非手术治疗消化性溃疡急性穿孔的体会

目的：探讨非手术治疗消化性溃疡急性穿孔的适应证和治疗方法。方法：回顾性分析非手术方法治疗23例消化性溃疡急性穿孔病人的临床资料。结果：非手术治疗效果良好，并发腹腔脓肿1例，平均住院日9.6天，出院后经内科药物正规治疗1个疗程和胃镜检查，均为溃疡愈合期。21例获得随访0.5～1年效果满意。结论：年轻病人消化性溃疡空腹早期急性穿孔，可试行非手术治疗．症状不缓解，全身炎症反应加重的病人应及时手术治疗。

Experience of non-operative treatment for peptic ulcer with acute perforation

Objective:To explore the curative method and indication of non-operative treatment for the peptie ulcer with acute performation.Methods:The clinical data of patients diagnosed as peptic ulcer with acute perforation were analyzed retrospectively.Results:The curative effect of non-operative treament was all right.Two patients were complicated by abscess of abdominal cavity.Average time in hospital was 9.6 days.The ulcers in all cases treated with adequate trial of medical drug for a course of treatment after discharge were healing by gastroscopy.21 cases were followed up from 6 to 12 months,and the curative effect was satisfactory.Conclusion:Non-operative treatment for peptic ulcer with early acute perforation as fasting in young patients may be adopted.During non-opertive treatment,if inflammatory response becomes worse,opertive treatment should be performed immediately.