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目的:探讨十二指肠球后溃疡并大出血的术中诊断及治疗方法。方法:对12例十二指肠球后溃疡并大出血手术患者的临床资料进行回顾性分析。结果:11例为一次性术中作出诊断和治疗,1例为再次手术明确诊断和治疗。结论:系统探查是术中明确诊断的重要手段,局部溃疡出血点缝合加胃大部分切除术及充分引流是十二指肠球后溃疡大出血的主要治疗手段。
Objective: To investigate the intraoperative diagnosis and treatment of post-duodenal ulcer and hemorrhage. Methods: The clinical data of 12 patients with post-duodenal ulcer and hemorrhage were analyzed retrospectively. Results: One case was diagnosed and treated one time and the other was diagnosed and treated again. Conclusion: The systematic exploration is an important method of definite diagnosis in operation. The suture of local ulcer and gastric resection and full drainage are the main treatment of bleeding after ulcer of duodenal bulb.