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KMID : 0371319740160080007
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Journal of the Korean Surgical Society
1974 Volume.16 No. 8 p.7 ~ p.15
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A Clinical Study of Massive Upper Gastrointestinal Bleeding
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黃泳模/Hwang, Yung Mo
趙誠元/李鉉植/李衡珍/白泰潤/Jo, Yeong Won/Lee, Hyun Sik/Lee, Byung Jin/Baik, Tai Yun
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Abstract
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This survey has been conducted of 84 cases of massive upper gastrointestinal bleeding who were
admitted to the Department of General Surgery of Busan National University Hospital during 4
years from July to June 1973 and the following results were obtained.
The incidence of bleeding was 53 cases (63. 1%) in male and 31 cases(36.9%) in female. And
the greatest incidence of the disease occurred in the age group of 40^60 years.
The most common presenting symptom and physical "finding was hematemesis(79.8%) and next
melena (59.0%). .
Duodenal ulcer was the most common cause of bleeding(38.1%. The mortality was about 25.0% overall.
Exsanguination and sepsis were the leading cause of death.
An operation was required in 67 patients (35 emergent and 32 elective).
The mortality rate for emergent procedures was 35. 0% as contrasted with 8.0% for elective procedures.
The mortality for ulcer diseases requiring surgical treatment was 33.0% for emergent and 20.0% for emergent and 20. 0% for elective procedures.
As a result of this review the following recommendations are made; urgent diagnostic evaluation, rapid blood replacement, early operation in those who do not stop bleeding promptly, more elective surgical treatment of those who have bled significantly, and a controlled clinical study of the best definitive surgical procedure to use in the treatment of the patient with an actively bleeding ulcer.
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