Syuta L. Choosing of surgical tactics in patients with the bleeding peptic ulcer influensly to the hemostasis variants

In 152 with bleeding peptic ulcer patients the condition of the hemostasis system was studied, multifactor linear discriminant regression was used for rebleeding progno-sis. In 92 patients five nosotropic variants of the hemostasis were considered. In patients with hyperhypocoagulative and hyponormocoagulative variants conservative or planning operative treatment can be used. In patients with hypocoagulative variant without the coagulopathy increasing early deferred operation is justified. Urgent methods of treatment considered in patients with hypocoagulative variant with increasing of the coagulopathy (in 24 hour therm) and disseminated intravascular blood coagulation - variant (in 12 hour therm). This surgical tactics in patients with bleeding peptic ulcer made possible to decrease general mortality from 10% to 1,09%.