Barry M C, Gul Y, Davies M G, Long D, Shine M F, Lennon F
Department of Surgery, International Missionary Training Hospital, Drogheda, Co., Louth.
Ir J Med Sci. 1996 Apr-Jun;165(2):109-12. doi: 10.1007/BF02943795.
Despite changes in management and the advances in therapeutics, surgeons are still required to treat the complications of peptic ulceration. A retrospective review of all open surgical interventions for complications of peptic ulcer disease between January 1983 and December 1993 was carried out. There were no exclusion criteria. Open gastric surgery accounted for 3% of all inpatient surgical procedures and 13% of all the major operations. There were 341 adult and 132 paediatric procedures performed in the 11 year period. Acute gastric procedures accounted for 34% of major gastric surgery in this district unit. 76 perforated ulcers and 39 bleeding ulcers required surgery. 38% of the patients were over 70 years. The perioperative mortality was 13.9% (4% for those under 70 years). The overall morbidity rate was 71% and procedure-related morbidity rate was 17%. Acute gastric surgery has a very high inpatient morbidity and is associated with a significant mortality particularly in elderly patients.
尽管在管理方面有所变化以及治疗方法取得了进展，但外科医生仍需治疗消化性溃疡的并发症。对1983年1月至1993年12月期间所有因消化性溃疡疾病并发症而进行的开放性手术干预进行了回顾性研究。没有排除标准。开放性胃部手术占所有住院手术的3%，占所有大手术的13%。在这11年期间共进行了341例成人手术和132例儿科手术。急性胃部手术占该地区单位大胃部手术的34%。76例穿孔性溃疡和39例出血性溃疡需要手术治疗。38%的患者年龄超过70岁。围手术期死亡率为13.9%（70岁以下患者为4%）。总体发病率为71%，与手术相关的发病率为17%。急性胃部手术的住院发病率非常高，并且与显著的死亡率相关，尤其是在老年患者中。
