Cirrhosis complicated with upper gastrointestinal perforation Analysis and Discussion.docVIP

 PAGE \* MERGEFORMAT 6 Cirrhosis complicated with upper gastrointestinal perforation Analysis and Discussion [Keywords:] liver cirrhosis; ascites; upper gastrointestinal tract perforation cirrhosis complicated with upper gastrointestinal tract perforation is often accompanied by diffuse peritonitis, the course dangerous and may endanger the patient’s life. Therefore, early diagnosis and effective treatment the prognosis of the patient is very important. from June 1998 to 2009, our department treated 3 cases of liver cirrhosis was diagnosed with upper digestive tract perforation. these are as follows, and its treatment were analyzed and discussed. The clinical data of patients 1, 1, M, 53 years old, alcoholic cirrhosis with ascites 5 years, preoperative diagnosis of upper gastrointestinal perforation, diffuse peritonitis, surgery proved to be the anterior wall of the gastric antrum ulcer, see a large number of intra-abdominal purulent ascites total of about 2 500 ml, line perforation repair, peritoneal drainage, incision suture technique. 8th day after removal of abdominal drainage, postoperative recovery was smooth, .5 weeks 3 weeks later discharged from hospital referral that intraperitoneal the formation of a small drainage tube extubation at the abdominal wall hernia. Example 2, female, 58 years old. Cirrhosis with ascites 3 years, preoperative diagnosis of upper gastrointestinal perforation, diffuse peritonitis, surgery confirmed the anterior wall of duodenal ulcer perforation, intra-abdominal see a large amount of purulent ascites About 2 000ml, line perforation repair, peritoneal drainage, incision suture technique, in the first 9 days after removal of abdominal drainage, postoperative recovery was smooth, 3 weeks and discharged. Example 3, male, 59 years old, hepatitis B cirrhosis with ascites after 4 years, 8 years with previous history of diabetes, preoperative diagnosis of upper gastrointestinal perforation, diffuse periton