上消化道穿孔32例诊治分析

The diagnosis and treatment of 32 cases with upper gastrointestinal tract perforation

摘要: 目的:探讨提高上消化道穿孔疗效的临床诊治经验和方法.方法:32例上消化道穿孔患者,行急诊手术治疗31例,其中单纯修补29例,胃大部切除2例;保守治疗1例.结果:31例治愈出院,1例病死.结论:对上消化道穿孔患者,应根据腹腔污染程度、病变部位、病变性质、患者年龄及合并基础疾病等情况合理选择术式,争取尽早手术,并加强围手术期处理,积极防治并发症和基础疾病,有利于提高疗效.

Abstract: Objective:To investigate the clinical diagnosis and treatment of upper digestive tract perforation.Methods:Select 32 cases of upper digestive tract perforation, among them 31cases employ emergency operation treatment, 29 cases employ simple repair, 2 cases employ a majority of gastrectomy, 1 case employ expectant treatment.Results:Thirty-one cases cured, and 1 case died.Conclusions:Selecting reasonable operation type, striving early operation, strengthening perioperative management, and active preventing and treating complications and basic disease for the patients with upper digestive tract perforation according to their pollution level of abdominal cavity, lesion site, nature of lesion, and patient's age and basic diseases can improve curative effects.