[Experience in the treatment of patients with gastroduodenal hemorrhage of different etiology: based on materials of an air ambulance service].
The article is devoted to an analysis of main causes of the development of acute gastroduodenal bleedings, methods of surgical treatment in small town and district hospitals with participation of consulting surgeons of aerial ambulance. Postoperative outcomes are also considered. The authors made a conclusion that active surgical management and performing primary radical operations on the spot allowed lethality to be reduced to 6.6%. However, the optimum policy is thought to be transportation of the patients to specialized regional medical institutions after temporary adequate endoscopic arrest of bleeding and further treatment of them at sufficiently equipped centers with highly trained specialists.
Fil'kov
A P
AP
Kozlov
M I
MI
D000293:Adolescent; D000328:Adult; D000368:Aged; D017732:Air Ambulances; D004381:Duodenal Ulcer / Q000150:complications*; D004386:Duodenum / Q000601:surgery; D004724:Endoscopy; D005260:Female; D005743:Gastrectomy; D005763:Gastroenterostomy; D006767:Hospitals, District; D006773:Hospitals, Municipal; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D012800:Siberia; D013276:Stomach Ulcer / Q000150:complications*; D016896:Treatment Outcome