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肠道伤寒穿孔

Typhoid perforation of the gut.

作者信息

Khanna A K, Misra M K

出版信息

Postgrad Med J. 1984 Aug;60(706):523-5. doi: 10.1136/pgmj.60.706.523.

Abstract

One-hundred consecutive patients with typhoid perforation of the gut admitted in the same surgical unit of the University Hospital have been studied. The cases were diagnosed on the basis of history, clinical examination, exploratory findings, histopathological examination, Widal test and blood culture. Forty-six patients had perforation in the second week of fever. Sixty-one patients presented 48-96 hr after perforation. All the patients were subjected to surgery, 16 under local anesthesia. Mortality rate increased from 25% to 83% as the duration between perforation and operation increased.

摘要

对大学医院同一外科收治的100例连续的肠伤寒穿孔患者进行了研究。这些病例根据病史、临床检查、探查结果、组织病理学检查、肥达试验和血培养进行诊断。46例患者在发热第二周出现穿孔。61例患者在穿孔后48 - 96小时就诊。所有患者均接受了手术,16例在局部麻醉下进行。随着穿孔与手术之间间隔时间的增加,死亡率从25%上升至83%。

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本文引用的文献

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Typhoid enteric perforation.伤寒肠穿孔
Br J Surg. 1982 Mar;69(3):173-5. doi: 10.1002/bjs.1800690321.
4
Operative treatment of typhoid perforation of the bowel.肠伤寒穿孔的手术治疗
Br Med J. 1969 Aug 2;3(5665):273-6. doi: 10.1136/bmj.3.5665.273.
6
Typhoid perforations.伤寒穿孔
J R Coll Surg Edinb. 1972 Nov;17(6):353-63.

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