老年胃十二指肠急性穿孔诊治分析  

Analysis of the diagnosis and treatment in elderly patients with acute gastroduodenal perforation

作　　者：唐德生[1] 闫雷[1] 李伟安[1] 张宏宇[1] 

机构地区：[1]黑龙江省佳木斯市中心医院普外科,154002

出　　处：《局解手术学杂志》2003年第2期125-126,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：总结老年胃十二指肠穿孔的特点及临床治疗经验。方法 回顾性分析我院1990年至2002年经手术治疗的142例60岁以上胃十二指肠溃疡或肿瘤穿孔病人的临床资料。结果 行穿孔修补术96例,胃大部切除术46例;治愈127例;死亡11例;其它4例。结论 对老年人的急性穿孔,一旦确诊尽早手术,如年龄大并存病多,也不应成为手术的禁忌证。Objective To summarize the clinical characters and experience of treatment in elderly patients with gastroduodenal perforation. Methods 142 cases of elderly patients with gastroduodenal perforation caused by ulcer or tumor were operated in hospital from 1990 to 2002. Results Perforation was repaired in 96 cases, and subtotal gastrectomy in 46 cases, 127 cases were cured, 11 cases died. Conclusion Elderly patients with acute gastroduodenal perforation should be operated in time, if the diagnosis is established. Elderly patients with romorbidities should be operated too. Treatment of comorbidities and support of nutritional metabolism may play an important role in reducing death rate.

关 键 词：老年 胃十二指肠急性穿孔 手术治疗 诊断 临床表现 

分 类 号：R656.6[医药卫生—外科学]