| Popis: |
THE TREATMENT for severe hemorrhage from peptic ulcer is still a controversial subject. There are those such as Stewart and his colleagues,1who advocate prompt operation in all cases; there are others, such as Dunphy and Hoerr,2who determine whether or not emergency operation is indicated by the initial response of the bleeding patient to conservative therapy, and finally, there are those, such as Andresen,3whose treatment in all cases is by medical measures. A discussion of the relative merits of these three schools of thought is beyond the scope of this paper. There remains a further difference of opinion as regards the use of blood transfusion in the presence of active bleeding from ulcer. Numerous ideas have been recorded regarding the indications for transfusion, the speed of administration, and the amount of blood which should be given. The opinion of one group is exemplified by the |
