Research Article
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A review of 66 bleeding cases admitted to our clinic between 1964 - 1967.

Year 1968, Volume: 21 Issue: 3, 934 - 945, 30.09.1968
https://izlik.org/JA77JT78SA

Abstract

This study was conducted to investigate the causes of hematemesis and Melena, the effects of treatment methods on mortality.
routine examination methods were used in the patient material consisting of 66 patients.
Blood transfusions were performed in 29 patients and the mortality rate was found to be 24%.
Stomach cooling was performed in 6 patients and the mortality rate was found to be 33.3%.
58 patients were admitted to medical treatment, the mortality rate in these patients was found to be 10.3%. 2 Out of 8 patients (25) referred for surgical intervention died.
Peptic ulcer was detected as the cause of bleeding at a rate of 51.5%.
the overall mortality rate was 12.12% in 66 patients. All of my patients who died were over the age of 50.
As a result, the importance of blood transfusion in patients with bleeding and the emphasis on intragastric cooling and surgical intervention should be emphasized according to the characteristics of the case were revealed.

Supporting Institution

ANKARA ÜNİVERİSTESİ TIP FAKÜLTESİ

References

  • 1 — A. Bogoch. Gastroenterology Vol. 1. 616, 1963.
  • 2 A. Bogoch. Gastroenterology Vol 1. 659, 1963.
  • 3 Bockus. Gastroenterology. Vol. 1. 652, 1963.
  • 4 — BERKOWITZ, D. : Acute upper gastrointestinal hemorrhage a Rational Approach to diagnosis and Management. J. A. M. A., 160 : 1398, 1956.
  • 5 BOLES, R. S. : Medical versus, surgical Management for the complication of hemorrhage in duodenal ulcer, Gastroenterology, 32: 1, 52, 1957.
  • 6 BOWERS, R. AND GOMPEOTZ, M. L. : Management of Bleeding peptic ulcer Ann. Surgery, 145 : 2, 162, 1957.
  • 7 — BROWN, R. J. AND THI-EME E. TH. : The results of the conservative treatment of upper gastrointestinal bleeding, Gastroenterology, 14 : 3, 369, 1950.
  • 8 — DUGGAN, J. M. : Hematemesis and Melena, a survey, Med. J. Australia, 2 : 941, 1956.
  • 9 HAWKINS C. F. : Diseas of the Alimentary Tract. 112. 1963.
  • 10 HOER, S. O. : The place of surgery in the Emergency treatment of acute Massive upper gastrointestinal hemorrhage, surgery, Gyn. obst. 87 : 338, 1948.
  • 11 IVY, A. C.: Peptic ulcer (Blakiston, Philadelphia, 1950).
  • 12 IVY, A. C., GROSSMAN, M. 1., AND BACHRACHW. H. : peptic ulcer, philadelphia„ the BIR.kist.on company 1950, pp 559, 840.
  • 13 — JENNÍNGS, G. H. : Causal influences in heematemesis and melena. Gut, 6 1, 1, 1965.
  • 14 — JONES, F. A. AND GUMMER, J. W. P. : Clinical gastroenterology (Blackwell, oxford, 1961) pp 393.
  • 15 JONES, F. A., AND GUMMER J. W. P. : Clinical gastroenterology. springfield C. thomas pp 409. 1960.
  • 16 — JONES. F. A. : Haematemesis and Melena, with special reference to causations and to the Factors influencing the Mortality From bleeding peptic ulcer. Gastroenterology, 30 : 2, 166, 1956.
  • 17 — KARLSON. K. E. : Results of three Methods of therapy for Massive gastroduodenal hemorrhage. Ann. surgery, 148, 4, 594, 1958.
  • 18 — KATZ D. : upper gastrointestinal bleeding in the aged : A Prospective study utilizmg a younger age groug as control, Am. J. Digestive Disease 10, 8, 689; 1965.
  • 19 — KATZ. D. : Early endoscopic diagnosis of Acut upper gastrointestinal Hemorrhage. J. A. M. A. 188, 5, 405, 1%4.
  • 20 LANGMAN, M. J. S. : Duodenal Divertucula and Hemorrhage, Gut, 1, 30, 1963.
  • 21 LtPP. W. F : Problem of Massive Hemorrhage From the gastroduodenal ulceration, Gastroenterology 32, 3, 535, 1957.
  • 22 MAC CAiG, J. N. : Hemorrhage from the upper alimentary Tract, Gut, 5, 136, 1964 . 23 — MENTES, N. K. : Massif mide barsak kanamalarmm stirrenal korteksine tesiri, Ege Üniv. TIP Fak. Mecmuasl. 3, 2, 174, 1964.
  • 24 — NEEDHAM, G. D. AND MC CONOCHtE., J. A. : Hematemesls and Melena, Brit, Med. J. 2, 133, 1950.
  • 25 — NYHUS, L. M. : Massive upper gastrointestinal temorrhage, Harkins and Nyhus (Editor). surgery of the stomach and duodenum (little-brown, Boston,) . pp. 513. 1962.
  • 26 PALMDR E. D. : Further Experiences with the vigorous diagnostic approach to upper gastrointestinal hemorrhage, Am. J. Med. Sciences, 233, 5, 497, 1957.
  • 27 — PALMER, E. D : iDagnosis of upper gastrointestinal hemorrhage (ch, Thomas, spring field, 111, 1961).
  • 28 — ROSENAK, B. D. : Hemorrhage From peptic ulcer. An analysis of 223 cases, Gastroenterology, 20, 2, 272, 1952.
  • 29 SHAPiRO, N. AND SCHtFF, L. : Ten years experience with bleeding peptic ulcer with emphasis on Forty-Five Fatal caseq, surgery, 31, 327, 1952.
  • 30 — SMYTHE, CH. M. : Bleeding from the upper gastrointestinal tract, New. Eng. J. Med., 256, 441, 1957.
  • 31 — TAYLOR, G. G. : the Recent position of surgery in the treatment of bleeding peptic ulcer. Brit. J. Surgery. 33, 336, 1964.
  • 32 — THOMAS, J. H. AND REES, W. E. Hematemesis and Melena: a survey in a British provincial Hospital (Jan-1948-July 1951), Gastroenterology 26, 2, 260, 1954.
  • 33 — WAGSTAFF. J. K. : Clinical diagnosis in gastrointestinal Hemorrhage Gastroenterology, 36, 1, 26, 1959.
  • 34 — WANGENSTÐEN, O. H., SALMON, P. A., GRtFFÐN W. O. JR,. PATERSON J. R. S. AND FATI'AH, F. : Studies of local gastric cooling as related to peptic ulcer. Ann. surg. 150 : 346, 1959.
  • 35 — WARD-MC IQUAtD, J. N. : Surgery in bleeding peptic ulcer, Gu, 1, 3, 258, 1960.
  • 36 — WATERSON, A. P. : Hematemesis and Melena in Cambridge, Am. t: Digestive Diseases, 1, 5, 193, 1956.
  • 37 WELCH, C.E. : Surgical Management of Massive Acut upper gastrointestinal Hemorrhage, New Eng. J. Med. 252, 921, 1955.

