上消化道穿孔无效中转手术11例临床分析

目的探讨上消化道穿孔保守治疗失败的患者中转手术的时机和临床疗效。方法回顾性分析上消化道穿孔保守治疗12 h后、腹痛腹胀持续加重、出现高热或休克、中转手术治疗的11例患者的临床资料,9例行穿孔修补术,1例行姑息胃癌切除术（胃大部切除术）,1例行根治性远端胃癌切除术。结果中转手术治愈10例,死亡1例。结论上消化道穿孔若早期保守治疗效果差,患者腹膜炎加重症状,应及时手术治疗

Clinical analysis of 11 cases with upper gastrointestinal perforation receiving ineffective transfer surgery

Objective To investigate the time and clinical effects of transfer surgery for patients with upper gastrointestinal perforation who had received unsuccessful conservative treatment.Methods Clinical information of 11 patients with upper gastrointestinal perforation who suffered from aggravating abdominal pain and distension,demonstrated hyperpyrexia or shock and received transfer surgery 12 hours after receiving conservative treatment were analyzed retrospectively.Nine patients received perforation repair,one patient received routine palliative gastric cancer resection(subtotal gastrectomy),and one received radical distal gastric cancer resection.Results Ten patients were cured by transfer surgery and one died.Conclusion For patients with upper gastrointestinal perforation,if the clinical effects of early conservative treatment are poor and the peritonitis aggravates,the surgical treatment should be applied timely.