当科における下部消化管穿孔例の検討 [in Japanese] Clinical Study of Patients with Colorectal Perforation [in Japanese]
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The purpose of this study was to evaluate the factors which affected the postoperative mortality and the length of hospital stay for patients after a colorectal perforation. There were 34 cases of colorectal perforations in our hospital in the past five years, and these cases were studied retrospectively. The white blood cell count of the patients who died during hospitalization after the surgery was lower than that of the patients who were able to leave the hospital after the surgery. The factors that prolonged the postoperative stay were : presence of preoperative and postoperative complications, preoperative septic shock, postoperative disseminated intravascular coagulation (DIC), over 70 years of age, and whether they had undergone a colostomy or ileostomy. Also, the incidence of postoperative complications was significantly higher in patients over 70 years old. There were no significant correlations between surgical procedure and preoperative mortality or any other factors. Saving the patient's life should be the first consideration in colorectal perforation, but considering the lowering of activities of daily life (ADL) and quality of life (QOL) caused by a long postoperative hospital stay, shortening the length of the postoperative hospital stay must be considered at the same time.
- Progress in Acute Abdominal Medicine
Progress in Acute Abdominal Medicine 28(4), 531-539, 2008-05-31
Japanese Society for Abdominal Emergency Medicine