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目的研究并探讨胃癌急性穿孔手术的临床治疗效果。方法研究选取我院在2009年3月~2012年3月收治的40例胃癌患者，所有患者都自愿接受调查和服从所有准则，将患者作为研究对象并对其进行急性穿孔手术治疗，观察患者的临床病理特点以及治疗效果，并将所得到的资料进行分析研究。结果在我院收治的40例患者当中，有32例患者进行胃切除手术，其中有25例患者进行 D1淋巴结清扫手术，在术后对其进行为期1a的随访，有2例化疗患者死亡，未化疗的患者中有5例死亡。结论对胃癌患者进行胃癌切除和 D1淋巴结清扫相结合的手术方式能够很好的降低患者死亡率和并发症率的发生，因此该方法值得在临床上推广和使用。“,”Objective Research and discuss acute perforation of gastric cancer surgery clinical therapeutic effect.Methods Our study selection in March 2009 to March 2012 cases of patients with gastric cancer were forty, All of the patients were volunteers and obey all criteria, Patients will be as the research object and the surgical treatment of acute perforation.Results In our hospital and patients were in the,There are 32 patients of gastric resection middle, There are 25 patients D1 lymph node dissection surgery, There are 25 patients D1 lymph node dissection surgery, Two cases of chemotherapy patients died. Not chemotherapy in patients with five deaths. Conclusion For gastric cancer patients with gastric cancer resection and D1 lymph node dissection combination of operation method can very good reduce patients mortality and complication rate occurrence, So this method is worth clinical promotion and use.