Old upper gastrointestinal tract perforation of 21 cases of acute.docVIP

 PAGE \* MERGEFORMAT 8 Old upper gastrointestinal tract perforation of 21 cases of acute [Abstract] Objective of acute upper gastrointestinal tract perforation in elderly clinical features and treatment. Methods Retrospective analysis of 21 cases over 60 years of age with acute upper gastrointestinal perforation in patients with clinical data. Results of 21 cases in 10 cases of perforated gastric ulcer, duodenal intestinal perforation in 8 cases bulbar ulcer, gastric perforation in 3 cases, 17 cases of simple perforation repair, the majority of gastric resection in 3 cases, 2 died. Conclusion old fast progression of the disease of upper gastrointestinal perforation, high mortality, once diagnosed, reasonable choice of surgical procedures, surgical treatment as soon as possible. [Keywords:] treatment of elderly acute perforation of upper digestive tract Upper Gastrointestinal perforation is a common acute abdomen surgery, the elderly on the clinical manifestations of acute perforation of the digestive tract often not typical, coexisting disease and more rapid progression of the disease, high mortality. Our hospital from October 2004 ~ October 2008 a total of 21 patients treated elderly patients with upper gastrointestinal perforation, now the consultation analysis report is as follows. 1 Materials and Methods 1.1 General information on 21 cases, 15 cases of males and 6 females, aged 61 to 88 years old, average 69.6 years old. 10 cases of perforated gastric ulcer, duodenal ulcer perforation in 8 cases, gastric perforation in 3 cases, including chronic 12 patients with a history of peptic ulcer. Clinical manifestations: in varying degrees before the onset of upper abdominal pain, but 9 patients without definite history of sudden upper abdominal pain or only very slight peritoneal irritation, white blood cell count below 10 × 109 / L in 15 cases, while the plate was accompanied by abdominal free gas below the diaphragm were only 8 cases of abdominal