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腸티브스에 依한 廻腸穿孔의 臨床的 考察 Clinical Observation of Heal Perforation due to Typhoid Perforation

대한외과학회지 1977년 19권 3호 p.21 ~ 25
최원,
소속 상세정보
최원 (  ) 
전남대학교 의과대학 외과학교실

Abstract


The results of the clinical management of 90 cases of Ileal perforation due to Typhoid fever are presented. Most were seen after an illness of one to four weeks, and because of delays in seeking hospital more than half were explored more than 24 hours after their perforation occurred.
All patients were prepared for operation with nasogastric suction, intraveneus fluid or electrolyte therapy, and antibiotics. On laparotomy, 90% had considerable quantities of pus and small bowel contents in the peritoneal cavity and the remainder had localized abscess. There were no instances of spontaneous closure of their perforations. Sixty-eight patients underwent simple closure of their perforation, while 17 underwent resection and anastomosis, usually because of multiple perforations.
Ileostomy or drainagewere performed only in patients who were too sick to tolerate a more appropriate procedure.
The overall mortality was 15. 5%. The authors believe that typhoid perforations can best be treated with operation and also Chlroamphenicol is used as the drug of choice.

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