急性胃溃疡穿孔行胃大部切除术治疗的临床研究.docVIP

精品论文 参考文献 急性胃溃疡穿孔行胃大部切除术治疗的临床研究 王明会 郭爱芬 (平度市中医医院 山东 青岛 266700) 【摘要】 目的：分析胃大部切除术治疗急性胃溃疡穿孔的临床疗效。方法：选取我院2012年12月～2014年10月接收的急性胃溃疡穿孔患者80例，均对其使用胃大部切除术进行治疗，并对治疗效果进行分析。结果：急性胃溃疡穿孔患者进行胃大部切除术后，无死亡现象；患者平均治疗时间为（163.7plusmn;18.2）min；手术后66.25%的患者恢复为Ⅰ级，23.75%的患者恢复为Ⅱ级，10%的患者恢复为Ⅲ级；术后早期3.75%的患者出现并发胃出血症状，3例患者手术后感染。结论：实施胃大部切除术对急性溃疡穿孔患者进行治疗，可以根本解决溃疡穿孔病症，手术治疗效果显著，术后并发症少，死亡率低，值得临床进行推广。 【关键词】 胃大部切除术；急性；胃溃疡；穿孔 【中图分类号】R61 【文献标识码】A 【文章编号】2095-1752（2015）34-0030-02 The treatment of acute gastric ulcer perforation most of gastric resection Wang Ming, Guo Aifen. Pingdu TCM hospital, shandong province, Qingdao 266700, China 【Abstract】Objective Analysis of stomach was the clinical curative effect of treatment of acute gastric ulcer perforation. Methods Selected from December 2012 to October 2014 received 80 cases of patients with acute gastric ulcer perforation, all use most of gastric resection on the treatment, and analyze the treatment effect. Results After most of gastric resection in patients with acute gastric ulcer perforation, no death phenomenon; Average treatment time was (163.7 + / - 18.2) min. 66.25% of the patients after the operation, restore to Ⅰ Ⅱ on 23.75% of the patients recover an 10% of the patients recover Ⅲ level; Early postoperative concurrent stomach bleeding (3.75% of the patients, and 3 cases with infection after the operation. Conclusions To implement most of gastric resection treatment of patients with acute ulcer perforation, can be fundamentally solved perforated ulcer disease, surgical treatment effect is remarkable, less postoperative complications, mortality is low, worth clinical promotion. 【Key words】Most of gastric resection; Acute; Gastric ulcer. perforated 急性胃穿孔大多是由人们长期饮食不规律造成的，其中急性胃溃疡穿孔患者比例较大，随着社会环境的恶化，人们的身体素质也不断下降，急性溃疡穿孔患者的数量也不断增加，对患者身体健康造成了严重影响，急性胃溃疡穿孔患者一般使用胃大部切除术进行治疗[1]。本文以我院2012年12月～2014年10月接收的80例急性胃溃疡穿孔患者为试验对象，对其使用胃大部切除术进行治疗，并对其治疗效果进行评价，现报道如下。 1.资料与方法