炎症性肠病的手术结果：对一个医院区域的进一步调查
Results of surgery for inflammatory bowel disease: a further survey of one hospital region.
作者信息
Ritchie J K
出版信息
Br Med J. 1974 Feb 16;1(5902):264-8. doi: 10.1136/bmj.1.5902.264.
Case records have been studied for the results of surgery in 294 patients operated on for inflammatory bowel disease during 1967-72 at 34 non-teaching hospitals within the North-east Metropolitan Hospital Region. All patients treated surgically for acute colitis and those treated for chronic disease by total colectomy were included.The postoperative mortality of the primary surgery was 23.7%. The mortality was 2.1% in patients treated by elective operation, 37.6% in patients coming to urgent operation, and 60.9% in patients treated by emergency operation. The three most important factors affecting the mortality were considered to be: increasing age of the patient, the presence of established colonic dilatation, and preoperative perforation of the colon.
对1967年至1972年间在东北大都会医院区域内34家非教学医院接受炎症性肠病手术的294例患者的病例记录进行了研究，以分析手术结果。所有接受急性结肠炎手术治疗的患者以及接受全结肠切除术治疗慢性病的患者均被纳入研究。初次手术的术后死亡率为23.7%。择期手术患者的死亡率为2.1%，急诊手术患者的死亡率为37.6%，而紧急手术患者的死亡率为60.9%。影响死亡率的三个最重要因素被认为是：患者年龄增加、已确诊的结肠扩张以及术前结肠穿孔。
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