中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
1期
50-51,54
,共3页
胃十二指肠穿孔%穿孔修补术%高龄%中医药
胃十二指腸穿孔%穿孔脩補術%高齡%中醫藥
위십이지장천공%천공수보술%고령%중의약
Gastroduodenal perforation%Perforation repair%Elderly%Enteral nutrition
目的：观察单纯穿孔修补术加复尔凯营养管肠内营养治疗高龄急性胃十二指肠溃疡穿孔临床效果。方法总结、分析本院2012年7月~2014年4月行胃十二指肠溃疡穿孔单纯修补术的25例患者的临床资料。结果术后并发切口感染2例，炎性肠梗阻2例，24例患者治愈出院，1例死亡。结论胃十二指肠溃疡穿孔单纯修补术，操作简单、创伤小，配合术中置入复尔凯营养管、术后早期肠内营养、中药应用，可使高龄急性胃十二指肠穿孔患者获得更满意治疗效果。
目的：觀察單純穿孔脩補術加複爾凱營養管腸內營養治療高齡急性胃十二指腸潰瘍穿孔臨床效果。方法總結、分析本院2012年7月~2014年4月行胃十二指腸潰瘍穿孔單純脩補術的25例患者的臨床資料。結果術後併髮切口感染2例，炎性腸梗阻2例，24例患者治愈齣院，1例死亡。結論胃十二指腸潰瘍穿孔單純脩補術，操作簡單、創傷小，配閤術中置入複爾凱營養管、術後早期腸內營養、中藥應用，可使高齡急性胃十二指腸穿孔患者穫得更滿意治療效果。
목적：관찰단순천공수보술가복이개영양관장내영양치료고령급성위십이지장궤양천공림상효과。방법총결、분석본원2012년7월~2014년4월행위십이지장궤양천공단순수보술적25례환자적림상자료。결과술후병발절구감염2례，염성장경조2례，24례환자치유출원，1례사망。결론위십이지장궤양천공단순수보술，조작간단、창상소，배합술중치입복이개영양관、술후조기장내영양、중약응용，가사고령급성위십이지장천공환자획득경만의치료효과。
Objective To observe the clinical efficacy of simple perforation repair plus complex Marche feeding tube enteral nutrition in the treatment of acute gastroduodenal perforation in elderly. Methods The clinical data of 25 cases of patients with acute gastroduodenal perforation in elderly treated in our hospital from July 2012 to April 2014 who were taken with alone gastric and duodena ulcer perforation repair were summarized and analyzed. Results Postopera-tive wound infection were 2 cases,inflammatory bowel obstruction were 2 cases,24 patients were cured,and 1 died. Conclusion Gastroduodenal perforation repair is simple,has small wounds,combined with feeding tube placed during surgery,early postoperative enteral nutrition,can get more satisfactory therapeutic effect in elderly patients with acute gastroduodenal perforation.
