56例上消化道穿孔临床资料分析

目的探讨急性上消化道穿孔的临床特点和治疗方法。方法回顾性分析56例上消化道穿孔患者的临床资料。结果 48例消化性溃疡穿孔(其中十二指肠溃疡穿孔29例,胃溃疡穿孔19例),8例胃恶性肿瘤穿孔。单纯穿孔修补术42例,胃大部分切除术10例,修补加胃空肠吻合术4例,1例术后发生吻合口瘘致感染性休克、低蛋白血症死亡。结论早期确诊、早期手术与急性上消化道穿孔患者预后密切相关,以抢救生命为主要导向,实施简单有效的手术方式及尽可能减少并发症是外科治疗急性上消化道穿孔的关键。

Analysis of clinical data in 56 patients with acute upper gastrointestinal perforation

Objective To investigate the clinical features and treatment of acute upper gastrointestinal perforation.Methods Retrospective analysis was performed for clinical data of 56 cases of gastrointestinal perforation patients.Results Forty-eight cases were diagnosed as peptic ulcer perforation,including 29 cases of duodenal ulcer perforation and 19 cases of gastric ulcer perforation,8 cases were gastric malignancy perforation.Simple perforation repair was performed in 42 cases,partial gastrectomy in 10 cases and repair plus gastrojejunostomy in 4 cases.One case had anastomotic fistula who died of septic shock and hypoalbuminemia.Conclusion Early diagnosis and early surgery are closely corrlated with prognosis.With the aim to save lives,simple and effective surgery should be implemented to minimize the complications,which is the key to the surgical treatment of acute upper gastrointestinal perforation.