THE ROLE OF T. ROCKALL'S PROGNOSTIC SCALE AT ULCERO BLEEDING FROM THE BULBS OF THE DOVOENALINS AND THE BURIAL DIVISION
The article presents the results of treatment of patients who were treated at the St. Petersburg research Institute of emergency care. I. I. Janelidze with ulcerative duodenal bleeding. The analysis of examination, treatment and prognosis of recurrence of bleeding of 56 patients is carried out. The age of patients varied from 22 to 87 years. Group 1 included patients with bleeding ulcer of the duodenal bulb was 37 patients, group 2 patients with bleeding from zalogowany localization of duodenal ulcer was 19 patients, using a scale determine the degree of risk of recurrence of acute bleeding T. Rockall. Each group of patients was analyzed depending on the value of the prognostic scale. So in the first group of patients n-37, the total mortality was 17.95% (7 patients), operated 25.6%, (10 patients) bleeding relapse occurred in 25.6%. 7 patients(19.95%) were operated on at relapse, and postoperative mortality was 10.26%(4 patients died). In the second group, patients were distributed as follows: Mortality was 17.95% (2 patients), operated only 15.79% (3 patients), bleeding relapse occurred in 26.32%(5 patients), operated with relapse of 10.53% (2 patients) and postoperative mortality was 5.26% (1 died). So the occurrence of recurrent bleeding in gastroduodenal ulcer is a formidable and deadly condition that requires immediate re-endoscopic hemostasis, against the background of intensive resuscitation. The study found that the Rockall scale now more accurately assesses the likelihood of recurrence of gastroduodenal bleeding. In patients with a score of 6 or more on this scale, the risk of recurrence of ulcerative bleeding increases significantly.