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目的总结胃癌合并急性幽门梗阻和出血的急诊手术经验。方法回顾性分析我院收治的胃癌合并性幽门梗阻和大出血的24例病人资料,探讨胃癌病人的急诊手术时机及诊治方法。结果24例病人均经过手术治疗,全部度过围手术期,无围手术期死亡。症状缓解,术后进食量增加,营养状况明显改善,延长了生存时间,提高了生存率。结论从诊断及治疗效果来讲,剖腹探查术及个体化的手术方案仍是胃癌并发急症时的重要诊治手段。
Objective To summarize the experience of emergency surgery for gastric cancer with acute pyloric obstruction and hemorrhage. Methods We retrospectively analyzed the data of 24 patients with gastric cancer complicated with pyloric obstruction and massive hemorrhage admitted in our hospital, and explored the timing of emergency surgery and diagnosis and treatment of gastric cancer patients. Results All the 24 patients were treated by surgery. All of them survived the perioperative period without perioperative death. Symptoms eased, postoperative food intake increased, and nutritional status improved significantly, prolonging survival time and improving survival. Conclusion From the perspective of diagnosis and treatment effects, laparotomy and individualized surgical procedures are still important methods for the diagnosis and treatment of gastric cancer complicated by emergencies.