老年人胃十二指肠溃疡穿孔的临床特点及外科治疗  

Clinical feature and surgical treatment of gastroduodenal ulcer perforation in aged patients

作　　者：谭东新[1] 

机构地区：[1]广西壮族自治区人民医院一分院普外科,南宁530001

出　　处：《临床医学》2009年第8期17-18,共2页Clinical Medicine

摘　　要：目的探讨老年人胃十二指肠溃疡穿孔的临床特点与外科治疗。方法对56例老年人消化性溃疡穿孔患者的临床资料进行回顾性分析。结果56例中胃溃疡穿孔38例,十二指肠球部溃疡穿孔18例;56例均行手术治疗,其中毕Ⅱ式胃大部分切除术34例,毕Ⅰ式3例,单纯修补16例,胃癌根治术(D2式)3例。56例中治愈或好转54例,死亡2例。结论老年人消化性溃疡穿孔具有临床表现不典型、溃疡病史长与穿孔较大、并存疾病多的特点;外科治疗应视患者具体情况和病情选择适宜的术式,重视围术期的处理,是提高老年人胃十二指肠溃疡穿孔治愈率的关键。Objective To investigate the clinical feature and surgical treatment of gastroduodenal ulcer perforation in aged patients. Methods The clinical data of 56 aged patients with peptic ulcer perforation were analysed retrospectively. Results Thirty- eight cases with gastric ulcer perforation and 18 cases with duodenobulbar ulcer perforation. All patients were received surgical treatment, 34 cases underwent Billroth＇ s II subtotal gastrectomy, 3 cases underwent Billroth＇ s I subtotal gastrectomy, 16 cases Underwent simple perforation repair, 3 cases underwent radical gastrectomy. Fifty -four cases were cured or improved, 2 cases died. Conclusion The clinical manifestations of elderly patients with peptic ulcer perforation were no specific clinical presentation, long history, large ulcer and more coexisting diseases. It is important to increase the cure rate that selecting the eligible operation pattern according to patients＇condition.

关 键 词：老年人 胃十二指肠溃疡穿孔 外科治疗 

分 类 号：R656.62[医药卫生—外科学] R656.61[医药卫生—临床医学]