【摘要】 目的探讨胃十二指肠穿孔的病因、诊断及治疗方法。方法对本院198例急性胃十二指肠穿孔患者的临床资料进行回顾性分析。结果胃溃疡穿孔44例,十二指肠溃疡穿孔146例,胃癌穿孔8例;治愈192例,死亡6例。手术治疗196例,其中行胃十二指肠穿孔修补术188例,胃大部切除术8例,非手术治疗2例。结论消化性溃疡是胃十二指肠穿孔的主要病因,胃管内注入空气可提高胃十二指肠穿孔的诊断率。穿孔修补术仍是治疗胃十二指肠穿孔的有效方法。更多还原

【Abstract】 Objective To discuss the etiological factor,diagnosis and treatment of gastroduodenal perforation.Methods The clinical datas of 198 cases in our hospital were submitted to a retrospective study.Results There were 44 cases of gastric ulcer,146 cases of gastric ulcer and 8 cases of gastric cancer,while 192 were cured,6 died.196 cases accepted operation(188 with gastroduodenal neoplasty and 8 with subtotal gastrectomy),while 2 were treated by conservative therapy.Conclusion Peptic ulcer is the principal etiological factor of gastroduodenal perforation,and inject air into gastroinotestinal tract with a gastric tube can increase the diagnostic rate.The neoplasty still remain to be a modus operandi of gastroduodenal perforation.更多还原