消化性溃疡穿孔合并肝硬变35例临床分析

目的分析探讨消化性溃疡穿孔合并肝硬变外科处理的危险性及经验。方法结合文献回顾性分析总结消化性溃疡穿孔合并肝硬变外科处理的病案。结果治愈28例,治愈率80%,死亡7例(20%);发生并发症19例(54%),主要为腹水、切口感染、出血、败血症、胃排空障碍、肝功能衰竭。结论要充分认识消化性溃疡穿孔合并肝硬变手术的危险性以及采取相应的措施,才能提高治愈率,减少并发症,降低病死率。

The clinical analysis of 35 patients with perforation of peptic ulcer complicated with hepatic cirrhosis

Objective To evaluate and investigate the danger of the surgical manegement of the Perforation of peptic ulcer complicated with hepate cirrhosis and analyze the experiences about these cases. Methods By consulting relative articles,these cases with perforation of peptic ulcer complicated with hepatic cirrhosis which were treated by surgical manegement were collected and retrespectively analyzed. Results 28 cases were cured , curative rate was 80%,7 cases(20%) died.19 cases (54%) had postoperatine complications, which were new ascites, bleeding,infection in incisions, ichoremia, hepatic failare, gasericism,pulmonary infecticn. Conclusion To improve the curative rate and reduce the complication and the mortality,the danger must be understood and then the relative measures must be taken in the surgical manegement of the perforation of peptic ulcer complicated with hepatic cirrhosis patients.