《单纯修补配合术后抑酸抗HP治疗在胃溃疡急性穿孔中的应用》由会员分享，可在线阅读，更多相关《单纯修补配合术后抑酸抗HP治疗在胃溃疡急性穿孔中的应用（2页珍藏版）》请在金锄头文库上搜索。
1、 18 102009M 10 S Y S Chinese Journal ofGeneralSurgeryVo.l 18null No. 10Oct. null 2009l : 2009- 04- 07; null : 2009- 08- 28bT e : + ,3 , b+ null D D = , 1 VY S Z bY T : null Enullmai:lm inimally18 163. com )bnull null c I | : 1005- 6947( 2009) 10- 1094- 02 5 B F HP $ , d 吴有军, 何建苗, 秦荣, 许毓敏, 张博, 蒲永东(解放
2、军第三null 九医院普通外科, 北京 100091)null null K 1 : null ) B ? = S $ , d i l bZ E null 2003!2007M W l 59 $ , d 5 $ s b T null 59 ( , d B , m ( , m , i ? 3 ( 5. 1% ), , d av i ? b : 20 mgg 2 Q /? , 8 12 , HP H 1. 0 g, X 0. 25 g( 2Q /? , 2 b 54 , H W 12 36 , q ?q s Y 98. 1% ( 53 /54) 3. 8% ( 2/53)b null B ? =
3、S E , $ , d r m , V I n ? b S Y S , 2009, 18( 10): 1094- 10951 o M : h , d / S ; 0 , 4 ; ) m s | : R 656. 6null null null null D S M : Bnull null - E = ( duodenal ulcer,DU ), d B i n 1 B , ( gastric ulcer, GU ) , d T 4 i p , s M y r M $ j m 1b 10 M = S F Z , , d B L = T 9 $ , d , i ) , y N # ? q L m
4、 1I n K 1 5 b3 , d - , d 4 b F , 53 , 8 12 q s Y 90. 7%( 49 /54) 98. 1% ( 53/54), 2 ? , 9 8 r i bT B 0 , 4 ( proton pump inhibitor,PPI), : h q V r 90% , T 0 ? q 9 b M HP V ? 3 , ? 1 bNg 9 , E = (DU ), d , F HP F HPF 1M ? q s Y 4. 8% 38. 1%bM iwa 10 4 940 HP h , aE = a ? q s Y 2. 3% , 1. 6%, 1. 6%by
5、N A H HP, HP( + ) F HP b -S F HPZ , 4 PPI6 F F 3 ,F 3 V aJ b: X , 1 2 b F 59 48 W 4 U HP , 2 F HP , 6 , 44 | , q 91. 7% ,44 1 ? , ? q 2. 3% ( 1 /44), M iwa M , 7 F 9 ? q 3. 8% , s M 0% 5%M 11b6 B i , a NSAIDV ? , ( GU )bM iwa? C f , GU ? A DU, V ? T p ,y N A e b 7 i d , d a B , 9 g a , v ( 2 cm )# 1
6、 cm , d , = S r T V ? , O M q , p , y p s M , 7 IV ( ) y 5 , B 9 0 b8 , 3 1 ? =S , $ , d , B e O r T V L , q ? q ( V s S = , V I n ? b I D : 1 null David WM, Em ily KR. Peptic ulcer disease A. In: TownsendCM, Beauchamp RD, Evers BM, et a l. Sabiston Textbook of SurnullgeryM . 17th ed, Philadelphia:
7、Saunders Elsevier, 2004: 1279- 1301. 2 null Siu WT, Chau CH, Law BKB, et a l. Routine use of laparonullscopic repair for perforated peptic ulcer J. British Journal ofSurgery, 2004, 91( 4 ): 481 - 484. 3 null , . E = $ , d 309 5 s J. S 8 5 , 2006, 22( 2 ): 184- 184. 4 null , o . h , d $ v s M 129 J. D , 2001, 22 ( 2): 165 - 165. 5 null M acDonald WC, Owen DA. Gastric carcinoma after surgicaltreatment of peptic ulcer: An analysis of morphologic featuresand a comparison w ith cancer in the nonoperated stomach J. Cancer, 2001, 91( 9): 1732 - 1738. 6 null r , S , S k . j h h y M J. S Y S , 2003, 1
