• 華西醫(yī)科大學(xué)附屬第一醫(yī)院普外科（成都610041）;

經(jīng)確診為急性胃粘膜病變所致上消化道大出血196例，其中出血性胃炎137例，應(yīng)激性潰瘍59例。其治療應(yīng)首先去除與本病有關(guān)的致病因素，糾正循環(huán)量的不足，控制胃內(nèi)pH值，增強(qiáng)胃粘膜的防御能力，經(jīng)非手術(shù)治療無(wú)效者則行手術(shù)治療。應(yīng)激性潰瘍手術(shù)組死亡率為6.3%，出血性胃炎組為33.3%。因此，對(duì)出血性胃炎的手術(shù)治療應(yīng)持慎重態(tài)度，對(duì)應(yīng)激性潰瘍大出血的手術(shù)治療則應(yīng)持積極態(tài)度。

引用本文： 呂青,鄭吉祥,彭德恕. 外科治療在急性胃粘膜病變所致上消化道大出血治療中的地位. 中國(guó)普外基礎(chǔ)與臨床雜志, 1996, 3(4): 224-226. doi: 復(fù)制

1. 沈倍倍,吳裕炘.胃粘膜的適應(yīng)性:基礎(chǔ)與臨床.國(guó)外醫(yī)學(xué)消化系統(tǒng)疾病分冊(cè),1995;15(1):12.
2. Silen W,Merhar A,Simson JNL.The pathophysiology of stress ulcerdisease.World J Surg,1981;5:165.
3. 李子旭,李福山.肝硬化并發(fā)胃粘膜病變的機(jī)理.湖南醫(yī)學(xué),1988;5:112.
4. Fromm D.Drug-induced gastric mucosal injury.World J Surg,1981;5:112.
5. Gary CV,Yong S,William GC,et al.Changes in intragastric bile acid composition in patients receiving cimetidinepostoperatively.Am J Surg,1990;159:153.
6. Pruitt BA,Goodwin CW.Stress ulcer disease in the burned patient.World J Surg,1981;5:209.
7. 趙幼安,趙憲村.應(yīng)激性潰瘍及急性胃粘膜損場(chǎng)性病變的治療.實(shí)用內(nèi)科雜志,1988;8:64.
8. 于皆平,王小眾.胃出血的非手術(shù)治療.實(shí)用內(nèi)科雜志,1990;10:377.
9. Hubert JP,Kiernan PD,Welch JS,et al.The surgical management of bleeding stress ulcers.Ann Surg,1980;191:672.
10. Stremple JF,Elliott DW.Hemorrhage due to diffuse erosive gastritis.Arch Surg,1975;110:606.
  1. 1. 沈倍倍,吳裕炘.胃粘膜的適應(yīng)性:基礎(chǔ)與臨床.國(guó)外醫(yī)學(xué)消化系統(tǒng)疾病分冊(cè),1995;15(1):12.
  2. 2. Silen W,Merhar A,Simson JNL.The pathophysiology of stress ulcerdisease.World J Surg,1981;5:165.
  3. 3. 李子旭,李福山.肝硬化并發(fā)胃粘膜病變的機(jī)理.湖南醫(yī)學(xué),1988;5:112.
  4. 4. Fromm D.Drug-induced gastric mucosal injury.World J Surg,1981;5:112.
  5. 5. Gary CV,Yong S,William GC,et al.Changes in intragastric bile acid composition in patients receiving cimetidinepostoperatively.Am J Surg,1990;159:153.
  6. 6. Pruitt BA,Goodwin CW.Stress ulcer disease in the burned patient.World J Surg,1981;5:209.
  7. 7. 趙幼安,趙憲村.應(yīng)激性潰瘍及急性胃粘膜損場(chǎng)性病變的治療.實(shí)用內(nèi)科雜志,1988;8:64.
  8. 8. 于皆平,王小眾.胃出血的非手術(shù)治療.實(shí)用內(nèi)科雜志,1990;10:377.
  9. 9. Hubert JP,Kiernan PD,Welch JS,et al.The surgical management of bleeding stress ulcers.Ann Surg,1980;191:672.
  10. 10. Stremple JF,Elliott DW.Hemorrhage due to diffuse erosive gastritis.Arch Surg,1975;110:606.