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消化性 潰瘍의 倂發症에 對한 臨床的 考察

Clinical Evaluation of Complication of Peptic Ulcer

대한외과학회지 1967년 9권 12호 p.739 ~ 744
白鳳壽, 金世浩, 羅燾憲,
소속 상세정보
白鳳壽 (  ) - 國立醫療院 一般外科
金世浩 (  ) - 國立醫療院 一般外科
羅燾憲 (  ) - 國立醫療院 一般外科

Abstract


Many literatures have born reported about peptic ulcer and it´s complication, of which gastroduodenal perforation, gastroduodenal hemorrhage and pyloric stenosis are major complications.
This study has designed to get the clinical findings and beat method of treatment for these complication.
The present study summarizes the results of the first 8 years of investigation about major complications of peptic ulcer, as follows.
1. 60 percents of hemorrhage was distributed between age of 41 and 60 years but peak incidence of perforation and obstruction were from 31 to 50 years, as 62.5 percents in former and 67 percent in latter.
2. In the sex distribution, the perforation was predominent in male than female in the ratio 28 : 1, but same comparison was 5.5 : 1 in the hemorrhage and 3.5 : 1 in the obstruction.
3. Incidence of the perforation and hemorrhage were more frequent in the Spring and Autumn.
4. Site of the perforation and hemorrhage was more frequent in the stomach than duodenum.
5. 28 of 39 cases combined with hematemesis and melena. In the 93 cases of the pyloric stenosis, 25 cases had hypochloremic alkalosis and 44 cases hypopotassemia.
6. Vagotomy and pyloroplasty had best results in the emergency treatment of the duodenal perforation and hemorrhage.
7. The over-all operative mortality of the perforation was 12 percents and hemorrhage 5 percents but 2 percent in pyloric stenosis.

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