Department of Surgery, Hospital No.4.Hebei Medical College. Primary Evaluation of Non-operative Therapy by Combined Method of Traditional Chinese and Western Medicine in Acute Perforation of Peptic Ulcer[J]. Journal of Traditional Chinese Medicine1980, (6): 21-24.
Department of Surgery, Hospital No.4.Hebei Medical College. Primary Evaluation of Non-operative Therapy by Combined Method of Traditional Chinese and Western Medicine in Acute Perforation of Peptic Ulcer[J]. Journal of Traditional Chinese Medicine1980, (6): 21-24.DOI: 10.13288/j.11-2166/r.1980.06.007.
溃疡病急性穿孔中西医结合非手术疗法的初步评价
摘要
<正> 胃、十二指肠溃疡急性穿孔在治疗原则上目前还存在着分歧意见
主张非手术疗法者非手术率达80%
主张手术治疗者手术率达95%。临床实践中对于同一种疾病
治疗意
Abstract
147 cases of peptic ulcer complicatedby acute perforation
among whom 124 ca-ses(84.4%)were treated by non-operativetherapy of combined method of traditionalChinese and western medicine
were admit-ted to our hospital during the period 1972—1978.During the course of treatment com-plication occured in 9 cases(7.3%)
3 diedin the hospital
2 died of acute attack ofcoronary heart disease
1 died of septic shock.After discharging from the hospital
80cases were followed up by fiberoptic gastro-scopic examination
among whom 65 cases (81.3%)revealed healing of the lesions.The author emphasized that patients ofpeptic ulcer complicated with acute perfora-tion should be examined gastroscopically be-fore their discharge from the hospital so asto ascertain the final diagnosis.This is aneffective measure of special importance foravoiding failure in ruling out a gastric can-cer.Reexamination of the discharged pa-tients with gastroscopy to observe the healingcondition of the lesion and to decide whe-ther there is gastritis or not is a necessarystep in establishing a program for furthertreatment.This paper gave a superficial discussionon the evaluation of non-operative therapyhy combined traditional Chinese and westernmedicine in the treatment of peptic ulcer.