원저 : 수술적 치료를 요하는 위십이지장궤양

최초 등록일
2003.07.10
최종 저작일
1989.01
11페이지/파일확장자 어도비 PDF
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판매자한국학술정보(주) 1회 판매
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* 본 문서는 배포용으로 복사 및 편집이 불가합니다.

서지정보

발행기관 : 대한소화기학회 수록지정보 : 대한소화기학회지 / 21권 / 3호 / 482 ~ 492 페이지
저자명 : 강양무(Yang Mu Kang),김한선(Han Sun Kim),손종하(Jong Ha Son)

영어 초록

This retrospective study was done of 131 patients of gastroduodenal ulcer required surgical treatment. The results was summerized as follows; 1) The duldenal ulcer was more common than the gastric ulcer with the ratio of 2.8:l. 2) Among 131 operative cases, perforation was presented in 91 cases (69.5%), bleeding in 30 cases (22.9%), intractibility in 8 cases (6.1%), obstruction in 2 cases (1.5%). 3) The sex ratio of male to female was 12.1:l. 4) The peak incidence of age was fifth decade in gastric ulcer and third decade in duodenal ulcer. 5) In blood group 0 type was the most common (34.5%). 6) The duration of ulcer history was more prorninent in bellow 6 months (35.1%). The average duration was 3.3 years. 7) The main symptom presented were epigastric pain (95.6%) in perforation and melena or hematemesis in bleeding (90%). 8) The physical examination in perforation revealed epigastric or right upper quadrant tenderness (100%), rebondtenderness (96.7%), abdominal rigidity (95.6%), decreased bowel sound (75%), abdominal distention (22%). 9) The duration between perforation and adminission was more prominent in bellow 12 hours (51.6%). 10) The subdiaphragmatic free air shadow on the chest P-A was found in 82% of perforation. 11) On laboratory findings on admission leukocytosis (>10,000/mm) was revealed in 73.6% of perforation, anemia (Hb<10 gm%) in 66.7% of bleeding, hemoconcenturation (Hct>45%) in 64.8% of perforation. Increased hepatic enzymes in 35.1% of all cases. 12) The accompanied diseases were in 26.7% of all cases. Main diseases were pulmonary tuberculosis in 9.2%, D.M. in 3.8 %, arthritis, neurosis, chronic obstructive lung disease and heptitis in 3%. 13) The locations of gastric ulcer were in antrum (58.8%) and in body (41.2%). The locations of duodenal ulcer were in first portion (89.9%) and in second portion (1.1%). 14) In operation procedure subtotal gastrectomy was most common in gastric ulcer (88.3%), truncal vagotomy and drainage was most common in duodenal ulcer (66%). 15) Early postoperative complications devloped in 38.9%, respiratory complications in 24.4%, wound complications in 4.6%, intraabdominal abscess in 3%. 16) Postoperative mortality was 2.3% (3 cases). Its causes of death were sepsis, respiratory failure and hepatic failure.

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