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目的:探讨急性胃十二指肠穿孔的诊治。方法:对我院2004-03/2008-12收治119例急性胃十二指肠穿孔患者的临床资料进行回顾性分析。结果:保守治疗27例,其中3例中转手术治疗,95例行手术治疗,其中行根治性胃大部切除术占61.1%,单纯修补缝合术的占38.9%。保守治疗的病例均治愈出院,手术治疗出现并发症7例,其中单纯修补再穿孔3例,胃大部切除术后十二指肠残端瘘1例,切口感染2例,术后溃疡出血2例。结论:急性胃十二指肠穿孔的治疗需根据患者的具体情况决定其治疗方案。
Objective: To investigate the diagnosis and treatment of acute gastroduodenal perforation. Methods: The clinical data of 119 patients with acute gastroduodenal perforation admitted to our hospital from March 2004 to December 2008 were analyzed retrospectively. Results: Conservative treatment of 27 cases, of which 3 cases of surgical treatment of transit, 95 cases of surgical treatment, of which radical gastrectomy accounted for 61.1%, simple repair suture accounted for 38.9%. Conservative treatment of patients were cured and discharged, surgical treatment of complications occurred in 7 cases, including simple repair and perforation in 3 cases, subtotal gastrectomy duodenal stump fistula in 1 case, incision infection in 2 cases, postoperative ulcer bleeding 2 example. Conclusion: The treatment of acute gastroduodenal perforation should be based on the specific circumstances of patients decide on their treatment options.