老年人胃十二指肠溃疡穿孔的特征和治疗  

Features and treatment of gastroduodenal ulcer perforation in aged patients

作　　者：耿协强[1] 樊献军[1] 张力峰[1] 谭健美[1] 江航[1] 

机构地区：[1]解放军第五十九中心医院普外科,云南开远661600

出　　处：《中国普通外科杂志》2004年第4期290-291,共2页China Journal of General Surgery

摘　　要：目的　探讨老年人胃十二指肠溃疡穿孔的特征和治疗手段。方法　回顾性总结近 2 0年来收治的 5 8例 60岁以上胃十二指肠溃疡穿孔患者的临床资料。结果　 5 8例中 5 6例行手术治疗 ,治愈 46例 ,死亡 12例。死于心肺功能衰竭 5例 ,感染性休克 4例 ,肾衰竭 3例。结论　老年人胃十二指肠溃疡穿孔 ,宜争取早期手术 ;治疗方法以穿孔修补加高选迷走神经切断术 ,或修补加简化迷走神经切断术为较好选择。Objective To ivestigate the clinical feature and therapeutic ways of the gastroduodenal ulcer perforation(GDUP) in aged patients.Methods The clinical data of 58 GDUP patients with age more than 60 gears treated in recently tweenty yesas in our hospital were analysed retrospectively. Results Among the 58 patients,56 patients underwent operation,46cured and 12 died.Of the 12 patients,dead of cardiorespiratory function failture in 5 ; septic shock in 4 ;and renal failturl in 3 .Conclusions Aged patients with GDUP would be operated as early as possible.Repair of the performed ulcer plus modified vagotomy is a better choice.

关 键 词：胃十二指肠溃疡/外科学 消化性溃疡穿孔/外科学 

分 类 号：R573.1[医药卫生—消化系统] R656.62[医药卫生—内科学]