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边远山区胃十二指肠溃疡急性穿孔患者穿孔时间长，腹腔污染重，多伴有严重的腹膜炎或（和）中毒性休克。作者根据这些临床特点对２１９例患者采取以单纯穿孔修补为主的术式进行治疗，结果疗效满意。认为单纯穿孔修补术虽然有一定的复发率，但现今抗溃疡病新药的不断涌现完全可以弥补这一不足。对于有条件的患者采用胃大部分切除术，可获得满意的近期和远期疗效；对于合并幽门梗阻的高危患者，穿孔修补加胃空肠吻合术亦不失为一种行之有效的术式。
Peripheral mountain gastroduodenal ulcer patients with acute perforation of a long perforation, abdominal pollution, often accompanied by severe peritonitis or (and) toxic shock. According to these clinical features, the authors treated 219 patients with purely perforation-based surgical procedures, with satisfactory results. Although pure perforation repair that there is a certain recurrence rate, but the current emergence of new anti-ulcer drugs can completely make up for this deficiency. For patients with conditional gastric partial resection, can be satisfied with the short-term and long-term efficacy; for patients with high risk of pyloric obstruction, perforation repair and gastrojejunostomy is also an effective surgical procedure.