消化性溃疡并穿孔103例的治疗经验

目的 研究消化性溃疡并穿孔病例的诊断及治疗。方法 103例病人经病史、体检、腹部X线明确诊断。非手术治疗18例，手术洛疗85例。结果 非手术治疗组1人死于伴发的急性心肌梗塞，手术治疗1人死于术后十二指肠残端瘘。并发症为膈下脓肿。切口感染，吻合口不完全梗阻。结论 早期诊断，掌握手术指征，可使该病得到有效治疗。

Experience for the Treatment of Peptic ulcer Perforation

Objective To study the diagnosis and Trearent of Peptic ulcer Perforation.Methods Diagnosis was con-formed by history,physical Examination and abdominal X-ray test in 103 Caes.18 patients underwent non-operative treatment and 85 underwent operation.Results 1 Patient died of accompanied acute myocardial infarction in the non-oper-ative team.1 patient died of post -operative duodenofistula.The Complications were subdiaphragmatic abscess,infection of incision and incomplte obstruction of anastomy.Conclusions Early diagnosis,mastering of the operation In dications can make the treatment offective.