The present report is a clinical study of 192 patients. with acute panperitonitis who were admitted to the Department of Surgery of Chugnam National University Hospital from July 1972 to December 31, 1975.
The results obtained are as follows:
1. During this period, the patients with acute abdomen who underwent laparotomy were 556 cases. Of those 556 cases, 192 cases were acute panperitonitis and its percentage was 34.5%.
2. Of 192 cases, 46 cases (24. 0%) were due to peptic ulcer perforation, 37 cases (19.3%) due to acute appendicitis perforation, 33 cases (17.2%) due to deal perforation of salmonellosis, and 25 cases (13.0%) due to traumatic intestinal rupture:
3. The majority of patients with peptic ulcer perforation, ileal perforation in salmonellosis and traumatic intestinal rupture were the 2nd to the 4th decade of men.
in cases of acute appendicitis perforation, ages were evenly distributed with slight peak in the 1st to the 2nd decade and sex difference was not significant.
4. Of 46 cases of peptic ulcer perforation, 24 cases were due to gastric ulcer perforation and 22 cases were due to duodenal ulcer perforation. The ratio was 1.1 to 1.
The frequent site of Meal perforation in,slamonellosis was within-60cm proximal toileocecal junction in 65.5% 6 and nearly all cases were within 120 cm. In 25 cases of traumatic intestinal rupture, the frequent site of injury was jejunum and ileum in 61.6%.
5. The arrival of patients´ after onset of visceral perforation was markedly delayed in ileal perforation of salmonellosis (69. 5% over 24 hours) as compared with peptic ulcer perfo-ration or traumatic intestinal rupture.
6. In operative procedures of gastroduodenal region perforation, simple closures were 34 cases and emergency, resective operations were 17 cases.
7. The most frequent postoperative complication was wound infection and disruptions of 42 cases (21:9%). Ileal perforation of salmonellosis showed the highest incidence of 45.5%.
8. Of 192 cases, mortality, rate was 14.06% (27 cases) and salmonellosis showed the highest rate (21.2%).
9. In the analysis of mortality cases, the death rate was greatly influenced and increased by the delayed arrival after onset of visceral perforation. The number of death was 17 cases (63.0%) within one week-after´ operation and 10 cases (37.0%) from one week to maximum 48, days (average 21.2 days).
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