| 急性胃十二指肠穿孔198例诊治分析 |
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| 引用本文： | 蔡永利,周志华.急性胃十二指肠穿孔198例诊治分析[J].中国基层医药,2006,13(3):394-395. |
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| 作者姓名： | 蔡永利 周志华 |
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| 作者单位： | 511430,广东省,广州,广州市番禺区大石人民医院外科 |
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| 摘 要： | 目的探讨胃十二指肠穿孔的病因、诊断及治疗方法.方法对本院198例急性胃十二指肠穿孔患者的f临床资料进行回顾性分析.结果胃溃疡穿孔44例,十二指肠溃疡穿孔146例,胃癌穿孔8例;治愈192例,死亡6例.手术治疗196例,其中行胃十二指肠穿孔修补术188例,胃大部切除术8例,非手术治疗2例.结论消化性溃疡是胃十二指肠穿孔的主要病因,胃管内注人空气可提高胃十二指肠穿孔的诊断率.穿孔修补术仍是治疗胃十二指肠穿孔的有效方法.
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| 关 键 词： | 胃十二指肠 穿孔 修补术 |
| 收稿时间： | 2006-01-19 |
| 修稿时间： | 2006年1月19日 |
Diagnosis and treatment experiences of 198 cases of acute gastroduodenal perforation |
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| CAI Yong-li,ZHOU Zhi-hua.Diagnosis and treatment experiences of 198 cases of acute gastroduodenal perforation[J].Chinese Journal of Primary Medicine and Pharmacy,2006,13(3):394-395. |
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| Authors: | CAI Yong-li ZHOU Zhi-hua |
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| Abstract: | Objective To discuss the etiological factor,diagnosis and treatment of gastroduodenal perforation.Methods The clinical datas of 198 cases in our hospital were submitted to a retrospective study.Results There were 44 cases of gastric ulcer,146 cases of gastric ulcer and 8 cases of gastric cancer,while 192 were cured,6 died.196 cases accepted operation(188 with gastroduodenal neoplasty and 8 with subtotal gastrectomy),while 2 were treated by conservative therapy.Conclusion Peptic ulcer is the principal etiological factor of gastroduodenal perforation,and inject air into gastroinotestinal tract with a gastric tube can increase the diagnostic rate.The neoplasty still remain to be a modus operandi of gastroduodenal perforation. |
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| Keywords: | Gastroduodenal Perforation Neoplasty |
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