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  • Title: [Questions of tactics and choice of surgery in gastroduodenal hemorrhage].
    Author: Lubenskiĭ IuM, Nikhinson RA, Grushkin VA, Zuev VS, Sotnikova EV.
    Journal: Khirurgiia (Mosk); 1989 Oct; (10):44-8. PubMed ID: 2593573.
    Abstract:
    The authors analysed 368 clinical cases with gastroduodenal hemorrhages. The changes in blood microcirculation and nonspecific immunity were studied in 62 patients. They proposed a method of complex nonoperative treatment of gastrointestinal hemorrhages, including ganglionic block, which made it possible not only to reduce the operative activity but also to achieve epithelialization of ulcers in patients with peptic ulcer. As the result of the study, a unique classification of the severity of blood loss is suggested which is based on the degree of deviation off the tests studied from the normal values. If gastroduodenal hemorrhage continues, an operation is recommended, the character of which is determined by the patient's age, the severity of blood loss, and the source of bleeding and its localization.
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