1964 - 1967 seneleri arasında kliniğimizde yatan 66 kanama vak'asının incelenmesi

Year 1968, Volume: 21 Issue: 3, 934 - 945, 30.09.1968
https://izlik.org/JA77JT78SA

Abstract

Bu çalışma hematemez ve Melena’nın nedenlerini, tedavi yöntemlerinin ölüm oranı üzerindeki etkilerini araştırmak amacıyla yapıldı.
66 hastadan oluşan hasta materyalinde rutin muayene yöntemleri kullanıldı.
29 hastaya kan nakli yapıldı ve ölüm oranı % 24 olarak bulundu.
6 hastaya mide soğutma işlemi yapıldı ve ölüm oranı % 33.3 olarak bulundu.
58 hasta tıbbi tedaviye alındı, bu hastalardaki ölüm oranı %10,3 olarak bulundu. Cerrahi müdahale için sevk edilen 8 hastadan (25) 2’si öldü.
Kanamanın nedeni olarak % 51.5 oranında peptik ülser saptandı.
66 hastada genel ölüm oranı % 12.12 idi. Ölen hastalarımın hepsi 50 yaşın üzerindeydi.
Sonuç olarak, kanamalı hastalarda kan naklinin önemi ve intragastrik soğutma ve cerrahi girişimin vakanın özelliklerine göre vurgulanması gerektiği ortaya çıktı.

