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男11例,女2例,年龄18~69岁,平均41岁。修补后再穿孔时间:5例分别为术后3~8天,8例为术后8个月至3年。溃疡及穿孔情况:十二指肠溃疡穿孔9例,胃溃疡穿孔4例,其中1例胃溃疡穿孔再次术后确诊为胃窦部腺癌。首次穿孔直径0.5~2.0cm,再次穿孔直径0.3~1.0cm。高危因素:首次穿孔入院时伴休克4例;合并慢性疾病5例,其中糖尿病1例,肾功能不全1例,肺心病3例;穿孔至手术时间超过24小时者8例。同时存在两个高危因素者4例。
There were 11 males and 2 females, aged 18-69 years with an average of 41 years. Perforation after repair time: 5 cases were 3 to 8 days after surgery, 8 patients were 8 months to 3 years after surgery. Ulcers and perforation: Perforation of duodenal ulcer in 9 cases, gastric ulcer perforation in 4 cases, of which 1 case of gastric ulcer perforation again diagnosed as gastric antrum adenocarcinoma. The first perforated diameter 0.5 ~ 2.0cm, again perforated diameter 0.3 ~ 1.0cm. Risk factors: the first perforation admitted to hospital with shock in 4 cases; 5 cases of chronic diseases, including diabetes in 1 case, renal insufficiency in 1 case, pulmonary heart disease in 3 cases; perforation to surgery for more than 24 hours in 8 cases. There are two high risk factors in 4 cases.