|
KMID : 0371319670090070391
|
|
Journal of the Korean Surgical Society
1967 Volume.9 No. 7 p.391 ~ p.400
|
|
|
Clinical Observation of Generalized Peritonitis due to Terminal Ileum Perforation Secondarily to Salmonellosis
|
|
徐載柱/Suh, Jae Joo
申東秀/張儆植/金光植/朴時允/Shin, Dong Soo/Chang, Kyung Shik/Kim, Kwang Shik/Park, Si Yoon
|
|
|
Abstract
|
|
|
Despite the remarkable progress and advancement of prophylactic medicine in recent years, there still is considerable number of Salmonellosis occurring in this country, particularly in southern area. According to the annual report of the Ministry of Health and Social Affairs in Korea, salmonellosis is the highest in incidence among all the infectious diseases: the incidences in each year from 1962 to 1964 were 57.6%, 70.6%, and 50.4% respectively. The annual incidences in population of 10,000 were 10.4%, 17.9% and 11.2% respectively from 1962 to 1964. These were tremendously high and shameful rates.
In 1963, Dr. Hur in our department of general surgery reported 179 cases of terminal ileum perforation secondarily to salmonellosis operated at Kyung Pook National University Hospital from January 1, 1956 to September 30, 1962. In his report there was gradual increase annualy in number of acute abdomen due to salmonellosis.
Fortunately, however. there seem to be a trend of annual decline in our series of which we still have been able to collect 62 cases from October 1, 1962 of December 31, 1965. In analysing these 62 cases, attempt was made to compare with and to disclose any change in nature of this disease from the previous report. The results are summarized as follows.
1) Average annual incidence of peritonitis due to terminal ileum perforation secondarily to salmonellosis was decreased to 18.7 uses from 26.4 cases of Hur´s report.
2) There was no change in sex distribution (M:F 2 : 1), seasonal epidemic (peak from June to November), symptoms, and operative findings regarding to location of perforation (within 100 cm. from the ileocecal valve), size( less than 0.5 am. in diameter) and shape of perforation.
3) In age incidence, 74.2%was between 1st and 3rd decades with the peak distribution in 2nd decade,
while, in previous report, 72.5% was in 1st and 2nd decades with the peak in 1st decade.
4) Duration from the onset of acute abdomen to the hospital visit was shorter than in the previous report.
5) In peripheral blood smear, leukopenia was seen in 17.7%, leukocytosis 29% and 53.2% withinnormal
range. Slight ttuombocytopenia was seen in one patient.
6) In bone marrow studies, typhoid cell was found in 7 out of 26 cases(27 %). This was very close result to the previous report.
7) Repeated Widal test revealed 9cases of positive test(23%) which was somewhat lower in positive rate comparing with the previous result of 32.5 This lower rate was probably accounted for random home medication of antibiotics prior to the hospital visit.
8) Over-all mortality rate was 19.4% which was significantly lower than in Hur´s of 27.4%.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|