND MASSIVE HEMORRHAGE TRAETED BY GASTEIC DEVASCULARIZATION

急性胃粘膜病变(Acute Gastric Mucosal Lesion-AGML)是当机体遭受各种应激性因素(如重病、重伤等)作用时,胃粘膜所发生的急性损害,并发大出血时处理非常困难,约10％～25％的患者需手术治疗。目前应用的术式较多,但疗效均不够理想,再出血率25％～57％,死亡率23％～100％。自1988年以来,我们采用胃去动脉术治疗各种原因引起的AGML大出血13例,取得了较好疗效,再出血率和死亡率均较低。

Since 1988, 13 cases with Acute Gastric Mucosal Lesion and Bleeding have been treated by gastric devascularization with a satisfactory rseult. Of the 13 patients, 11 apparently stopped bleeding, two failed to respond to the procedure, one bleeding again and three died. Analysis of all the patients Showed that low blood pressure, dam-age of liver function, serious infection, acidosis and uremia were the precipitating factors of the disease. For which the treatment mechanism of gastric devascularization was that the operation reduced the blood flow ,of stomach, so that the bleeding stopped and enough time to treat the protopathy and cure the disease.