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Emergency Surgery in Aged : Preoperative Condition and Prognosis

山口医学 Volume 27 Issue 1 Page 103-106
published_at 1978-03
Title
術前状態から見た高齢者緊急手術症例の検討
Emergency Surgery in Aged : Preoperative Condition and Prognosis
Creators Shintani Kiyoshi
Creators Esato Kensuke
Creators Yamaki Rikio
Source Identifiers
Over the past 10 years, the relationships between prognosis and time lapse from attack to surgery, preoperative blood pressure and pulse rate, amount of transfusion and duration of surgery have been studied in patients aged 65 and over subjected to emergency abdominal operations. For these patients, the mortality rate within 30 days after surgery was 38.7% (12/31). During the same 10 year period, for patients about the same age receiving elective abdominal operations the mortality rate was 13.3% (44/332). All measurements except duration of surgery had a positive correlation to the prognosis. A statistically significant difference was found between the preoperative blood pressures in the survivor and non-survivor groups. In patients with perforative peritonitis, a radical operation (gastrointestinal resection) produced better results than a paliative operation (closure of the perforation). However, in patients with intestinal obstruction this finding was reversed : the formation of a fecal fistula was tolerated better than an intestinal resection. It is concluded that as much preoperative preparation as possible should be done even in emergency cases.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 1978-03
File Version Not Applicable (or Unknown)
Access Rights metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部