| 老年胃十二指肠急性穿孔诊治分析 |
| |
| 引用本文： | 唐德生,闫雷,李伟安,张宏宇.老年胃十二指肠急性穿孔诊治分析[J].中国局解手术学杂志,2003,12(2):125-126. |
| |
| 作者姓名： | 唐德生 闫雷 李伟安 张宏宇 |
| |
| 作者单位： | 黑龙江省佳木斯市中心医院普外科
154002(唐德生，闫雷，李伟安)，黑龙江省佳木斯市中心医院普外科 154002(张宏宇) |
| |
| 摘 要： | 目的 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。术后的并存病治疗及营养代谢的支持是降低病死率的重要因素。
|
| 关 键 词： | 老年 胃十二指肠急性穿孔 手术治疗 诊断 临床表现 |
| 修稿时间： | 2003年3月30日 |
Analysis of the diagnosis and treatment in elderly patients with acute gastroduodenal perforation |
| |
| Tang Desheng,Yan Lei,Li Weian.Analysis of the diagnosis and treatment in elderly patients with acute gastroduodenal perforation[J].Journal of Regional Anatomy and Operative Surgery,2003,12(2):125-126. |
| |
| Authors: | Tang Desheng Yan Lei Li Weian |
| |
| Institution: | Tang Desheng,Yan Lei,Li Weian,Department of General Surgery,The Central Hospital of Jiamusi,Jianmusi 154002 |
| |
| Abstract: | 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. |
| |
| Keywords: | Old age Gastroduodenal perforation |
| 本文献已被 CNKI 维普 等数据库收录！ |
