소화기계천공 (消化器系穿孔) 189예에 대한 임상적 (臨床的) 고찰 = Clinical Studies on 189 Cases of the Digestive Tract Perforation 소화기계천공 (消化器系穿孔) 189예에 대한 임상적 (臨床的) 고찰

다국어 초록 (Multilingual Abstract)

This study is a clinical review on 189 cases of digestive tract perforation which were treated surgically at the Chonnam University Hospital from January 1964 to March 1972. 1. Perforation due to inflammation, 76 cases (40. 2Yo), was the mcst common incidence and the rest of cas s included ulcer 67 cases (35. 4g), trauma 37 case.; (19 5g), and malignancy g cases (,4. 7g) respectively. 2. Perforations were most frequently s en in the persons under the 4th decade (74. 9g>). 3. Sez incidence of perfa b.ir3 the ratio of 3 7 (149 males) to 1 (40 females). 4. Forty percent of the all perforation (76 out of 189 cases) were in th stomch and duode- num ivhich were shown to be the mcst common site of perforation. 5, Majcr clinical manifestaticns ivere abdominal pain(88, 8g), vomiting(32. Syg l Bnd abdominl ful]r.ess ',32. 2o). 6. In majcrity of the cases (69,-). Some gastrointestinal symptoms were found within 3 year- prior to the perforation. 7. Subdiaphragmatic free air on plain abdomen X-ray study was noted in 71 (65. 7) out of 108 cases. 8. The cases cperated within, hours after the ons=t w<.re 115 c-s=s (60. Spg). 9, M<;r:ality rate in general was S. 4,. However, the traumatic perforaticn shovcd evcn higri . r..crtnlity of 13, 5.