Supporting Institution

ANKARA ÜNİVERİSTESİ TIP FAKÜLTESİ

References

  • 1 — A. Bogoch. Gastroenterology Vol. 1. 616, 1963.
  • 2 A. Bogoch. Gastroenterology Vol 1. 659, 1963.
  • 3 Bockus. Gastroenterology. Vol. 1. 652, 1963.
  • 4 — BERKOWITZ, D. : Acute upper gastrointestinal hemorrhage a Rational Approach to diagnosis and Management. J. A. M. A., 160 : 1398, 1956.
  • 5 BOLES, R. S. : Medical versus, surgical Management for the complication of hemorrhage in duodenal ulcer, Gastroenterology, 32: 1, 52, 1957.
  • 6 BOWERS, R. AND GOMPEOTZ, M. L. : Management of Bleeding peptic ulcer Ann. Surgery, 145 : 2, 162, 1957.
  • 7 — BROWN, R. J. AND THI-EME E. TH. : The results of the conservative treatment of upper gastrointestinal bleeding, Gastroenterology, 14 : 3, 369, 1950.
  • 8 — DUGGAN, J. M. : Hematemesis and Melena, a survey, Med. J. Australia, 2 : 941, 1956.
  • 9 HAWKINS C. F. : Diseas of the Alimentary Tract. 112. 1963.
  • 10 HOER, S. O. : The place of surgery in the Emergency treatment of acute Massive upper gastrointestinal hemorrhage, surgery, Gyn. obst. 87 : 338, 1948.
  • 11 IVY, A. C.: Peptic ulcer (Blakiston, Philadelphia, 1950).
  • 12 IVY, A. C., GROSSMAN, M. 1., AND BACHRACHW. H. : peptic ulcer, philadelphia„ the BIR.kist.on company 1950, pp 559, 840.
  • 13 — JENNÍNGS, G. H. : Causal influences in heematemesis and melena. Gut, 6 1, 1, 1965.
  • 14 — JONES, F. A. AND GUMMER, J. W. P. : Clinical gastroenterology (Blackwell, oxford, 1961) pp 393.
  • 15 JONES, F. A., AND GUMMER J. W. P. : Clinical gastroenterology. springfield C. thomas pp 409. 1960.
  • 16 — JONES. F. A. : Haematemesis and Melena, with special reference to causations and to the Factors influencing the Mortality From bleeding peptic ulcer. Gastroenterology, 30 : 2, 166, 1956.
  • 17 — KARLSON. K. E. : Results of three Methods of therapy for Massive gastroduodenal hemorrhage. Ann. surgery, 148, 4, 594, 1958.
  • 18 — KATZ D. : upper gastrointestinal bleeding in the aged : A Prospective study utilizmg a younger age groug as control, Am. J. Digestive Disease 10, 8, 689; 1965.
  • 19 — KATZ. D. : Early endoscopic diagnosis of Acut upper gastrointestinal Hemorrhage. J. A. M. A. 188, 5, 405, 1%4.
  • 20 LANGMAN, M. J. S. : Duodenal Divertucula and Hemorrhage, Gut, 1, 30, 1963.
  • 21 LtPP. W. F : Problem of Massive Hemorrhage From the gastroduodenal ulceration, Gastroenterology 32, 3, 535, 1957.
  • 22 MAC CAiG, J. N. : Hemorrhage from the upper alimentary Tract, Gut, 5, 136, 1964 . 23 — MENTES, N. K. : Massif mide barsak kanamalarmm stirrenal korteksine tesiri, Ege Üniv. TIP Fak. Mecmuasl. 3, 2, 174, 1964.
  • 24 — NEEDHAM, G. D. AND MC CONOCHtE., J. A. : Hematemesls and Melena, Brit, Med. J. 2, 133, 1950.
  • 25 — NYHUS, L. M. : Massive upper gastrointestinal temorrhage, Harkins and Nyhus (Editor). surgery of the stomach and duodenum (little-brown, Boston,) . pp. 513. 1962.
  • 26 PALMDR E. D. : Further Experiences with the vigorous diagnostic approach to upper gastrointestinal hemorrhage, Am. J. Med. Sciences, 233, 5, 497, 1957.
  • 27 — PALMER, E. D : iDagnosis of upper gastrointestinal hemorrhage (ch, Thomas, spring field, 111, 1961).
  • 28 — ROSENAK, B. D. : Hemorrhage From peptic ulcer. An analysis of 223 cases, Gastroenterology, 20, 2, 272, 1952.
  • 29 SHAPiRO, N. AND SCHtFF, L. : Ten years experience with bleeding peptic ulcer with emphasis on Forty-Five Fatal caseq, surgery, 31, 327, 1952.
  • 30 — SMYTHE, CH. M. : Bleeding from the upper gastrointestinal tract, New. Eng. J. Med., 256, 441, 1957.
  • 31 — TAYLOR, G. G. : the Recent position of surgery in the treatment of bleeding peptic ulcer. Brit. J. Surgery. 33, 336, 1964.
  • 32 — THOMAS, J. H. AND REES, W. E. Hematemesis and Melena: a survey in a British provincial Hospital (Jan-1948-July 1951), Gastroenterology 26, 2, 260, 1954.
  • 33 — WAGSTAFF. J. K. : Clinical diagnosis in gastrointestinal Hemorrhage Gastroenterology, 36, 1, 26, 1959.
  • 34 — WANGENSTÐEN, O. H., SALMON, P. A., GRtFFÐN W. O. JR,. PATERSON J. R. S. AND FATI'AH, F. : Studies of local gastric cooling as related to peptic ulcer. Ann. surg. 150 : 346, 1959.
  • 35 — WARD-MC IQUAtD, J. N. : Surgery in bleeding peptic ulcer, Gu, 1, 3, 258, 1960.
  • 36 — WATERSON, A. P. : Hematemesis and Melena in Cambridge, Am. t: Digestive Diseases, 1, 5, 193, 1956.
  • 37 WELCH, C.E. : Surgical Management of Massive Acut upper gastrointestinal Hemorrhage, New Eng. J. Med. 252, 921, 1955.
There are 36 citations in total.

