Agarwal S, Gera N
Department of Pathology, University College of Medical Sciences, Shahadara, Delhi.
J Indian Med Assoc. 1996 Sep;94(9):341, 352.
One hundred and thirteen specimens of Ileum received over the last 3 years (1990-92) were reviewed histologically and analysed to determine the aetiology of perforation. Perforations were seen in all age groups varying from one month to 75 years with a peak incidence during 3rd and 4th decades. Males were more frequently affected. Perforations were single or multiple involving the whole ileum. The highest incidence (52) was seen in enteric fever. Next in frequency (19) was tuberculosis. In 23 cases no specific aetiology could be identified. Other causes of perforation were injury and obstruction resulting from diverticulosis, intussusception adhesions and worms. A significantly high incidence (16.8%) of tuberculous perforation is noteworthy.
对过去3年（1990 - 1992年）收到的113份回肠标本进行了组织学检查，并分析以确定穿孔的病因。各年龄组均可见穿孔，年龄从1个月至75岁不等，发病高峰在第三和第四个十年。男性受影响更为频繁。穿孔可为单个或多个，累及整个回肠。肠热病中穿孔发生率最高（52例）。其次是结核病（19例）。23例中未发现特定病因。穿孔的其他原因包括憩室病、肠套叠粘连和蠕虫引起的损伤和梗阻。结核性穿孔的发生率显著较高（16.8%），值得注意。
