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回顾性分析了20年间收治的25例再穿孔临床资料,以探讨胃十二指肠溃疡再穿孔的临床特点。结果表明,25例再穿孔者占同期414例胃十二指肠溃疡穿孔的6%,再穿孔发生在首次穿孔后3个月至10年间,高发时间是首次穿孔后2年内。再穿孔高危因素有:(1)青年男性;(2)有一年以上病史的十二指肠溃疡穿孔;(3)第一次穿孔后有溃疡症状复发。认为有高危因素的胃十二指肠溃疡穿孔及再穿孔治疗应行彻底性手术。
The clinical data of 25 cases of reperforation admitted in 20 years were retrospectively analyzed to investigate the clinical characteristics of reperforation of gastroduodenal ulcer. The results showed that 25 cases of perforation accounted for the same period 414 cases of gastroduodenal ulcer perforation of 6%, perforation occurred in the first perforation after 3 months to 10 years, high incidence of time after the first perforation within 2 years. Re-perforation risk factors are: (1) young men; (2) more than one year history of duodenal ulcer perforation; (3) ulcer symptoms after the first perforation recurrence. Gastro-duodenal ulcer perforation and re-perforation should be considered as a radical surgery if they are considered as risk factors.