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十二指肠溃疡穿孔的治疗

The treatment of perforated duodenal ulcer.

作者信息

Kay P H, Moore K T, Clark R G

出版信息

Br J Surg. 1978 Nov;65(11):801-3. doi: 10.1002/bjs.1800651111.

DOI:10.1002/bjs.1800651111
PMID:719332
Abstract

The prognosis of 189 patients with a perforated duodenal ulcer was analysed. There were three treatment groups, non-operative, simple closure and definitive ulcer surgery. The prognosis of the patients was analysed in terms of the chronicity of the ulcer. Perforations occurring in acute duodenal ulcers have an excellent prognosis, with similar results in each group in this series. All perforations of chronic duodenal ulcers should be treated by emergency surgery.

摘要

对189例十二指肠溃疡穿孔患者的预后进行了分析。有三个治疗组,即非手术治疗组、单纯缝合组和确定性溃疡手术组。根据溃疡的慢性程度对患者的预后进行了分析。急性十二指肠溃疡穿孔的预后良好,本系列中每组的结果相似。所有慢性十二指肠溃疡穿孔均应行急诊手术治疗。

相似文献

1
The treatment of perforated duodenal ulcer.十二指肠溃疡穿孔的治疗
Br J Surg. 1978 Nov;65(11):801-3. doi: 10.1002/bjs.1800651111.
2
Do perforated duodenal ulcers need an acid-decreasing surgical procedure now that omeprazole is available?既然有奥美拉唑,穿孔性十二指肠溃疡现在还需要进行减酸手术吗?
Surg Clin North Am. 1992 Apr;72(2):369-80. doi: 10.1016/s0039-6109(16)45684-7.
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Ann Surg. 1995 May;221(5):479-86; discussion 486-8. doi: 10.1097/00000658-199505000-00005.
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Selective treatment of duodenal ulcer with perforation.十二指肠溃疡穿孔的选择性治疗
Ann Surg. 1979 May;189(5):627-36. doi: 10.1097/00000658-197905000-00013.
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[Treatment of perforated duodenal ulcers (author's transl)].十二指肠溃疡穿孔的治疗(作者译)
J Chir (Paris). 1982 Jan;119(1):43-6.
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[Supra-selective vagotomy in the treatment of perforated duodenal ulcers. Thirty cases report (author's transl)].[超选择性迷走神经切断术治疗十二指肠溃疡穿孔。附30例报告(作者译)]
Sem Hop. 1982 Feb 18;58(7):407-10.
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Duodenal ulcer perforation: the effect of H2 antagonists?十二指肠溃疡穿孔:H2拮抗剂的作用?
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Perforations in acute duodenal ulcers.急性十二指肠溃疡穿孔
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[Treatment of perforated duodenal ulcers].[十二指肠溃疡穿孔的治疗]
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Simple closure or definitive surgery for perforated duodenal ulcer.十二指肠溃疡穿孔的单纯缝合术或确定性手术。
Scand J Gastroenterol. 1979;14(1):17-20. doi: 10.3109/00365527909179841.

引用本文的文献

1
Concurrent laparoscopic highly selective vagotomy with closure of duodenal ulcer perforations show good clinical results as primary repair alone.腹腔镜下高选择性迷走神经切断术联合十二指肠溃疡穿孔缝合术作为单纯修补术的一种,具有良好的临床效果。
J Int Med Res. 2023 Oct;51(10):3000605231206319. doi: 10.1177/03000605231206319.
2
[Prognostic criteria for ulcer closure (author's transl)].溃疡愈合的预后标准(作者译)
Langenbecks Arch Chir. 1982;357(2):93-103. doi: 10.1007/BF01237455.
3
Operations upon the biliary tract in patients with acute pancreatitis: aims, indications and timing.
急性胰腺炎患者的胆道手术:目的、适应证及时机
Ann R Coll Surg Engl. 1984 May;66(3):179-83.
4
Assessing the safety of drugs for the long-term treatment of peptic ulcers.评估用于消化性溃疡长期治疗的药物安全性。
Gut. 1984 Dec;25(12):1416-23. doi: 10.1136/gut.25.12.1416.
5
[Perforation: which therapy is proven in stomach ulcer and duodenal ulcer?].[穿孔:胃溃疡和十二指肠溃疡的哪种治疗方法已得到证实?]
Langenbecks Arch Chir. 1985;366:113-9. doi: 10.1007/BF01836613.
6
Risk stratification in perforated duodenal ulcers. A prospective validation of predictive factors.十二指肠溃疡穿孔的风险分层。预测因素的前瞻性验证。
Ann Surg. 1987 Jan;205(1):22-6. doi: 10.1097/00000658-198701000-00005.
7
Perforated duodenal ulcers.十二指肠溃疡穿孔
World J Surg. 1987 Jun;11(3):319-24. doi: 10.1007/BF01658109.
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Immediate definitive surgery for perforated duodenal ulcer does not increase operative mortality: a prospective controlled trial.
World J Surg. 1988 Oct;12(5):705-9. doi: 10.1007/BF01655894.
9
A multifactorial analysis of factors related to lethality after treatment of perforated gastroduodenal ulcer. 1935-1985.1935 - 1985年胃十二指肠溃疡穿孔治疗后致死相关因素的多因素分析。
Ann Surg. 1989 Apr;209(4):418-23. doi: 10.1097/00000658-198904000-00005.