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本组急性胃粘膜损害(AGML)44例继发于休克、创伤、败血症和药物等四类病因。根据原发疾患可将其分为出血性胃炎和应激性溃疡两类,此种分类在临床上有实用价值。 部份出血性胃炎可经非手术疗法治愈(34.6％),多数经手术治愈(53.8％);然而应激性溃疡病程凶险,死亡率高达55.6％。 发病后先用抗酸剂、甲氰咪呱、冰水洗胃等非手术疗法处理出血与休克。本组有4例患者经用甲氰咪呱控制了出血,说明其为有效之预防和治疗措施。当非手术疗法不能控制出血时就需开腹探查,我们倾向于作迷走神经切断、胃大部切除加出血点缝扎。
The group of 44 cases of acute gastric mucosal damage (AGML) secondary to shock, trauma, sepsis and drugs and other four causes. According to the primary disease can be divided into two categories of hemorrhagic gastritis and stress ulcer, this classification has clinical value. Some hemorrhagic gastritis can be cured by non-surgical therapy (34.6%), the majority of the surgically cured (53.8%); however, the course of stress ulcer dangerous, the mortality rate as high as 55.6%. After the onset of antacids, cimetidine, ice water gastric lavage and other non-surgical treatment of bleeding and shock. This group of 4 patients with cimetidine control bleeding, indicating that it is an effective preventive and therapeutic measures. When non-surgical treatment can not control the bleeding when necessary laparotomy, we tend to be vagotomy, stomach resection plus bleeding point suture.