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兪鎭一,朴麟浩,金彩圭,卞鍾善,鄭埈 中央醫學社 1941 中央醫學 Vol.10 No.4
We have attempted to review our experience with 483 cases of acute abdomen, which were treated surgically at the Nam-Boo City Hospital from January 1962 to December 1965. Recently many surgeons emphasized important items utilized in the differential diagnosis of the acute abdomen. There is no substitute for good history taking and careful physical examination in most incidences. The decision for the urgent operation will be led in this way laboratory aids including the X-ray examination. The series of 483 cases analysis as follow; 302 cases were men and 181 cases were women, sex incidences was 2 : 1 Among the 483 cases of acute abdomen, acute appendicitis were 337 cases (69,7%), ileus were 59 cases (12.1%)peptic ulcer perforation 24 cases (5.0%) biliary disease 42 cases(8. 6%) and accidental trauma 12 cases(2. 5%) The mortality rate mainly dependent on the length of the time from the onsest to laparotomy. The mortality rate of intestinal obstruction are 6.8% and peptic ulcer 4,1% and our series showed high incidence of mortality in the intestinal obstruction. We think above high mortality caused by delayed Laparotomy.