摘要
目的总结消化性溃疡急性穿孔的外科诊治经验,以提高对溃疡病急性穿孔的诊治水平。方法回顾性分析我院2002年1月～2008年10月收治的320例消化性溃疡急性穿孔患者临床表现、诊断及治疗方法。结果320例中确诊307例(95.9%),误诊13例(4.1%),非手术治疗108例(33.7%),平均住院日7d,150例行穿孔修补(46.9%),平均住院日11d,胃大部分切除62例(13.4%),平均住院日13d,术后并发切口脂肪液化、感染24例,肺部感染8例,再穿孔1例,无十二指肠残端破裂、吻合口瘘等并发症。结论X线、B超及腹腔穿剌可提高溃疡穿孔确诊率。治疗上选择哪种方式要根据病人条件和术中情况及术者经验而定,非手术治疗和穿孔修补术后系统内科溃疡治疗,大部分患者可得到治愈,免除了手术或再次手术。
Objective To summarize the diagnosis and treatment experience about peptic ulcer accompanying acute perforation,raise the diagnosis and treatment level. Methods The cinical manifestation,the diagnosis and treatment of 320 examples peptic ulcer patient were reospectively analyzed in our hospital from January 2002 to October 2008. Results 307 （95.9%）examples were final diagnosis, 13 examples （4.1%）were misdiagnosis, 108 examples （33.7%） were non-surgery treated,average in hospital date 7 days, 150 examples were routine perforation patched （46.9%）, average in hospital date 11 days, the stomach excises 62（ 13.4% ） examples, average in hospital date 13 days, after the technique,the professional jargon of 24 examples were fat liquefied,the lungs of 8 examples were infetected, 1 example was reperforation,without the complications such as duodenal stump rupture and stoma fistula. Conclusion The final diagnosis rate can be rasied by X-ray,the B-ultrasound and the abdominal cavity puncture. Which way is choosed according to the patient condition and the technique the situation and the technique experience,after non-surgery treatment and perforation neoplasty and system internal medicine department,the majority of patients may be cured, avoidd the surgery or once more surgery.
出处
《中国现代医生》
2009年第24期113-114,118,共3页
China Modern Doctor
关键词
消化性溃疡
急性穿孔
穿孔修补
胃大部分切除
Peptic ulcer
Acute perforation
Perforation restore
Stomach big partial resection
