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目的：总结２５例低位十二指肠穿透溃疡大出血的手术经验。方法：降部前壁穿透溃疡大出血２例，行溃疡切除，Ｔ字型缝合法；球部后壁１５例，行改良Ｎｉｓｓｅｎ氏法；降部前壁并球部后壁５例，联合用上述两法；球部后壁穿孔２例，行Ｌａｈｅｙ氏法；球部前壁严重疤痕并后壁巨大穿透溃疡大出血１例，行十二指肠残端－空肠Ｒｏｕｘ－Ｙ吻合法。结果：均手术治愈，无严重并发症。结论：术中彻底探查胃十二指肠，选择适当术式，开放式处理残端，可提高治愈率，减少并发症
Objective: To summarize the surgical experience of 25 cases of low duodenal penetrating ulcer hemorrhage. Methods: Two cases of bleeding through the anterior wall of the descending part were treated with ulcer and T-shaped suture. The posterior wall of the ball was treated with modified Nissen’s method. The anterior wall of the descending part and the posterior wall of the posterior part of the ball were treated with combination of The above two methods; ball posterior wall perforation in 2 cases, the line Lahey’s law; severe anterior ball wall scar and a large wall penetration ulcer hemorrhage in 1 case, duodenal stump - jejunum Roux-Y anastomosis. Results: All were cured without serious complications. Conclusion: Intraoperative gastroduodenal exploration thoroughly, select the appropriate surgical procedures, open treatment of stump, can improve the cure rate and reduce complications