http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
장관 손상으로 확진된 범발성 복막염에 대한 임상적 고찰
조해창,전성윤,배병조,유동걸,손영길,이정안 대한외상학회 2001 大韓外傷學會誌 Vol.14 No.1
Background: Generalized peritonitis in abdominal trauma patients is a common disease entity. An injury of the hollow viscera is the major cause of traumatic generalized peritonitis, so it is necessary to study clinical analysis of traumatic generalized peritonitis caused by hollow visceral injury. The aim of this study is to help early diagnosis and appropriate treatment by evaluating patients with traumatic generalized peritonitis. Materials and Methods: We evaluated 76 patients with generalized peritonitis caused by hollow visceral injury after abdominal trauma who had undergone a laparotomy in the Department of General Surgery, Daegu Fatima hospital, from January 1996 to December 2000. The authors reviewed their medical and operation records retrospectively. Results: The results are as follows: 1) The most common ages were in the 3rd, 4th, 5th, and 6th decades (82.9%). There were 59 males and 17 females (M : F=3.5 : 1). 2) the generalized peritonitis caused by hollow visceral injury after abdominal trauma was due to blunt trauma in 45 (59.2%) patients and penetrating trauma in 16 (21.1%) patients. The most common injured organ was the small bowel (53 patients, 69.7%). 3) The most common symptom and sign were abdominal pain (89.4%) and abdominal tenderness (93.4%), followed by rebound tenderness, abdominal distension, and wound pain. 4) There was a leukocytosis in 54 (71.1%) patients. 5) Abdominal CT (72.3%) and simple abdomen (65.8%) was performed for appropriate diagnosis. 6) Sixty-three (63) patients (82.9%) were operated on within 12 hours from injury. 7) The incidence of blood transfusion was more common in penetrating trauma (56.3%). 8) GIT perforation alone occurred in 34 (44.7%) patients. 9) Except for the hollow visceral organ, the most common associated intraabdominal injured organ and extraabdominal injured organ were the mesentery and the pelvis, respectively. 10) The primary repair in 48 (63.2%) patients more commonly involved hollow visceral injury. 11) The most common complications were infection and retension abscess which in 4 (5.3%) patients each. 12) The mortality rate was 3 (3.9%) patients, and the cause of injury in those case, was blunt trauma. Conclusion: We suggest that early diagnosis and speedy transfer are needed in traumatic generalized peritonitis patients. According to the surgical indication, operative treatment should occur as soon as possible to reduce morbidity and mortality in such patients.