消化性潰瘍合併穿孔

病史

長期潰瘍病史 (Long term history of ulcer)

突發上腹痛、嘔吐、休克 (Sudden onset of epigastric pain, nausea, shock)

理學檢查

上腹板狀僵硬,腹膜炎徵候 (Epigastric rigidity, peritoneal sign)

實驗室檢查

白血球增高 (Leukocytosis)

X-光檢查有異常 (Abnormal finding in X-ray study)

處理原則

a.穿孔有腹膜炎徵候:住院觀察進一步手術治療

(a. Perforation with peritonitis: Admission and surgical intervention )

b:穿孔已封口無腹膜炎時:住院治療

(a. Self-sealing perforation without peritonitis: Admission)