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급성 범발성 복막염에 대한 임상적 고찰

A Clinical Study on Patients with Acute Panperitionitis

대한외과학회지 1970년 12권 2호 p.23 ~ 27
박철규, 홍성국, 송요준, 김자훈,
소속 상세정보
박철규 (  ) - 서울대학교 의과대학 외과학교실
홍성국 (  ) - 서울대학교 의과대학 외과학교실
송요준 (  ) - 서울대학교 의과대학 외과학교실
김자훈 (  ) - 서울대학교 의과대학 외과학교실

Abstract


The present report is a study of 238 cases of the acute panperitonitis at the Dept. of General Surgery of S.N.U. Hospital from Sept. 1966 to Aug. 1969.
Cases associated with regional abseess formation were not included.
The results obtained are as follows:
1) Of 238 patients with acute panperitonitis, 98 cases(41%) were due to peptic ulcer perforation, 51 Cases(21%) due to acute appendicitis perforation, 32 cases (13.4%) due to typhoid perforation, and 18 cases (7.5%) were bile peritonitis.
2) Of 98 cases with peptic ulcer perforation, 63 cases(64%) were due to duodenal ulcer perforation and 30 cases (48%) were due to gastric ulcder perforation.
3) The majority of the patients with peptic ulcer perforation, acute appendicitis perforation, or typhoid perforation were the 3rd or the 4th decade of men and the 5th decade of female in bile peritonitis.
4) There were no seasonal differeces in acute appendicitis, and bile peritonitis Peptic ulcer perforation showed high incidence in spring and autumn, and typhoid perforation in late summer.
5) The most frequent complication were 32 cases (13.4%) of wound infection and disruption and typhoid peration showed the highest incidence of 60 per cent.
6) The overall mortality of the eases was about 8 per cent and bile peritonitis showed the highest mortality of 15 per cent.
7) The average hospital day without complications was ten to fifteen.

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