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目的研究急性胃穿孔应用手术实施治疗的临床疗效,以有效提高临床诊治效果。方法整合性分析2011年7月～2012年6月我院共收治60例急性胃穿孔患者的临床资料,并将所有患者按穿孔时间划分为应用单纯穿孔缝合术实施治疗的观察组和应用胃大部切除术实施治疗的对照组,比较两组患者的住院时间和术后并发症的产生率。结果观察组术后并发症的产生率为14%,对照组术后并发症的产生率为8.4%,两组之间的比较有统计学意义(P<0.05)。结论急性胃穿孔早期诊断,并及时应用胃大部切除术实施治疗,可获得显著性疗效,且术后并发症产生率低,值得在临床上推广使用。
Objective To study the clinical efficacy of surgical treatment of acute gastric perforation in order to effectively improve the clinical diagnosis and treatment. Methods Integrated analysis of July 2011 ~ June 2012 in our hospital were treated 60 cases of acute gastric perforation in patients with clinical data, and all patients according to perforation time is divided into the application of simple perforation and suture treatment group and the application of large gastric Department of surgery in the control group, the two groups of patients hospitalized and postoperative complications rate. Results The incidence of postoperative complications was 14% in the observation group and 8.4% in the control group. The comparisons between the two groups were statistically significant (P <0.05). Conclusions The early diagnosis of acute gastric perforation, and timely application of subtotal gastrectomy for treatment, can obtain significant effect, and the incidence of postoperative complications is low, it is worth promoting in clinical use.