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KMID : 0365719940100010067
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Journal of Pusan Surgical Society
1994 Volume.10 No. 1 p.67 ~ p.72
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Clinical Analysis of Intraabdominal Abscess
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강호태
이윤식/박진현/이병철.
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Abstract
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31 patients who have intraabdominal abscess are retrospectively analysed.
They were admitted to Intensive Care Unit at department of general surgery WMBH during the past 8 years from Jan. 1, 1984 to December 31, 1991.
@ES The results were follows :
@EN 1. The mean age was 53 years and male to female ratio was 1.6 : 1.
2. The most common organisms were E. coli(24%), and enter obacter(14%).
3. The anatomical locations of the abscesses were intraperitoneal (62%) and visceral(38%).
4. The mean serum albumin level was 2.7 but it was decreased to 2.3 in the expired patients.
5. The mean APACHE II score was 15.
All patients over 26 in the score were died, but below 10 were survived.
6. The methods of treatment were operative drainage(87%) and nonoperative treatment and percutaneous drainage(13%).
7. The common complications were wound infectons(28%), pulmonary complications(17%), ileus(17%), peritonitis (14%), and bleeding(11%).
8. The mortality rate was 29% and the risk groups of high mortality were old age, serum albumin level, and high APACHE II score.
9. The major causes of death were sepsis(45%) and bleeding(22%).
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KEYWORD
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