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 Wysłany: Czw 23:05, 03 Mar 2011 Temat postu: Treatment of duodenal ulcer experience - report of |
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Treatment of duodenal ulcer experience - report of 36 cases
Treatment of duodenal ulcer experience - report of 36 cases of new Coke Road (Railway Marina Hospital in Kaifeng 475003) duodenal ulcer through L (referred to as the ulcer) is a common disease, improper handling and easy bow f from a variety of complications,[link widoczny dla zalogowanych], hospital 8, l of a perforated ulcer patients treated in 94 36I 【TV, try the following treatment of the body. General Materials 26 males. L0 female,[link widoczny dla zalogowanych], age 78 years for a 2s, 24 cases of duodenal anterior, lateral 4 down, 8 down {Kai wall perforation hole diameter of 0.6-2cmI time of 4-48 hours. Surgical procedures: perforation repair 12 down; patch cut jejunostomy in 6 cases of gastric anterior wall; patch cut the stomach wall jejunostomy 4; gastrectomy l2; half gastric resection and vagotomy 4 5 down operation after repair. Effect: death l cases, the Department of Po diagnosis of pyloric obstruction. H ashamed repair time, and then conditions are poor surgical patients, postoperative anastomotic leakage, wound paste open, patient death, complicated cases of pelvic abscess l; subphrenic abscess l {pyloric obstruction down 5 down. Discussion: First, pyloric obstruction pyloric stenosis may be combined, such as asking the patient does not carefully leak saying, only on the disease surgical repair of perforation, obstruction Di suffering from left, and then conditions are poor surgical patients, may be complicated by a variety of complications. Lame even cause death. Preoperative or intraoperative find pyloric obstruction pyloric obstruction in patients suspected of having done as much as possible should be the end of surgery Royal, at least do gastrojejunostomy kiss units plus two ulcer surgery only repair beam can eliminate the phase and gastric acid secretion in the first phase, After difficult to heal ulcers,[link widoczny dla zalogowanych], and a small number of re-perforation, about two-thirds of patients, and reoperation after repair of decadent repair, cause, or obstruction of the child missed Ding quiet, so as far as possible the patient should do a thorough licensing conditions of operation ,[link widoczny dla zalogowanych], that is, subtotal gastrectomy, or gastric resection and a half three vagotomy, gastrojejunostomy kiss the posterior wall of the stomach sets us to appreciate the space station as well kiss Shai t stomach the patient supine anterior jejunum anastomosis, the anastomotic plane high, stomach emptying affected. Should cause vomiting, and even anastomotic obstruction. Fourth, Taiwan and ulcer patients have peritonitis, a serious abdominal surgery the patient hollow of a tree when the dye washed attract not clean, poor flow of peritoneal bow f, f anti-inflammatory inadequate measures to bow from the abdominal abscess. Intraoperative peritoneal lavage stare necessary,[link widoczny dla zalogowanych], after adequate drainage and active anti-inflammatory treatment is the key to cervical anti-abdominal abscess. Fifth, more than 75 years old or poor nutrition during the patients off conventional abdominal incision suture to prevent the opening cut. X = mean ulcer disease at the perforation while not complex, but the sleeves - a
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