目的探讨老年人胃十二指肠穿孔30年来的治疗状况。
Objective To investigate the state of gastroduodenal perforation in the aged cases for 30 years.
方法对15例胃十二指肠穿孔患者施行腹腔镜粘合修补术。
Methods: 15 patients with gastric and duodenum perforation wre performed laparoscopic agglutinating repair.
目的：探讨高龄患者胃十二指肠穿孔围手术期处理的具体措施。
Objective: To evaluate the methods of the perioperative management of the gastroduodenal perforation for the old patients.
方法：通过57例老年胃十二指肠穿孔病人分析发病情况，术前诊断和手术治疗。
Methods: Onset preoperative diagnosis and surgical treatment of 57 elderly patients with acute perforation of stomach and duodenum were retrospectively analyzed.
结论：X线检查是胃十二指肠穿孔主要的诊断方法，穿孔修补术仍是治疗急性胃十二指肠穿孔的有效方法。
Conclusion: the X inspection is the main way for diagnosis gastroduodenal perforation, the neoplasty is the effective method for treating the gastroduodenal perforation.
结果：胃前壁穿孔3例，胃后壁穿孔2例，十二指肠球穿孔1例，降结肠穿孔1例。
Results:It consisted perforation of anterior gastric wall 3 cases, posterior gastric wall 2, duodenal bulb 1 and perforation of descending colon 1.
结果32例患者包括：胃壁穿孔10例，十二指肠球部穿孔11例，结肠穿孔4例，阑尾穿孔3例，外伤性肠道撕裂伤4例。
Results 32 cases include: gastric wall perforation 10 cases, duodenal perforation 11 cases, colon perforation 4 cases, appendicitis perforation 3 cases, traumatic gastrointestinal avulsion 4 cases.
结果32例患者包括：胃壁穿孔10例，十二指肠球部穿孔11例，结肠穿孔4例，阑尾穿孔3例，外伤性肠道撕裂伤4例。
Results 32 cases include: gastric wall perforation 10 cases, duodenal perforation 11 cases, colon perforation 4 cases, appendicitis perforation 3 cases, traumatic gastrointestinal avulsion 4 cases.
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