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 对笔者所在医院外科2005年1月～2009年12月收治的26例老年胃十二指肠溃疡急性穿孔患者的临床资料进行回顾性分析.结果 1例保守治疗,25例行手术治疗.其中20例行单纯穿孔修补术,5例行胃大部分切除术.治愈25例（96.2%）,死亡1例（3.8%）,术后出现并发症4例（16.0%）.结论 老年胃十二指肠溃疡急性穿孔患者具有临床症状与体征不典型、容易误诊漏诊、合并症及并发症多等特点.手术是主要治疗方法,应该严格掌握保守治疗的适应证,以便提高治愈率,降低病死率.
Objective To investigate the diagnosis and treatment of the acute perforated gastroduodenal ulcer. Methods From 2005 to 2009,26 old - patients with acute perforated gastroduodenal ulcers were analyzed retrospectively. Results 25 cases were treated by surgical operation, 1 cases were treated by conservative treatment. 20 cases of them underwent Simple repair of perforation and 5 cases of them underwent subtotal gastrectomy and local resection of ulcer. The mortality rate was 3.8 %. Conclusion Surgical operation is the first choice treatment of the acute perforated gastroduodenal ulcer. In the course of the conservative treatment, the surgical operation indication should be grasped, so as to improve the cure rate and reduce mortality rate.
出处
《中外医学研究》
2010年第17期9-10,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
老年患者
溃疡穿孔
腹膜炎
Old - patients
Peptic ulcer perforation
Peritonitis
