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目的探讨急性上消化道溃疡穿孔的非手术治疗经验。方法回顾性分析宿迁市泗阳县人民医院普外科自2007-02-2010-02共收治上消化道穿孔患者105例,采用非手术治疗13例的临床资料。结果本组无一例腹腔脓肿、再穿孔和死亡等并发症,均保守治疗成功,无一例中转手术。所有患者均痊愈出院。3个月后溃疡愈合率为90%,6个月后溃疡基本痊愈。结论空腹小穿孔,穿孔时间短,腹膜炎范围局限可保守治疗。只要严格掌握指征,结合严密的临床观察,无疑可为相当部分患者免除手术创伤。
Objective To investigate the experience of non-surgical treatment of acute upper gastrointestinal ulcer perforation. Methods The clinical data of 105 cases of upper gastrointestinal perforation admitted to General Surgery of Siyang County People’s Hospital of Suqian City from 2007-02-2010-02 were retrospectively analyzed. The clinical data of 13 cases treated by non-surgical treatment were retrospectively analyzed. Results In this group, no case of abdominal abscess, perforation and death and other complications were conservative treatment success, no case of transit surgery. All patients were cured and discharged. 3 months after the ulcer healing rate was 90%, 6 months after the ulcer basically healed. Conclusion Small fasting perforation, perforation time is short, the scope of peritonitis can be conservative treatment. As long as strict indications, combined with close clinical observation, no doubt for a considerable part of the patients to avoid surgical trauma.