急性胃肠穿孔76例诊治体会

Experience of diagnosis and treatment of acute gastrointestinal perforation: report of 76 cases

目的：探讨急性胃肠穿孔的临床特点和诊疗措施。方法对该院2009-03～2013-03收治的76例急性胃肠穿孔患者的临床资料进行回顾性分析。结果手术治愈57例，保守治愈3例，转院6例，自动出院6例，死亡4例。结论急性胃肠穿孔发病急、病情凶险，尽早诊断和采取合理有效治疗措施，可减少并发症，提高治愈率。

Objective To investigate the clinical features and treatment measures of acute gastrointestinal perforation（AGP）.Methods The clinical data of 76 patients with AGP treated in Luhuo County People′s Hospital was analyzed retrospectively from March 2009 to March 2013 .Results Fifty-seven patients were cured by surgical treatment;3 patients were cured conservatively;6 patients were transferred to another hospital;6 patients discharged voluntarily;4 patients died .Conclusion Acute gastrointestinal perforation is a severe disease with acute onset and early diagnosis and reasonable and effective treatment can reduce the incidence of complications and improve the cure rate.