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RISS 인기검색어
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- 저자 : 김주섭(Joo Sub Kim) (검색결과 1 건)
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김순일,조홍래,배수동,정중기,윤대성,박찬흔,유국선,김주섭 대한소화기학회 1992 대한소화기학회지 Vol.24 No.1
This report is a clinical analysis of 162 patients of complicated peptic ulcer who were treated in the department of general surgery of Kang Dong Sacred Heart Hospital during the period from October 1986 to November 1990 and the results were as follows. 1) Among these 162 patients, duodenal ulcer were 137 cases (84.5%) and gastric ulcer were 59 cases (15.5%). The ratio was 5.4:1. 2) Sexual distribution assumed a ratio of 8:1 with 114 male and 18 female. 3) The peak age incidence was in the third decade 4) The monthly distribution was prominent on November (12.3%). Seasonal distribution was high in Autumn. 5) Leukocytosis was present in 59.6%. 6) Subphrenic free air was identified in 74.8% of duodenal ulcer perforation on chest films. 7) The percentage of surgical treatment in the admitted patients whose diagnosis were peptic ulcer was 11%. 8) As for the operative procedures, vagotomy and pyloroplasty was performed in 107 cams (66.0%), subtotal gastrectomy in 29 cases (17.9%), primary closure in 10 cases (6.2 %). vagotomy and antrectomy in 9 cases (5.6%), highly selective vagotamy in 5 cases (3.1%), total gastrectomy in 1 cases (0.6?u), bleeding vessel ligation in 1 cases (0.6%). 9) Diarrhea. was the most common complication, seen in 36cases(29%). Wound infection and pulmonary complication were noted in 7 cases (19.4%) respectively. Others were pyloric stenosis (7 cases), gastric, atony(7 cases), anastomotic site leakage (1 case), intraabdominal abscess. (1 case), and hemorrhage (1 case). 10) The postoperative mortality rate was 0.6 percentage (1 case).
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