急性胃十二指肠穿孔263例诊治经验

Diagnosis and treatment experiences of 263 cases of acute gastroduodenal perforation

目的探讨胃十二指肠穿孔的病因,诊断和治疗方法。方法对本院263例急性胃十二指肠穿孔患者的临床资料进行回顾性分析。结果胃溃疡穿孔64例,十二指肠溃疡穿孔187例,胃癌穿孔12例;治愈256例。死亡7例。手术治疗260例,其中行胃十二指肠穿孔修补242例,胃大部切除18例,非手术治疗3例。结论消化性溃疡是急性胃十二指肠穿孔的主要病因,胃管内注入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急性胃十二指肠穿孔的有效方法。

Objective To discuss the etiological factor, diagnosis and treatment of gastroduodenal perforation. Methods The clinical datas of 263 cases in our hospital were submitted to a tetrospective study. Results there were 64 cases of gastric ulcer, 187 cases gasfric ulcer ant 12 cases of gastric cancer, while 256 were cured, 7 died. 260 cases accepted operation （242 with gastroduodenal neoplasty and 18 with subtotal gastrectomy）, while 3 were treated by conservative therapy. Conclusions 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.