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目的:探讨胃癌穿孔的临床特点、诊断方法及手术方式。方法:回顾性分析15例胃癌患者并发急性胃穿孔的临床资料及手术方式。结果:本组均手术,其中治愈14例,死亡1例。死于感染性休克伴多脏器功能衰竭。术后并发切口感染2例,消化道出血1例。结论:术中常规取标本活检可避免胃癌漏诊。早期诊断及正确术式是降低病死率,提高生存质量的重要因素。强调尽可能施行Ⅰ期胃癌根治术或姑息性胃切除,其生存期明显优于其他方式。
Objective: To investigate the clinical features, diagnosis and operation of gastric cancer perforation. Methods: A retrospective analysis of 15 cases of gastric cancer complicated with acute gastric perforation of the clinical data and surgical methods. Results: All patients underwent surgery, of which 14 were cured and 1 died. Died of septic shock with multiple organ failure. Incisional incision infection in 2 cases, 1 case of gastrointestinal bleeding. Conclusion: Intraoperative routine biopsy can avoid missed diagnosis of gastric cancer. Early diagnosis and correct operation is an important factor in reducing mortality and improving quality of life. Stressed that as far as possible the implementation of radical gastrectomy or palliative gastrectomy, its survival was significantly better than other ways.