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《Practical Clinical Medicine》 2004-02
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Evaluation of the Opportunity and Methods of Operation for Acute Gastroduodenal Ulcer Perforation

Men Xue bo, Han En kun, Du Qing yun (Department of General Surgery,Baodi Hospital,Tianjin, 301800,China)  
Objective: To evaluate the opportunity and methods of operation for gastroduodenal ulcer perforation.Methods:In accordance with time of perforation, age and quantity of peritoneal infusion, the operative opportunity was evaluated.The results of follow up were reviewed in 92 cases underwent operations.Results:The operative rate in the patients older than 60 years who had longer time than 8 h after perforation and more than 200 ml of peritoneal infusion amount was significant different from that of other patients.The simple perforation closure leaded a shorter time of hospitalization,compared with subtotal gastrectomy.However there was not any increase of recurrent rate of ulcer and reoperative in all the 92 patients who received operation.Conclusion:It is important to select operative opportunity according to the time of perforation,age and quantity of peritoneal infusion. Simple perforation closure should be a mainly operative method for acute gastroduodenal ulcer perforation.
【CateGory Index】: R656.62
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