Quantitative indices of conservative treatment for perforation of peptic ulcer
- VernacularTitle:消化性溃疡穿孔保守治疗的定量指标探讨
- Author:
Jin MA
;
Xiujun CAI
;
- Publication Type:Journal Article
- Keywords:
PEPTIC ULCER PERFORATION/ther;
RETROSPECTIVE STUDIES
- From:
Chinese Journal of General Surgery
2000;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the quantitative indices of conservative treatment for perforation of peptic ulcer. Methods The clinical data of 321 patients admitted from 1990 to1999 were analyzed retrospectively. Score was obtained according to patients' age, extension of abdominal pain, time of perforation, fever,abdominal paracentisis,free air of abdominal cavity, etc.Results Conservative treatment was given to 85 patients who scored ≤ 2, of whom 81 (95.2%) recovered.In 22 patients who scored 3, 16 (72.7%) recovered.In 8 patients who scored 4, 2 (25.0%) recovered.Conclusions If the perforating ulcer patients scored less than 2, conservative treatment should be given.For those who scored 3, conservative treatment can be given for the first 24h,and then whether to continue conservative treatment or change to operation should be considered according to patients' condition.For patients scored ≥ 4 , an operation should be performed as soon as possible.
