TACTICS OF TREATMENT OF PERFORATIVE GASTRODUODENAL ULCER.

Klinichna khirurgiia Pub Date : 2016-10-01
K S Dolimov, A Sh Аbdumazhidov, Z Z Тukhtamurod, A M Аshurmetov, M J Аkhmedov, Kh M Zhafarov
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引用次数: 0

Abstract

The covered perforation of gastroduodenal ulcer constitutes certain difficulties in diag' nosis, causing distortion of clinical symptoms. The diagnosis is usually established with delay. In the clinic during 7 years in 24 patients the covered perforative aperture of gas' troduodenal ulcer was revealed, constituting 6.8% оf total number of perforative ulcers. Pneumoperitoneum was not established. After pneumogastroscopy in 3 patients with a free gas revealed, they were operated on. After analyzing of dynamics in rest of patients their state degradation and the peritoneal symptoms occurrence was noted, what have had demanded performance of operative intervention. Lethality was 4.1%.

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穿孔性胃十二指肠溃疡的治疗策略。
胃十二指肠溃疡的隐蔽性穿孔给诊断带来一定的困难,引起临床症状的扭曲。诊断通常是延迟的。临床7年共发现气性十二指肠溃疡有盖穿孔孔24例,占穿孔溃疡总数的6.8%。气腹未确定。3例患者经气胃镜检查发现游离气体后,均行手术治疗。在分析其余患者的动态后,注意到他们的状态退化和腹膜症状的发生,需要进行手术干预。致死率为4.1%。
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发文量
21
审稿时长
12 weeks
期刊最新文献
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