摘 要目的：对高龄患者胃十二指肠溃疡急性穿孔行腹腔镜穿孔修补术26例临床分析。方法：回顾分析2005年5月至2008年12月收治的26例70岁以上高龄患者胃十二指肠溃疡急性穿孔腹腔镜穿孔修补术的临床资料。结果：26例患者术前合并高血压8例，心脏病2例，糖尿病4例，肺部疾病9例，脑血管疾病2例。术后并发肺部感染6例，呼吸衰竭2例，心功能衰竭1例，腹腔感染1例，均痊愈出院。结论：高龄患者主要脏器功能减退，内科合并症较多，免疫及应激能力低下，手术危险性大。腹腔镜与开腹手术一样安全有效，但腹腔镜手术修补术有创伤小、康复快、并发症少、住院时间短等优点，是治疗老年消化性溃疡急性穿孔较为理想的手术方式。

    关键词高龄患者；胃十二指肠溃疡；穿孔；腹腔镜修补术

    Abstractpurpose to the advanced age sufferer's stomach 12 intestinal ulcer impatient bore hole line belly cavity mirror to bore hole repair Shu 26 clinical analysis.Method review analysis 2005 May ～ 2008 December accept to cure of 26 advanced age over 70 years of age sufferer's stomach 12 intestinal ulcer impatient bore hole belly cavity mirror bore hole repair Shu of clinical data.Result 26 sufferer the merger high blood pressure be 8 before the Shu and the heart attack be 2 and the diabetes be 4, the lung department disease be 9, and the cerebral disease be 2.Erupt a lung department infection 6 after the Shu, respiratory failure 2, the heart function be not whole combine heart Shuai 1, belly cavity infection 1, all completely recovered hospital discharge.Conclusion advanced age sufferer main dirty machine function decrease, Medicine merger the disease be more, immunity and should arouse ability lowly, surgical operation risk big.Belly cavity mirror with open stomach surgical operation a similar safety valid, but belly cavity mirror surgical operation repair the Shu have small wound and recover from illness quick, the complications be little, hospitalization time short etc. advantage, is treatment old age digest ulcerate impatient bore hole more ideal of surgical operation way. ......