Details

Primary Language Turkish
Subjects Gastroenterology Surgery
Journal Section Research Article
Authors

Necip Danışoğlu This is me

Publication Date September 30, 1968
IZ https://izlik.org/JA77JT78SA
Published in Issue Year 1968 Volume: 21 Issue: 3

Cite

APA Danışoğlu, N. (1968). 1964 - 1967 seneleri arasında kliniğimizde yatan 66 kanama vak’asının incelenmesi. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 21(3), 934-945. https://izlik.org/JA77JT78SA
AMA 1.Danışoğlu N. 1964 - 1967 seneleri arasında kliniğimizde yatan 66 kanama vak’asının incelenmesi. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1968;21(3):934-945. https://izlik.org/JA77JT78SA
Chicago Danışoğlu, Necip. 1968. “1964 - 1967 Seneleri Arasında Kliniğimizde Yatan 66 Kanama Vak’asının Incelenmesi”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 21 (3): 934-45. https://izlik.org/JA77JT78SA.
EndNote Danışoğlu N (September 1, 1968) 1964 - 1967 seneleri arasında kliniğimizde yatan 66 kanama vak’asının incelenmesi. Ankara Üniversitesi Tıp Fakültesi Mecmuası 21 3 934–945.
IEEE [1]N. Danışoğlu, “1964 - 1967 seneleri arasında kliniğimizde yatan 66 kanama vak’asının incelenmesi”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 21, no. 3, pp. 934–945, Sept. 1968, [Online]. Available: https://izlik.org/JA77JT78SA
ISNAD Danışoğlu, Necip. “1964 - 1967 Seneleri Arasında Kliniğimizde Yatan 66 Kanama Vak’asının Incelenmesi”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 21/3 (September 1, 1968): 934-945. https://izlik.org/JA77JT78SA.
JAMA 1.Danışoğlu N. 1964 - 1967 seneleri arasında kliniğimizde yatan 66 kanama vak’asının incelenmesi. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1968;21:934–945.
MLA Danışoğlu, Necip. “1964 - 1967 Seneleri Arasında Kliniğimizde Yatan 66 Kanama Vak’asının Incelenmesi”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 21, no. 3, Sept. 1968, pp. 934-45, https://izlik.org/JA77JT78SA.
Vancouver 1.Necip Danışoğlu. 1964 - 1967 seneleri arasında kliniğimizde yatan 66 kanama vak’asının incelenmesi. Ankara Üniversitesi Tıp Fakültesi Mecmuası [Internet]. 1968 Sep. 1;21(3):934-45. Available from: https://izlik.org/JA77JT78SA