老年人胃十二指肠溃疡急性穿孔诊治分析.docVIP

老年人胃十二指肠溃疡急性穿孔诊治分析 　　摘 要 目的：探讨老年人胃十二指肠溃疡急性穿孔的临床特点及治疗方法。方法；收治老年胃十二指肠溃疡急性穿孔患者78例，对其临床资料进行回顾性分析。结果：本组患者中10例行保守治疗，68例行手术治疗。其中41例行单纯穿孔修补术，19例行胃大部分切除术，治愈71例，死亡3例，术后出现并发症33例次。结论：老年人胃十二指肠溃疡急性穿孔容易误诊漏诊，手术并发症多。手术是主要治疗方法，应严格掌握保守治疗的指证，提高治愈率、降低病死率。胃、十二指肠球部溃疡穿孔单纯缝合修补，操作简单安全，并发症少，术后结合正规内科治疗，效果满意。? 　　摘 要 目的：探讨老年人胃十二指肠溃疡急性穿孔的临床特点及治疗方法。方法；收治老年胃十二指肠溃疡急性穿孔患者78例，对其临床资料进行回顾性分析。结果：本组患者中10例行保守治疗，68例行手术治疗。其中41例行单纯穿孔修补术，19例行胃大部分切除术，治愈71例，死亡3例，术后出现并发症33例次。结论：老年人胃十二指肠溃疡急性穿孔容易误诊漏诊，手术并发症多。手术是主要治疗方法，应严格掌握保守治疗的指证，提高治愈率、降低病死率。胃、十二指肠球部溃疡穿孔单纯缝合修补，操作简单安全，并发症少，术后结合正规内科治疗，效果满意。? 　　关键词 老年人 胃十二指肠溃疡穿孔 治疗? 　　关键词 老年人 胃十二指肠溃疡穿孔 治疗? 　　doi:10.3969/j.issn.1007-614x.2012.06.087?? 　　doi:10.3969/j.issn.1007-614x.2012.06.087?? 　　Abstract Objective:to investigate the stomach ulcer acute perforation of the clinical characteristics and treatment method.Methods:the clinical data from surgery in December 2002 to March 2011 records of 78 elderly cases of gastric ulcer acute perforation of the patients were retrospectively analysed.Results:among conservative treatment in patients with routine 10,68 cases of surgical treatment.One simple perforation was 41 routine repair,and routine stomach most resection,and 71 cases were cured,death 3 cases,postoperative complications 33 cases of times.Conclusion:the old stomach ulcer acute perforation it is easy to be misdiagnosed missed more than the surgical complications.Surgery is the main treatment should be strictly grasp of conservative treatment testify,improve the cure rate,reduce mortality,analyze.the stomach,duodenum ball department ulcer perforation laparoscopic repair simple,simple and safe operation,less complications,postoperative combined with regular medical treatment,the result is satisfactory.? 　　Abstract Objective:to investigate the stomach ulcer acute perforation of the clinical characteristics and treatment method.Methods:the clinical data from surgery in December 2002 to March 2011 records of 78 elderly cases of gastric ulcer acute perforation of the patients w