|
KMID : 0376419790030000229
|
|
Chonbuk University Medical Journal
1979 Volume.3 No. 0 p.229 ~ p.235
|
|
|
A Clinical Study in 87 Surgical Cases of Intestinal Obstruction
|
|
|
|
|
Abstract
|
|
|
This study is an analysis of 87 patients with intestinal obstruction diagnosed by operation at the Department of Surgery of JeonBug National University Hospital during 3 years.from Mar, 1975 to Feb, 1978.
The following results were obtained
The male to female sex ratio was 1, 9 : 1, and frequent age group was from 21 to 30.
The common causes of intestinal. obstruction were post-operative adhesion(58.6%), intussusception (20.6%) and neoplasm(4.6 % ). These three causes represent .83.8% in this series.
By the nature of obstruction, simple mechanioal obstructions were 64 cases (73.6%) and strangulation obstructions were 23 cases (26.4%).
The cardinal symptoms were abdominal pain (81.6%4} vomiting (71,3%.) and abdominal distention´(55.2%) and abnormal. peristalsis (37.9%)
On plain X-ray films of the abdomen, positive finding was present in 90.2% of 82 ,cases.
As for the operative procedures of 87 cases, 33 cases (37.9%) were treated by lysis of adhesion & bands, 23 cases (26.4%) by resection Sc primary anastomosis, and 14 cases (16.0%) by manual reduction.
The incidence of post-operative complication was 24.1% and the most frequent complication was wound infection (33.3%). Overall mortality rate was 6.8% and fluid & electrolyte imbalance was the leading cause of death.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|