肝硬化消化性溃疡患者病变愈合及预防复发的临床内镜研究

Giornale di clinica medica Pub Date : 1990-04-01
F Di Mario, L Gottardello, P Burra, M Salvagnini, L Dalrì, G Leandro, F Contento, A Torri, R Naccarato
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引用次数: 0

摘要

74例肝硬化合并急性消化性溃疡患者和5例肝硬化合并急性消化性溃疡患者分别给予h2阻滞剂和细胞保护药物治疗,疗程4 ~ 6周;在此期间,49例(62.2%)愈合,14例(17.7%)在2个月后仍未愈合。为了观察h2阻滞剂预防消化性溃疡复发的有效性,我们对77例肝硬化患者进行了溃疡瘢痕形成后平均12个月(3-48个月)的随访;接受h2阻滞剂维持治疗的患者复发51.2%,必要时服用抗酸剂的患者复发54.8%。就肝硬化患者的短期治疗而言,治疗反应似乎与一般溃疡人群的通常结果没有什么不同;相反,复发,也在维持治疗期间,似乎增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A clinico-endoscopic study on cicatrization of lesions and prevention of recurrences in patients with liver cirrhosis and peptic ulcer].

Seventy-four and five cirrhotic patients with acute peptic ulcer were respectively treated with H2-blockers and cytoprotective drugs for 4-6 weeks; after this period 49 (62.2%) healed and 14 (17.7%) did not heal after further 2 months with the same therapy. In order to observe the effectiveness of H2-blockers in preventing peptic ulcer recurrences, 77 cirrhotic patients were followed-up for a mean period of 12 months (range 3-48 months) after ulcer scarring; 51.2% under H2-blockers maintenance treatment and 54.8% who took antiacid in case of need, relapsed. The therapeutical response, as regards short-term treatment in cirrhotic patients, seems not to differ from the usual outcome of the general ulcer population; on the contrary, the relapses, also during a maintenance therapy, appears increased.

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