老年上消化道急性穿孔21例临床分析

目的探讨老年人上消化道急性穿孔的临床特点及治疗方法。方法回顾分析21例60岁以上上消化道急性穿孔患者的临床资料。结果21例中胃溃疡穿孔10例，十二指肠球部溃疡穿孔8例，胃癌穿孔3例，单纯穿孔修补术17例，胃大部分切除术3例，死亡2例。结论老年人上消化道穿孔病情发展快，病死率高，一旦确诊，合理选择术式，应尽早手术治疗。

Clinical Analysis of 21 Senile Cases with Acute Perforation of Upper Digestive Tract

Objective To discuss the clinical features of acute perforation of upper digestive tract in senile patients and the treatment. Methods A retrospective analysis was made to the clinical data of 21 senile patients （ over 60 years old） with acute perforation of upper digestive tract. Results Out of the 21 cases, 10 suffered from perforation of gastric ulcer, 8 from perforation of duodenal ulcer and 3 from perforation of gastric cancer; simple perforation repair was made to 17 cases and subtotal distal gastrectomy to 3 cases ; 2 patients died. Conclusions Acute perforation of upper digestive tract in senile patients is of rapid development of the disease and high mortality; surgical treatment should be given as soon as the final diagnosis is made.