Open AccessConsideration of risk factors in the choice of surgical tactics in acute bleeding from a chronic duodenal ulcer
Author(s) -
M. A. Trunin,
Yu. V. Plotnikov,
A. A. N. Abu-Obeid
Publication year - 1991
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17816/kazmj96333
Subject(s) - medicine , emergency surgery , duodenal ulcer , blood transfusion , surgery , severe bleeding , risk factor , intensive care medicine
A system for predicting the outcomes of acute bleeding from a chronic duodenal ulcer is presented. With the help of single risk factors and their combinations, indications for blood transfusion, risk factors for recurrent bleeding, severity of patients (life-threatening bleeding), indications for emergency surgery, risk factors for drug treatment and emergency surgery were determined. Based on this system, 163 people were treated (main group). Compared with a group of 418 patients (control group), a decrease in mortality and volumes of transfused blood was achieved.