高龄消化性溃疡128例手术治疗分析

Operative treatment of peptic ulcers in the aged: An analysis of 128 cases

对高龄消化性溃疡128例手术治疗结果进行分析.本组有典型症状者仅71例(55.4％).以穿孔为首发症状21例(16.4％).因穿孔而手术85例(66.4％),穿孔后腹膜炎症状及体征不典型,致诊治延迟;老年人溃疡易发生大出血,占41.3％;并发症多.提出为了提高手术成功率,应尽量早期手术,同时补充蛋白质、葡萄糖、维生素等.

The results of operative treatment were analyzed and only 71 cases had typical symptoms(55.4%) in this group. 85 cases(66.4%) were operated because of perforation. The signs and symptoms of peritonitis were not typical after perforation so that the diagnosis and treatment were delayed. Hematorrhea occurred easily in ulcers in the aged accounting for 41.3% of the total cases of hemorrhage, with more complications. It is thought that in order to raise the rate of success, early operation should be performed as soon as possible and the patients should be supplemented with proteins, glucose and vitamins, etc.