摘要
目的:探讨老年人胃十二指肠溃疡急性穿孔的临床特点及治疗方法。方法;收治老年胃十二指肠溃疡急性穿孔患者78例,对其临床资料进行回顾性分析。结果:本组患者中10例行保守治疗,68例行手术治疗。其中41例行单纯穿孔修补术,19例行胃大部分切除术,治愈71例,死亡3例,术后出现并发症33例次。结论:老年人胃十二指肠溃疡急性穿孔容易误诊漏诊,手术并发症多。手术是主要治疗方法,应严格掌握保守治疗的指证,提高治愈率、降低病死率。胃、十二指肠球部溃疡穿孔单纯缝合修补,操作简单安全,并发症少,术后结合正规内科治疗,效果满意。
Abstract Objective：to investigate the stom- ach ulcer acute perforation of the clinical characteristics and treatment method. Meth- ods： the clinical data from surgery in De- cember 2002 to March 2011 records of 78 elderly cases of gastric ulcer acute perfora- tion of the patients were retrospectively ana- lysed. Results ： among conservative treatment in patients with routine 10,68 cases of sur- gical treatment. One simple perforation was 41 routine repair, and routine stomach most resection,and 71 cases were cured, death 3 cases, postoperative complications 33 cases of times. Conclusion： the old stomach ulcer acute perforation it is easy to be misdiag- nosed missed more than the surgical compli- cations. Surgery is the main treatment should be strictly grasp of conservative treatment testify, improve the cure rate, reduce mortal- ity, analyze, the stomach, duodenum ball de- partment ulcer perforation laparoscopic re- pair simple, simple and safe operation, less complications,postoperative combined with regular medical treatment,the result is satisfactory.
