| Item type |
デフォルトアイテムタイプ（フル）(1) |
| 公開日 |
2010-07-02 |
| タイトル |
|
|
タイトル |
[原著］小腸穿孔33例の臨床的検討 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
A Clinical Study on 33 Cases of Perforation of the Small Intestine |
|
言語 |
en |
| 作成者 |
照屋, 剛
前里, 喜一
安田, 卓
羽地, 周作
深町, 俊之
盛島, 裕次
宮里, 浩
久高, 学
山里, 将仁
大城, 健誠
山城, 和也
川野, 幸志
久高, 弘志
与儀, 実津夫
Teruya, Tsuyoshi
Maezato, Kiichi
Yasuda, Takashi
Haneji, Shusaku
Fukamachi, Toshiyuki
Morishima, Yuji
Miyazato, Hiroshi
Kudaka, Manabu
Yamazato, Masahito
Ooshiro, Kensei
Yamashiro, Kazuya
Kawano, Koji
Kudaka, Hiroshi
Yogi, Mitsuo
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
ja |
|
権利情報 |
琉球医学会 |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
perforation |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
small intestine |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
We reviewed our surgical treatments for perforation of the small intestine in thirtythree cases (28 male, 5 female; mean age, 40.4 years old) over the past 15 years. The causes of the perforation were traumatic in seventeen patients and non-traumatic in sixteen patients. A large number of the traumatic cases were caused by stab wounds, while most of the non-traumatic cases were due to intestinal obstruction. The mam clinical symptoms that the patients presented with were abdominal pain (30 patients), vomiting (6 patients) and hypovolemic shock (6 patients). Computed tomography or plain roentgenogram detected intra-abdominal free air only in 36.4 % of the cases. Emergency operations were carried out based on the diagnosis of localized or generalized peritonitis, and small intestinal perforation was confirmed intraoperatively. Two different surgical procedures were carried out: simple closure in 10 patients, and partial resection of the perforated site with primary anastomosis in 23 patients. The usual sites of perforation were the jejunum in the traumatic and the ileum in the non-traumatic cases. The most common postoperative complication was wound infection. In the non-traumatic cases, it took a longer time from the onset to the operation as compared to the traumatic cases. Postoperative death occurred in eight patients(traumatic: 2 patients, non-traumatic: 6 patients) and preoperative deterioration such as hypovolemic shock indicated poor prognosis. Preoperative diagnosis of small intestinal perforation is difficult despite the usage of recent imaging modalities. Accurate diagnosis and prompt surgical procedure is mandatory for the treatment of small intestinal perforation. |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
| 出版者 |
|
|
出版者 |
琉球医学会 |
|
言語 |
ja |
| 出版者 |
|
|
出版者 |
Ryukyu Medical Association |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1346888X |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0289-1530 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN10369445 |
| 収録物名 |
|
|
収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
|
言語 |
ja |
| 書誌情報 |
巻 23,
号 1-2,
p. 31-37,
発行日 2004
|
v23p31.pdf
