穿孔性胃潰瘍 在拉各斯. 风险因素和管理结果
Olanrewaju Samuel Balogun1, Michael O Afolayan1, AbdulRazzaq Oluwagbemiga Lawal1
1General Surgery Unit, Department of Surgery, Lagos University Teaching Hospital, Lagos, Nigeria.
Journal of the West African College of Surgeons
|June 30, 2025
概括
穿孔性胃潰瘍 (PPU) 主要影響40多歲的男性,NSAID使用是關鍵風險因素. 手术部位感染是治疗后最常见的并发症.
科学领域:
- 胃肠病学 胃肠病学
- 手术紧急情况 手术紧急情况
- 公共卫生 公共卫生
背景情况:
- 穿孔性胃潰瘍 (PPU) 是危及生命的外科急症,導致腹膜炎,具有顯著的發病率和死亡率.
- 在全球范围内,PPU手术的结果各不相同;尼日利亚的记录系列很少.
- 本研究回顾了尼日利亚一所机构中PPU的管理和结果.
研究的目的:
- 审查尼日利亚患者穿孔性胃潰瘍 (PPU) 的管理和结果.
- 为了确定风险因素,常见的类型和与PPU相关的并发症.
- 为尼日利亚有限的PPU记录数据做出贡献.
主要方法:
- 从2008年2月到2023年2月为PPU患者的医疗记录的回顾性审查.
- 所有患者都使用修改后的格雷厄姆贴片进行了手术修复单个前部胃潰瘍穿孔.
- 数据分析使用IBM SPSS版本23进行.
主要成果:
- 分析了107名PPU患者 (93名男性,14名女性;平均年龄41岁),其中30-39岁年龄组的患病率最高.
- 大约一半的患者出现了延迟呈现; 摄入NSAID是最常见的危险因素.
- 穿孔胃潰瘍 (71%) 比十二指腸潰瘍 (22%) 更常見; 大型潰瘍 (10-30毫米) 是常見的,但與合併症或死亡率無關.
- 手术部位感染是最常见的并发症,其次是全身性败血症和表面伤口感染. 平均住院时间为13天.
结论:
- 在这个队列中,PPU主要影响了40多岁的男性,NSAID使用是主要的风险因素.
- 胃比十二指肠更常见,并且经常观察到大的穿孔.
- 关键并发症包括手术部位感染,全身性败血症和表面伤口感染.
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