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目的研究观察胃大部分切除术在临床上治疗急性胃穿孔中的应用疗效,并探讨其应用条件.方法我院于2008年3月~2010年12月共接收急性胃穿孔患者57例,根据患者自愿原则完全随机分为胃大部分切除术组和胃穿孔修补术组,分别实施胃大部分切除术和胃穿孔修补术,随防两年后了解其术后疗效并进行评价.结果术后并发症比较得出:胃大部切除术组患者治疗后其中毒性休克发生率低于胃穿孔修补术组患者治疗后的发生率,术后疗效评价结果为:总体上胃大部分切除术的术后疗效更好.结论胃大部切除术治疗急性胃穿孔的疗效高于单纯胃穿孔修补术,并发症及不良反应少,值得在临床上治疗急性胃穿孔做进一步推广及研究探讨.“,”objective: to study the clinical observation gastric resection of the most in the treatment of acute gastric perforation of the application of the curative effect, and discuss the application conditions. Methods: in our hospital from March 2008 to December 2010 received a total of 57cases of patients with acute gastric perforation, according to the principle of voluntariness patients completely random divided into stomach most resection group and gastric perforation suture group resectively, implementation of stomach most resection and gastric perforation suture, with two years later understand the prevention and the curative effect evaluation. Results: postoperative complications were compared between the draw: most patients with gastric resection group after treatment toxic shock of a lower incidence of gastric perforation suture group of patients after treatment, the incidence to curative effect evaluation of the results: overal gastric resection of the most postoperative effect better. Conclusion: the stomach most resection in the treatment of acute gastric perforation of curative effect than pure gastric perforation suture, complications and adverse reaction, it is worth less in the clinical treatment of acute gastric perforation for further promotion and study.