The European journal of surgery = Acta chirurgica · 1999
Surgical approach and prognostic factors after peptic ulcer perforation.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hermansson M, Staël von Holstein C, Zilling T
Аннотация
OBJECTIVE: To find out which prognostic factors were important in predicting postoperative mortality and length of hospital stay in patients with perforated peptic ulcers.
DESIGN: Retrospective study.
SETTING: Teaching hospital, Lund, Sweden.
SUBJECTS: 246 patients with perforated peptic ulcer who presented between January 1974 and December 1992.
INTERVENTION: Cox proportional hazards analysis.
MAIN OUTCOME MEASURES: Influence of age, sex, coexisting disease, duration of symptoms, site of perforation and operative technique on mortality and length of hospital stay.
RESULTS: Age over 75 years (p = 0.002), coexisting cardiac or pulmonary disease (p = 0.02), perforation of the cardia or body of the stomach (p = 0.02), lapse of more than 12 hours between start of symptoms and operation (p = 0.006) and type of operation (p < 0.0001) had a significant influence on hospital mortality. Age over 75 years (p < 0.0001) and lapse of more than 12 hours between start of symptoms and operation (p = 0.03) significant influenced the likelihood of a prolonged stay in hospital.
CONCLUSION: Patients with perforated peptic ulcers should be operated on as soon as possible. Simple closure is simple and safe with relatively low mortality and short stay in hospital.
DESIGN: Retrospective study.
SETTING: Teaching hospital, Lund, Sweden.
SUBJECTS: 246 patients with perforated peptic ulcer who presented between January 1974 and December 1992.
INTERVENTION: Cox proportional hazards analysis.
MAIN OUTCOME MEASURES: Influence of age, sex, coexisting disease, duration of symptoms, site of perforation and operative technique on mortality and length of hospital stay.
RESULTS: Age over 75 years (p = 0.002), coexisting cardiac or pulmonary disease (p = 0.02), perforation of the cardia or body of the stomach (p = 0.02), lapse of more than 12 hours between start of symptoms and operation (p = 0.006) and type of operation (p < 0.0001) had a significant influence on hospital mortality. Age over 75 years (p < 0.0001) and lapse of more than 12 hours between start of symptoms and operation (p = 0.03) significant influenced the likelihood of a prolonged stay in hospital.
CONCLUSION: Patients with perforated peptic ulcers should be operated on as soon as possible. Simple closure is simple and safe with relatively low mortality and short stay in hospital.