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外科的 疾患으로 因한 死亡者의 臨床的 考察 A Clinical Review of 312 Surgical Death during Admission

대한외과학회지 1972년 14권 1호 p.45 ~ 54
송진호,
소속 상세정보
송진호 (  ) 
고려대학교 의과대학 외과학교실

Abstract


This reports a clinical review of experience with 312 surgical death patient which occurred during the
admission to the department of general surgery, Korea University, from Jan., 1964 through July, 1970.
Result of study are summarized as follows:
1. The percentage ratio of surgical death to the total number of admitted cases (6117 cases)in Dept.
of general Surgery during above mentioned period was 5.1%.
2. Mortality rate, in male was 5.5%, in female 4.3% and ratio of male to female of the death
patients was 2.3:1.
3. For the age distribution of death, first decade and third decade were more prevalent, the seasonal
distribution showed peak in early summer.
4. The hour of death indicated prodominant incidence in A.M. (60%) than P.M (40%).
5. Among 312 death patients, 75 cases died within 24 hours (24.1%), 123 cases within one week
(39.4%), 24 cases over four week (7.8%) from admission.
6. The highest mortality rate in this study was in congenital anomalies (36.0%) and 24.5% in burned
patients, 21.0% in G.I.Bleeding, 16.0% in Trauma, 12.0% in Intestinal perforation, 10.2% in
intestinal obstruction, and 6.5% in malignant tumors.
7. For the mortality distribution in 312 death cases burn was the most frequent cause, 117 cases
(37.1%), and intestinal perforation was the second cause involving 41 cases (13.2%).
8. The commonest patients of malignants tumor was stomach cancer (241 cases) and the pancreas
cancer showed most high mortality rate (16.6%) during hospitalization.
9. For age distribution in the death of malignant tumor cases, there was no death patient in 1st,
2nd 3rd decades, highest between ages of 40 to 49.
10. The high mortality rate in intestinal obstruction was in intussusception in 12 cases (16.5%).
and volvulus in 3 cases (12.5%), post-operative adhesion in 16 cases (7.3%), inflammatory stricture
(6.6%), and external hernia in one cases (1.8%).
11. The commonest intestinal perforation was stomach perforation in 142 cases, and the mortality
rate of Iatrogenic perforation was 27.7%, typhoid perforation (25.5%), stomach perforation (13.3
%), and appendical perforation (1.9%).
12. The traumatic intestinal perforation was commonest incidence in traumatic abdominal disease,
and liver laceration was most high mortality rate in 31.4%.
13. The mortality rate in upper gastro intestinal hemorrhage was 13.7% in peptic ulcer, 45.7%
in esophageal varix rupture, and 20% in colerectal bleeding.
14. Over-all mortality of the burned patients was 24.5%, children or older age group revealed high
mortality rate.
15. For mortality rate according to agents of burn, flame showed higher mortality rate (35%) than
scalding (23%), most highest mortality rate was electric burn (35.4%).

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