TACTICS OF TREATMENT OF PERFORATIVE GASTRODUODENAL ULCER.

Abstract

The covered perforation of gastroduodenal ulcer constitutes certain difficulties in diag' nosis, causing distortion of clinical symptoms. The diagnosis is usually established with delay. In the clinic during 7 years in 24 patients the covered perforative aperture of gas' troduodenal ulcer was revealed, constituting 6.8% оf total number of perforative ulcers. Pneumoperitoneum was not established. After pneumogastroscopy in 3 patients with a free gas revealed, they were operated on. After analyzing of dynamics in rest of patients their state degradation and the peritoneal symptoms occurrence was noted, what have had demanded performance of operative intervention. Lethality was 4.1%.