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上消化道穿孔145例诊疗体会

Clinical experience of the treatment of upper digestive tract perforation
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摘要 目的:总结上消化道穿孔的诊疗经验。方法:对145例上消化道穿孔病例的临床资料进行回顾性分析。结果:溃疡穿孔126例,恶性肿瘤穿孔15例,其他病因引起的穿孔4例。其中135例进行手术治疗,均治愈出院;10例行保守治疗,治愈7例,死亡2例,转外院1例。结论:上消化道穿孔病情急,变化快,一旦确诊应尽早手术治疗,合理选择术式,有利于挽救生命及减少并发症的发生。 To sum up the clinical experience of the treatment of upper digestive tract perforation. Methods: Retro-spectively analyse the clinical charts of 145 cases of upper digestive tract perforation. Results: The causes of upper digestive tract per- foration included peptic ulcer ( 126 cases ), gastrointestinal cancer ( 15 cases) and others (4 cases). Patients with surgical interven- tion were all cured and discharged (135 cases). Ten patients received conservative treatment and 7 of them were cured, 2 of them died, and 1 patient was transferred to another hospital. Con^lutton: As gastrointestinal emergency , upper digestive tract perforation can progress rapidly. Once diagnosed with upper digestive tract perforation , patients should receive surgical intervention immediatelyto be saved and also to lower the incidence of complications.
作者 吴常东
出处 《中国民族民间医药》 2012年第14期103-103,108,共2页 Chinese Journal of Ethnomedicine and Ethnopharmacy
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