165 -3 (31/4) 2020 — Melnyk I.V., Jafarov Kh., — PROBLEMS IN TREATMENT OF BLEEDING SYMPTOMATIC STOMACH AND DUODENAL ULCERS IN A SURGICAL STATIONARY
PROBLEMS IN TREATMENT OF BLEEDING SYMPTOMATIC STOMACH AND DUODENAL ULCERS IN A SURGICAL STATIONARY
Melnyk I.V. -Tashkent Pediatric Medical Institute (http://tashpmi.uz). 223, Bagishamal street, Tashkent, 100140, Khmelnitskiy city hospital of ambulance. Khmelnitskiy city(Ukraine) 29000, Khmelnitskiy city, Proskurovskiy lane.
Jafarov Kh. -Tashkent Pediatric Medical Institute (http://tashpmi.uz). 223, Bagishamal street, Tashkent, 100140, Khmelnitskiy city hospital of ambulance. Khmelnitskiy city(Ukraine) 29000, Khmelnitskiy city, Proskurovskiy lane.
Kovtun S.S. -Tashkent Pediatric Medical Institute (http://tashpmi.uz). 223, Bagishamal street, Tashkent, 100140, Khmelnitskiy city hospital of ambulance. Khmelnitskiy city(Ukraine) 29000, Khmelnitskiy city, Proskurovskiy lane.
Resume,
the article provides the results of treatment of 101 patients with bleeding from symptomatic gastric ulcers and duodenal ulcers. It was determined that more likely, the symptomatic ulcers develop while the patient takes ulcerogenic medicines, and the main patogenic mechanism of their development is local disturbance of microcirculation in the stomach or duodenal walls on the background of systematic hypoxia, which is supported by decompressive concominant pathologhy of therapeutic type. Presence of a “iicrntiss ircle” or the “synroom of mutual burden”, the need in conducting diametrically opposite treatment(haemostatics and anticoagulants), conducting of a massive infusion to patients with initial anuria, and others, puts these patients to the category of severely ill. In order to maximally control of haemostasis development in the ulcer,it is necessary to use dynamic endoscopy, for consolidation haemostasis in a ulcer it is indicated to widely use combined endoscopic haemostasis. According to the severe somatic status, surgical treatment is indicated only if an active bleeding is present and if the endoscopic haemostasis is unsuccessful. Surgery activeness-3,9%, total mortality-15.8%
Key words: acute ulcers; symptomatic ulcers; bleeding; endoscopic haemostasis; hemorrhagic shock;
First page
676
Last page
678
For citation: 1Melnyk I.V., Jafarov Kh., 2Kovtun S.S., Problems in treatment of bleeding symptomatic stomach and duodenal ulcers in a surgical stationary//New Day in Medicine 3(31)2020 676-678 https://cutt.ly/pxLuLJ5
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