【摘要】 作者采用胃去动脉术治疗各种原因引起的急性胃粘膜病变（ＡＧＭＬ）大出血１３例，１１例即刻止血，２例无效，１例再出血，３例死亡。临床分析提示，低血压、肝功能损害、严重感染、酸中毒、尿毒症等是ＡＧＭＬ的危险因素；对门静脉高压性ＡＧＭＬ，本手术疗效较差，应慎重选用。作者还就ＡＧＭＬ的病因和发病机理、胃去动脉术的解剖学和生理学依据以及ＡＧＭＬ的术式选择等问题进行了讨论更多还原

【Abstract】 Thirteenpatientswithacutegastricmucosallesionandbleedingweretreatedwithgas-tricdevascularization.Ofal,11apparentlystoppedbleeding,twofailedtorespondtotheprocedure,onerebled,andthreedied.Clinicalanalysisofthepatientssuggestedthatlowbloodpressure,damageofliv-erfunction,seriousinfection,acidosisanduremiawereprecipitatingfactorsofthediseaseandforAGMLinportalhypertension,theefectofthisprocedurewaspoor.Meanwhile,theetiologyandpathologicalmechanismofAGML,theselectionofoperationtypesforthedisease,andtheanatomicalandphysiologi-calbasesofgastricdevascularizationwerealsodiscussed.更多还原