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[我们用缝合术治疗十二指肠穿孔的经验]

[Our experience with the treatment of duodenal perforation with suture].

作者信息

Bonati L, Campenella G

机构信息

Istituto di Clinica Chirurgica Generale e dei Trapianti d'Organo, Università degli Studi di Parma.

出版信息

G Chir. 1995 Jun-Jul;16(6-7):290-2.

PMID:7547134
Abstract

The Authors report their experience in the treatment of perforated duodenal ulcer retrospectively analysing 42 patients treated with simple suture on emergency. Morbidity was 30.9% and mortality (operative and postoperative) was 16.6%, both significantly influenced by the age of the patients, the associated medical disease and the presence of shock. Results of the follow up concerning 33 patients are also reported: in 57.5% of the cases simple suture combined with medical therapy was able to resolve the peptic disease. The analysis of the results shows that the procedure is indicated for acute duodenal ulcers and for elderly patients with associated diseases.

摘要

作者回顾性分析了42例因十二指肠溃疡穿孔接受急诊单纯缝合治疗的患者,报告了他们的治疗经验。发病率为30.9%,死亡率(手术和术后)为16.6%,两者均受患者年龄、相关内科疾病及休克情况的显著影响。还报告了对33例患者的随访结果:在57.5%的病例中,单纯缝合联合药物治疗能够治愈消化性疾病。结果分析表明,该手术适用于急性十二指肠溃疡以及伴有相关疾病的老年患者。

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