论文部分内容阅读
目的：探讨老年人消化性溃疡穿孔的治疗措施。方法：分析６２例６０岁以上老年人消化性溃疡急性穿孔的临床资料。其中胃溃疡穿孔３６例，十二指肠球部溃疡穿孔２６例。４８例（７８．１％）有并存病，其中以心血管疾病最常见；并存两种疾病以上者１６例（２５．６％）。６２例手术中，毕Ⅱ式４９例，毕Ⅰ式９例，单纯修补４例；溃疡旷置４例，胃癌淋巴结清扫（Ｒ２式）３例。结果：均治愈，术后并发症１例，无１例死亡。结论：实施妥善的围手术期处理，尤其重视术前对并存病进行有效的控制，老年人是能很好地耐受彻底性手术的。
Objective: To explore the treatment of peptic ulcer perforation in the elderly. Methods: The clinical data of 62 cases of peptic ulcer acute perforation in the elderly over 60 years old were analyzed. 36 cases of gastric ulcer perforation, duodenal ulcer perforation in 26 cases. Forty-eight patients (78.1%) had comorbidities, of which cardiovascular disease was the most common, and 16 patients (25.6%) had two or more diseases. In 62 cases, 49 cases were completed Ⅱ, 9 cases were completed Ⅰ, 4 cases were repaired simply, 4 cases were unoccluded with ulceration, and 3 cases were diagnosed by gastric lymph node dissection (R2). Results: All cases were cured and 1 case had postoperative complications without any death. CONCLUSIONS: Adequate perioperative management, with particular emphasis on preoperative management of comorbid conditions, is effective and the elderly are well tolerated by radical surgery.