急性胃穿孔60例诊疗分析

目的分析急性胃穿孔的临床表现及手术治疗后的特点,以期为今后此病的预防和治疗提供一些临床经验。方法回顾性分析2004年6月到2011年6月在我院进行住院治疗的60例急性胃穿孔患者,统计并分析他们的临床特点。结果经过手术治疗,治愈59例,治愈率约为98.5%,死亡1例,该例患者的死亡原因为癌细胞扩展到肺部,手术无法完全切除癌细胞引起。6例胃癌穿孔的患者术后证实高分化合并溃疡病1例,中、低分化腺癌1例,没有继续分化型腺癌3例。在术后出现切口感染2例,肠梗阻8例,肠间脓肿6例。结论胃穿孔的诱因,以溃疡多见,建议人们在平常的饮食中要特别注意不吃高盐、油炸、熏烤以及粗糙食物等。胃穿孔一经确诊后,必需及时治疗以减少病情进展及并发症发生。

Objective Analyze the clinical manifestations of acute gastric perforation and surgical treatment after the characteristics, so as to the prevention and treatment of the disease to provide some clinical experience in the future. Methods Retrospective analysis June 2004 to June 2011 in our hospital treatment of patients with acute gastric perforation 60 cases, statistic and analysis their clinical features. Results After sur- gery, cure 59 patients, cure rate was about 98. 5% , and death in 1, this patient＇s cause of death for cancer cells spread to the lungs, surgery can＇t treatment was caused. 6 cases of cancer of the stomach perforation of the postoperative confirmed weU-differentiated merger ulcers in 1, medium, low differentiated adenocarcinoma in 1, and not continue to differentiation type adenocarcinomas in 3, mucous cancer in 1. In the postoperatie incision infection in 2 cases, intestinal obstruction in 8 cases, between 6 cases bowel abscess. Conclusion Gastric perforation the incentives to ulcer see more, suggested that people in the usual diet to pay special attention to not eat high sah, fried, smokes roasts and coarse food, etc. Gastric perforation once after diagnosis, must timely treatment to reduce disease progression and complications.