老年人胃十二指肠溃疡穿孔的特征和治疗
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Features and treatment of gastroduodenal ulcer perforation in aged patients
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    目的:
    探讨老年人胃十二指肠溃疡穿孔的特征和治疗手段。方法:回顾性总结近20年来收治的58例60岁以上胃十二指肠溃疡穿孔患者的临床资料。结果:58例中56例行手术治疗,治愈46例,死亡12例。死于心肺功能衰竭5例,感染性休克4例,肾衰竭3例。结论:老年人胃十二指肠溃疡穿孔,宜争取早期手术;治疗方法以穿孔修补加高选迷走神经切断术,或修补加简化迷走神经切断术为较好选择。

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    To ivestigate the clinical feature and therapeutic ways of the gastroduodenal ulcer perforation(GDUP) in aged patients.Methods:The clinical data of 58 GDUP patients with age more than 60 gears treated in recently tweenty yesas in our hospital were analysed retrospectively. Results:Among the 58 patients,56 patients underwent operation,46cured and 12 died.Of the 12 patients,dead of cardiorespiratory function failture in 5 ; septic shock in 4 ;and renal failturl in 3 .Conclusions:Aged patients with GDUP would be operated as early as possible.Repair of the performed ulcer plus modified vagotomy is a better choice.

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耿协强,樊献军,张力峰,谭健美,江航.老年人胃十二指肠溃疡穿孔的特征和治疗[J].中国普通外科杂志,2004,13(4):15-291.
DOI:10.7659/j. issn.1005-6947.2004.04.015

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  • 在线发布日期: 2004-04-25