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腸閉塞症의 臨床的 考察

A Clinical Observation of 192 Intestinal Obstruction

고려대학교의과대학잡지 1976년 13권 1호 p.107 ~ 114
홍지선,
소속 상세정보
홍지선 (  ) - 고려대학교 의과대학 외과학교실

Abstract


This report was made for 192 cases of patients with the intestinal obstruction which were treated surgically at the Dept. of general surgery, Woo Sok Hospital during the past 6 years period from July 1969 to June 1975.
.1. The most common causes of intestinal obstruction were postoperative adhesion (34.4%), Intussusception(30.2%) and hernia (10.9%)
2. The sex ratio was male preponderance as 2:1 and the most prevalent age group was in second and third decade as 29.2% of all.
3. The cardinal symptoms were abdominal pain(71.6%), vomiting (52.6%), abdominal distension (55.7%) and abdominal rigidity (51.0%).
4. As for the operative fashion: 104 cases(54.1%) were treated by operative release of obstruction with operative decompression, 38 cases(19.9%) by primary intestinal resection.
5. Postoperative complications were noted in 21.8% of the total 192 cases, and wound infection (40.5%) were most frequently encountered.
6. The mortality rate was 6.2%(12 cases). The most frequent cause of death was electrolite imbalance (33.3%).

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