[Hemostasis and treatment of stress hemorrhage in the upper gastrointestinal tract of trauma patients].
Despite the use of H2-receptor antagonists for the prevention of stress lesions, 32 (9%) of the 354 wounded treated at the surgical intensive care units presented with upper gastrointestinal bleeding. 28 (87.5%) patients underwent endoscopic examination. The types of hemorrhage (capillary, venous and arterial bleeding) and the efficacy of hemostasis were analyzed. The bleeding ceased spontaneously in 17 (53.1%) patients, and 3 (9.4%) died in spite of all the endoscopic and surgical procedures undertaken.
Dubracić
D
D
Abteilung für Gastroenterologie, Universitätsklinik für Innere Medizin, Rebro, Zagreb, Kroatien.
Pulanić
R
R
Katicić
M
M
Car
D
D
Georgijević
A
A
Cvitanović
B
B
D002927:Cimetidine / Q000008:administration & dosage; D003131:Combined Modality Therapy; D017523:Croatia; D016099:Endoscopy, Gastrointestinal; D005743:Gastrectomy; D006801:Humans; D008889:Military Personnel; D009853:Omeprazole / Q000008:administration & dosage; D010438:Peptic Ulcer Hemorrhage / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery*; D011899:Ranitidine / Q000008:administration & dosage; D012008:Recurrence; D015911:Sclerotherapy; D013312:Stress, Physiological / Q000150:complications*; D015996:Survival Rate; D013536:Suture Techniques; D015167:Vagotomy, Truncal; D014857:Warfare; D014948:Wounds, Gunshot / Q000401:mortality / Q000601:surgery*
D002927:Cimetidine; D011899:Ranitidine; D009853:Omeprazole
Blutstillung und Behandlung von Stressblutungen im oberen gastrointestinalen Trakt bei Verwundeten.