急性上消化道穿孔是胃、十二指肠溃疡的严重并发症，有20％～30％的病人X线检查未发现隔下游离气体【川，对于这部分病人目前临床上尚未应用其它检查手段。胃镜可以直观发现病变情况，但内镜专著特消化道穿孔急性期列为胃镜检查的绝对禁忌证［21。我们从1995刀8开始，在积极做 Acute upper gastrointestinal perforation is a serious complication of gastric and duodenal ulcer, 20% to 30% of patients X-ray examination found no separate gas under the septum [Chuan, for this part of the patient clinically not yet used other means of examination . Gastroscopy can visually detect lesions, but the endoscopic monograph gastrointestinal perforation acute phase absolute contraindication for gastroscopy [21]. We started in 1995 knife 8, actively doing