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目的探讨胃癌急性穿孔的临床特点,以指导临床诊治和提高疗效。方法回顾性分析经手术及病理证实15例胃癌急性穿孔患者的临床资料及随访结果。结果本组曾有4例患者误诊,术后死亡率与并发症发生率分别为13.3%和40.0%,1年生存率为80.0%,3年生存率为60.0%。结论早期诊断,综合治疗,强调个性化原则,是降低病死率提高生存质量的重要因素。
Objective To investigate the clinical features of acute gastric perforation to guide clinical diagnosis and treatment and improve the curative effect. Methods The clinical data and follow-up results of 15 patients with acute gastric cancer perforation confirmed by surgery and pathology were retrospectively analyzed. Results Four patients were misdiagnosed. The postoperative mortality and complication rates were 13.3% and 40.0% respectively. The 1-year survival rate was 80.0% and the 3-year survival rate was 60.0%. Conclusion Early diagnosis, comprehensive treatment, emphasizing the principle of individuality, is an important factor in reducing mortality and improving quality of life.