Schein M, Saadia R, Decker G A
S Afr Med J. 1986 Jul 5;70(1):21-3.
This is a retrospective analysis of 99 patients with perforated peptic ulcer treated in the Department of Surgery at the J. G. Strijdom Hospital over a 6-year period. The incidence of this condition is increasing in our population. The mortality rate for perforated peptic ulcer remains high (12.1%). Forty-three per cent of our patients were suffering from a major medical illness at the time of perforation, with a mortality rate of 25.6%. The mortality rate for relatively fit patients was 1.8%. While more conservative surgery is indicated for high-risk patients, a definitive ulcer operation can be performed safely in patients who are not suffering from a major medical illness. Our selective operative policy is discussed.
这是一项对在J.G.斯特里杰姆医院外科接受治疗的99例消化性溃疡穿孔患者进行的为期6年的回顾性分析。这种疾病在我们的人群中的发病率正在上升。消化性溃疡穿孔的死亡率仍然很高（12.1%）。我们的患者中有43%在穿孔时患有重大内科疾病，死亡率为25.6%。相对健康患者的死亡率为1.8%。虽然对于高危患者建议采用更保守的手术方式，但对于没有重大内科疾病的患者，可以安全地进行确定性溃疡手术。我们讨论了我们的选择性手术策略。
