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胃·十二指腸穿孔의 臨床的 考察

A Clinical Review of Gastroduodenal Perforations

대한외과학회지 1967년 9권 5호 p.265 ~ 271
최찬호,
소속 상세정보
최찬호 (  ) - 전남대학교 의과대학 외과학교실

Abstract


This reports a clinical review of experience with 141 cases of gastroduodcnal perforation:; v.´;ich were

treated surgically at the Chonnam University Hospital from January, 1960 to RQay, 1966.

1) Gastric ulcer perforation was the most common incidence involving 82 cages, (:5~´.2 ), which the remaining cases included 39 cases (27.7%) of duodenal peroration, 15 cases (10.6%) of stomach perforation due to carcinoma, and 5 cases (3.5%) of others perforation due to trauma and drug. The ratio of gastric and duodenal ulcer perforation was 2 : 1.

2) The sex distribution assumed a ratio of 9.8 to 2 with 128 males arid 1´j temalt~s.

3) The seasonal distribution indicated a predominant incidence in !ate spring and autumn.

4) The duration of symptoms showed above 1 year in the majority group

5) X-ray demonstration of spontaneous pneumoperitoneum by simple plain was noted in 79.85 Gb of the patilents.

6) Among 141 cases, hemoconcentration and anemia were noted in 97 cases (6(S. ~) and 16 cases (11.3%) respectively.

7) The most frequent location of perforaotin was anterior wall of stomach(81.8,%).

-8) As for the operative fashion in 141 cases; 102 cases (72.3%) were for simple closures, 31 cases (22.1%) for immediate gastrectomies and 8 cases (5.6%) for conservative treatment.

9) The early postoperative complications were noted 31 cases (21.8%), and the most common complications were operative wound infections (13.4%).

10) The postoperative mortality rate was 12 per cent.

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