小腸穿孔２０例の検討

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  • A Clinical Study on 20 Cases of Perforation of the Small Intestine.

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Twenty cases of perforation of the small intestine who were operated on at the hospital in a recent 6-year period from January 1995 to December 2000 were retrospectively studied. There were seven cases of traumatic and 13 cases of non-traumatic perforation of the small intestine. Their ages ranged from 17 to 89 years, and the male-to-female ratio was 13 to seven. We had great difficulty in making the diagnosis of the disease and no correct diagnosis had been made before surgery. Even patients who had beed strongly suspected to have the disease had amounted to only seven (35%). It took 36 hours or less from the onset of the symptoms to operation in most cases. Operative procedures included excision of the small intestine in seven patients, ileocecal resection in four and resection of diverticulum in one. They had a relatively good prognosis. Hospital death occurred in four out of 20 patients, and three of these four patients died of other disease around one month after the operaion. There was only one patient who likely died of small bowel perforation with peritonitis.

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