影响消化性溃疡穿孔患病率和死亡率的危险因素

Risk factors for affecting the prevalence rate and mortality of peptic ulcer with perforation

目的:探讨影响穿孔的消化性溃疡患病率和死亡率的危险因素。方法:收治消化性溃疡穿孔患者296例,回顾性分析其临床资料。结果:90例(30.4%)患者至少存在1种伴发疾病。手术后,60例(20.3%)患者发生并发症,最常见的并发症为切口感染。死亡率18.2%(54例)。严重感染是最主要的死亡原因。结论:早期诊断和合理的治疗对于消化性溃疡穿孔患者具有重要的临床意义。

Objective:To explore the risk factors for affecting the prevalence rate and mortality of peptic ulcer with perforation.Methods:296 patients with peptic ulcer with perforation were selected.The clinical data were retrospectively analyzed.Results:There were at least one concomitant disease in 90 patients(30.4%).After surgery,complications occurred in 60 patients(20.3%),and the most common complication was wound infection.The mortality rate was 18.2%(54).Severe infection was the leading cause of death.Conclusion:Early diagnosis and reasonable treatment had important clinical significance for peptic ulcer perforation patients.