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腹部开放性贯通伤肠穿孔81例
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作者 马恒秉 谢昌林 《广西医学》 CAS 1996年第5期623-625,共3页
关键词 腹部损 肠穿伤
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Evaluation of prognostic factors and scoring system in colonic perforation 被引量:4
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作者 Atsushi Horiuchi Yuji Watanabe +6 位作者 Takashi Doi Kouichi Sato Syungo Yukumi Motohira Yoshida Yuji Yamamoto Hiroki Sugishita Kanji Kawachi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第23期3228-3231,共4页
AIM: To study the significance of scoring systems assessing severity and prognostic factors in patients with colonic perforation. METHODS: A total of 26 patients (9 men, 17 women; mean age 72.7 ± 11.6 years) unde... AIM: To study the significance of scoring systems assessing severity and prognostic factors in patients with colonic perforation. METHODS: A total of 26 patients (9 men, 17 women; mean age 72.7 ± 11.6 years) underwent emergency operation for colorectal perforation in our institution between 1993 and 2005. Several clinical factors were measured preoperatively and 24 h postoperatively. Acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ), Mannheim peritonitis index (MPI) and peritonitis index of Altona (PIA Ⅱ) scores were calculated preoperatively. RESULTS: Overall postoperative mortality rate was 23.1% (6 patients). Compared with survivors, non- survivors displayed low blood pressure, low serum protein and high serum creatinine preoperatively, and low blood pressure, low white blood cell count, low pH, low PaO2/FiO2, and high serum creatinine postoperatively. APACHE Ⅱ score was significantly lower in survivors than in non-survivors (10.4 ± 3.84 vs 19.3 ± 2.87, P = 0.00003). Non-survivors tended to display high MPI score and low PIA Ⅱ score, but no signif icant difference was identif ied. CONCLUSION: Pre- and postoperative blood pressure and serum creatinine level appear related to prognosis of colonic perforation. APACHE Ⅱ score is most associated with prognosis and scores ≥ 20 are associated with signif icantly increased mortality rate. 展开更多
关键词 Scoring system Colonic perforation Prognostic factor
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Diagnosis and treatment of 34 cases of blunt duodenal injuries 被引量:5
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作者 包仕廷 王三明 《Chinese Journal of Traumatology》 CAS 2007年第3期177-179,共3页
Objective:To summarize the experience on diagnosis and treatment of blunt duodenal injuries,and thus to improve the therapeutic skills. Methods:Clinical data of 34 cases of blunt duodenal injuries admitted to our hosp... Objective:To summarize the experience on diagnosis and treatment of blunt duodenal injuries,and thus to improve the therapeutic skills. Methods:Clinical data of 34 cases of blunt duodenal injuries admitted to our hospital from 1990 to 2006 were retrospectively analyzed. Results:Among them,28 cases were cured,20 cases presented with complications,and 6 cases died.The causes of death were:duodenal or pancreatic fistula in 2 cases, intra-and retroperitoneal infection complicating septicopyemia in 2,disseminated intravascular coagulation in 1 and multiple organ failure in 1. Conclusions:Misdiagnosis and missed diagnosis predispose to happen for blunt duodenal injuries.Early recognition and surgical intervention are critical to a successful rescue. 展开更多
关键词 DUODENUM Wounds nonpenetrating ABDOMEN PARACENTESIS
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