This report is a clinical analysis of 276 patients with acute generalized peritonitis who unde-rwent an abdominal operation at the Dept. of Surgery of C.N.U. Hospital from Jan. 1971 to Dec. 1974.
The results obtained are as follows:
1. The main causes of acute generalized peritonitis were perforated gastroduodenal ulcer, traumatic intestinal perforation, appendicitis, and typhoid fever with ilea] perforation:
2. The overall sex ratio was 2.5 : 1, but in ruptured liver abscess, hepatoma bleeding, and typhoid fever with ileal perforation, th6 majority of the cases were male.
3. The majority of the patients with typhoid ulcer perforations. were 2nd decade male. Bile peritonitis, ruptured diver abscess, and hepatoma bleeding were more common in old aged persons.
4. The most common coexisting diseases with acute generalized peritonitis were pulmonary lesions such as pulmonary tuberculosis, bronchial asthma.
5. Of 84 patients with gastroduodenal ulcer perforations, 90% patients (66%) had history of gastric troubles over 1 year. In bile peritonitis the majority of patients had complained of biliary colics and/or indigestion for several years or more.
6. In the operative treatment of peptic ulcer perforations, 90% patients received primary gastric resections, whereas only 10% patients had simple closure of perforating site. Patients in poor preoperative conditions were received abdominal cavity drainage at first, and then definitive operations were performed when the patients´ conditions became improved.
7. The overall mortality of the cases was 12%. Colon perforation, hepatoma bleeding, and ruptured liver abscess showed high mortality. In fecal peritonitis, the mortality abruptly increa-sed when operative treatments were delayed over 48 hours.
8. Postoperative adhesive ileus were most common in perforated appendicitis and colon perforations.
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