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[结肠穿孔性憩室炎生存的预后因素]

[Prognostic factors for survival in perforated colonic diverticulitis].

作者信息

Pratschner T H, Pecoraro K, Schemper M, Schiessel R

机构信息

Chirurgische Universitätsklinik Wien.

出版信息

Langenbecks Arch Chir. 1989;374(5):280-3. doi: 10.1007/BF01261470.

Abstract

In a retrospective study we attempted to find prognostic factors for the mortality in perforated colonic diverticulitis. All patients of the First Surgical Department of Vienna University from 1965-1986 with complicated diverticulitis were included in this study. 47 patients had a perforated diverticulitis with a local abscess or a generalized peritonitis. In 35 patients a resection, in 12 patients a faecal diversion was performed. The mortality was 27%. A marked influence of age and preoperative complications on the prognosis was shown statistically. The operative procedure seems of secondary importance for operative mortality.

摘要

在一项回顾性研究中,我们试图找出结肠憩室炎穿孔患者死亡的预后因素。维也纳大学第一外科1965年至1986年期间所有患有复杂性憩室炎的患者均纳入本研究。47例患者患有伴有局部脓肿或弥漫性腹膜炎的憩室炎穿孔。35例患者接受了切除术,12例患者进行了粪便转流术。死亡率为27%。年龄和术前并发症对预后有显著影响,这在统计学上得到了证实。手术方式对手术死亡率似乎是次要的。

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