gastrectomy clinical study of the treatment of acute gastric ulcer perforation（胃切除术治疗的临床研究急性胃溃疡穿孔）.docVIP

Gastrectomy Clinical study of the treatment of acute gastric ulcer perforation Abstract: Objective: To study the efficacy of the treatment of acute gastric ulcer perforation gastrectomy. Methods: 50 cases in my hospital patients with gastric ulcer during January 2009 - January, including 23 males 27 females, mean age (40.68 + -12.27) years of age, a history of 1-23 years, an average of (9.8 + -2.6) years. patients with high acid secretion in type Ⅱ, Ⅲ 37 cases of gastric ulcer patients, I low acid secretion 13 cases of perforated 23 cases of the lesser curvature of the gastric body, antrum anterior wall perforation of the 17 cases, the pyloric tube perforation 10 cases. implementation gastrectomy patients, and compare the effect six months after the patient in terms of gender, age , duration and other terms of the difference was not statistically significant. Results: 72% of patients in the postoperative reach grade Ⅰ and grade Ⅱ standard, be able to live a normal life .20% of patients with grade III reliance on medication auxiliary can live a normal life and work good, only 8% of patients for a variety of reasons, are still to bear the pain of the disease. Conclusions: Postoperative 92% of patients achieved good efficacy gastrectomy treatment of acute gastric ulcer perforation will reach clinical effect. Keywords: gastrectomy surgery, acute gastric ulcer perforation, clinical Gastric ulcer perforation is a peptic ulcer, ulcers deepening slowly penetrate the muscularis and serosa penetrate the stomach caused by perforation. Symptoms: initial severe abdominal pain, mainly from the upper abdomen and perforation site, burning pain, labor pains persistent. patients also have symptoms of vomiting and nausea, accompanied by bloating and constipation, may also lead to fever and pulse speed up, patients with severe shock symptoms [1] If you do not discover or treatment will be spread to the entire abdomen. acute gastric ulcer since the onset of the sudden and unbea