[Hemostasis and treatment of stress hemorrhage in the upper gastrointestinal tract of trauma patients]. / Blutstillung und Behandlung von Stressblutungen im oberen gastrointestinalen Trakt bei Verwundeten.

ABSTRACT

Despite the use of H2-receptor antagonists for the prevention of stress lesions, 32 (9%) of the 354 wounded treated at the surgical intensive care units presented with upper gastrointestinal bleeding. 28 (87.5%) patients underwent endoscopic examination. The types of hemorrhage (capillary, venous and arterial bleeding) and the efficacy of hemostasis were analyzed. The bleeding ceased spontaneously in 17 (53.1%) patients, and 3 (9.4%) died in spite of all the endoscopic and surgical procedures undertaken.