大腸穿孔症例の臨床的検討　　術後死亡に関わる要因について

DOI Web Site 被引用文献28件 参考文献18件

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タイトル別名
  • Clinical Study of Colonic Perforation. With Reference to Factors Influenced Death After Operation.
  • WITH REFERENCE TO FACTORS INFLUENCED DEATH AFTER OPERATION
  • 術後死亡に関わる要因について

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The purpose of this study was to evaluate factors which affected postoperative mortality in 43 cases of colonic perforation treated at Asahikawa Red Cross Hospital in a recent one decade. Factors relevant to immediate mortality were advanced age over 70 septic shock, and perforated diameter of over 1.5 centimeters; which were statistically significant.<br>On the other hand immediate mortality was high in cases with perforation in the left colon, free perforation, and/or intraperitoneal free gas, though there were no significant differences.<br>The appropriate technique of the operation should be chosen synthetically, making allowance for constitutional state, fundamental diseases, age, septic shock, perforated site, the level of peritonitis due to stool and period from the onset of the disease to operation. Saving the patient's life should be the first consideration in the case of perforation of the large intestine. Therefore colostomy would be the most desirable.

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