AIM:To evaluate the main factors associated with mortality in patients undergoing surgery for perforated peptic ulcer referred to an academic department of general surgery in a large southern Italian city. METHODS:One...AIM:To evaluate the main factors associated with mortality in patients undergoing surgery for perforated peptic ulcer referred to an academic department of general surgery in a large southern Italian city. METHODS:One hundred and forty-nine consecutive patients (M:F ratio=110:39,mean age 52 yrs,range 16-95) with peptic ulcer disease were investigated for clinical history (including age,sex,previous history of peptic ulcer,associated diseases,delayed abdominal surgery,ulcer site,operation type,shock on admission,postoperative general complications, and intra-abdominal and/or wound infections),serum analyses and radiological findings. RESULTS:The overall mortality rate was 4.0%.Among all factors,an age above 65 years,one or more associated diseases,delayed abdominal surgery,shock on admission, postoperative abdominal complications and/or wound infections,were significantly associated (x^2) with increased mortality in patients undergoing surgery (0.0001<P<0.03). CONCLUSION:Factors such as concomitant diseases,shock on admission,delayed surgery,and postoperative abdominal and wound infections are significantly associated with fatal outcomes and need careful evaluation within the general workup of patients admitted for perforated peptic ulcer.展开更多
China’s reform and opening up experience over the past 40 years has provided economics with rich material for review,summary,empirical analysis and theoretical refinement.However,the prevailing research paradigm abou...China’s reform and opening up experience over the past 40 years has provided economics with rich material for review,summary,empirical analysis and theoretical refinement.However,the prevailing research paradigm about the developmental factors underlying the reforms still takes as its criterion theoretical interpretations and assessments that apply the doctrines of neoclassical economic theory and discourse.The 19th National Congress of the Communist Party of China stressed the transformation of China’s economy from a stage of high-speed growth to one of high-quality development.Adopting an analytical approach that unifies historical and theoretical logic on the basis of Chinese realities will help elucidate the interrelationships and driving logic behind the progress of reform and opening up and promote the forward march of the great rejuvenation of the Chinese nation on a solid basis of practice.展开更多
文摘AIM:To evaluate the main factors associated with mortality in patients undergoing surgery for perforated peptic ulcer referred to an academic department of general surgery in a large southern Italian city. METHODS:One hundred and forty-nine consecutive patients (M:F ratio=110:39,mean age 52 yrs,range 16-95) with peptic ulcer disease were investigated for clinical history (including age,sex,previous history of peptic ulcer,associated diseases,delayed abdominal surgery,ulcer site,operation type,shock on admission,postoperative general complications, and intra-abdominal and/or wound infections),serum analyses and radiological findings. RESULTS:The overall mortality rate was 4.0%.Among all factors,an age above 65 years,one or more associated diseases,delayed abdominal surgery,shock on admission, postoperative abdominal complications and/or wound infections,were significantly associated (x^2) with increased mortality in patients undergoing surgery (0.0001<P<0.03). CONCLUSION:Factors such as concomitant diseases,shock on admission,delayed surgery,and postoperative abdominal and wound infections are significantly associated with fatal outcomes and need careful evaluation within the general workup of patients admitted for perforated peptic ulcer.
文摘China’s reform and opening up experience over the past 40 years has provided economics with rich material for review,summary,empirical analysis and theoretical refinement.However,the prevailing research paradigm about the developmental factors underlying the reforms still takes as its criterion theoretical interpretations and assessments that apply the doctrines of neoclassical economic theory and discourse.The 19th National Congress of the Communist Party of China stressed the transformation of China’s economy from a stage of high-speed growth to one of high-quality development.Adopting an analytical approach that unifies historical and theoretical logic on the basis of Chinese realities will help elucidate the interrelationships and driving logic behind the progress of reform and opening up and promote the forward march of the great rejuvenation of the Chinese nation on a solid basis of practice.
