35 cases of on the emergency laparoscopic gastric ulcer perforation repair（35例急诊腹腔镜胃溃疡穿孔修复）.docVIP

35 cases of on the emergency laparoscopic gastric ulcer perforation repair Papers to write network: [keywords] laparoscopic; gastric ulcer, duodenal ulcer, repair 0 Introduction 200 102/200 611, our hospital emergency room to carry out laparoscopic gastroduodenal perforation repair 35 cases, the postoperative routine to digest medicine system antacid, pyloric Campylobacter treatment results were satisfactory. 1 Clinical data The group of 35 (27 male, 8 female) patients, aged 20 to 75 (average 36 years old, including 11 cases of gastric ulcer, duodenal ulcer 24 cases, the typical history of ulcer were 19 cases, a history of 3 to 5 a are without the formal system of Gastroenterology, treatment, all patients underwent the KUB prompt subdiaphragmatic free gas, blood, knife-like pain in the upper abdomen, abdominal plate, intraoperative findings perforation size of about 0.3 to 0.5 cm perforation admission time about 1 ~ 48 h. All cases anesthesia intubation, flat supine, head high 30 ? Hole three technologies: the first hole is located 0.5 cm below the belly button hole length of 1 cm; second hole located in the left mid-clavicular line umbilical level 3 ~ 4 cm , main the operating hole, third hole is located on the right side of the mid-clavicular line umbilical 3 ~ 4 cm, 0.5 cm long hole the umbilical hole into laparoscopic abdominal exploration omentum around the perforation, intra-abdominal gastric juice, food residual check, pus moss. applications trauma Line 2.3 to 0 with wire drawing, or, according to the longitudinal axis of the perforation size along perforation “8” suture needle 3 to 4, and then knot omentum coverage. applications saline and metronidazole azole solution repeatedly wash the abdominal cavity, according to the degree of peritoneal contamination, rinse. drainage tube placed in the small retinal hole pulled from the third hole at the results of 35 patients with perforation diameter is about. 0.3 to 0.5 cm, intraperitoneal co