This report is a clinical review of 102 patients with acute generalized peritonitis, who were treated at the department of surgery of Chosun University Hospital from April 1971 to December 1975.
1. Of 102 patients with acute generalized peritonitis, 39 cases (38.6%) were in peptic ulcer perforation, 17 cases (16.6%) in perforation of acute appendicitis, 15 cases (14. 6%) in abdomi-nal trauma, and ´6 cases (5.8%) in typhoid perforation.
2. The ratio of duodenal and gastric ulcer perforations, was 2 : 1.
3. The majority of the, patients with peptic ulcer perforation and the ratio of male to female in perforation of acute appendicitis and typhoid perforation was about 2 : 1.
4. The age incidence of peptic ulcer perforation was fourth decade, perforation of acute appendicitis, second to third decade, trauma, third to fourth decade, and typhoid perforation, fourth decade in peak.
5. Traumatic intestinal perforation was developed high- in Summer, and typhoid perforation in Autumn. But there were no definite seasonal differences inn peptic ulcer perforation and perforation of acute appendicitis.
6. On duration from onset to admission, about 57% of the patients were within 24 hours and about 19% over 72 hours.
7. The majority of the patients with peptic ulcer perforation and perforation of acute appendicitis showed moderate leukocytosis and the majority of the patients with typhoid: perforation showed normal or mild leukocytosis.
8. The incidence of subphrenic free air shadow in the plain X-ray was 74.3% in peptic ulcer perforration, 50.0%, in typhoid perforation, and 44.4% in traumatic hollow viscus perforation.
9. The most common postoperative complication was wound infection (18.6%) and typhoid perforation showed the highest incidence of 50.0%.
10. The overall, mortality was 9.8% and typhoid perforation showed the highest mortality of 16.6%. The mortality of peptic ulcer perforation was 2.5% and perforation of acute appen-dicitis, 5.8%.
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