【摘要】 边远山区胃十二指肠溃疡急性穿孔患者穿孔时间长，腹腔污染重，多伴有严重的腹膜炎或（和）中毒性休克。作者根据这些临床特点对２１９例患者采取以单纯穿孔修补为主的术式进行治疗，结果疗效满意。认为单纯穿孔修补术虽然有一定的复发率，但现今抗溃疡病新药的不断涌现完全可以弥补这一不足。对于有条件的患者采用胃大部分切除术，可获得满意的近期和远期疗效；对于合并幽门梗阻的高危患者，穿孔修补加胃空肠吻合术亦不失为一种行之有效的术式。更多还原

【Abstract】 The characteristics of acute perforation with gastroduodenal ulcer in an outlying muntain area were: long time perforation, serious abdominal contamination with peritonitis and/or toxic shock 219 cases were treated with simple repair operation in our hospital and the effect of treatment was satisfactory. Although some recurrence were seen after repair operation. the new antiulcer medicines could reduce the defect. Subtotal gastrectomy was good for some patients and was satisfactory for lon and short term. The repair operation plus gastrojejunostomy also was on effective operation selection for risk patients with pylorie obstruction.更多还原