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題名 | Factors Related to Mortality in Patients with Mesenteric Infarction=缺血性腸疾病人之死亡率相關因子探討 |
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作者 | 沈金翰; 龍藉泉; 周嘉揚; 邱仁輝; 吳秋文; 雷永耀; Shen, King-han; Loong, Che-chuan; Chau, Gar-yang; Chiu, Jen-hwey; Wu, Chew-wun; Lui, Wing-yiu; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19960900、19961000 |
卷期 | 29:5 民85.09-10 |
頁次 | 頁391-395 |
分類號 | 416.245 |
語文 | eng |
關鍵詞 | 缺血性腸疾; 死亡率; Mesenteric infarction; Mortality; Prognostic factors; |
中文摘要 | 由於診斷上的困難與高死亡率,缺血性腸疾在外科領域申仍屬一項相當 棘手的疾病。過去許多文獻針對診斷方法與處理提出討論,但仍有許多未定論, 我們藉由此篇研究對其死亡相關因子加以探討。自I981年I月至I995年5月,於台 北榮民總醫院治療的64位缺血性腸疾之病患,將其臨床症狀、檢驗結果、手術發 現與方法以及病人之預後表現整理分析。整體之死亡率為46.9。血中澱粉酵素異 常以及缺血之腸道長度大於100公分的病人,伴隨著高死亡率並有統計上顯著之 意義。其他因子如:白血球增多超過15000/cumm、血中乳酸去氫酵素或肌酸催化 酵素異常之病人雖亦有高死亡率,但無統計上之意義。我們認為對於腸道缺血 症,血中澱粉酵素與缺血之腸道長度是兩項與死亡率相關之因子。 |
英文摘要 | Mesenteric infarction is a serious surgical problem because of diagnosticdifficulty and high mortality rate. Sixty-four patients diagnosed with mesenteric infarction were treated at Veterans General Hospital-Taipei duringthe period from January 1981 through May 1995. Clinical features, laboratory examinations, operative findings and procedures and in-hospitaloutcome were collected and analyzed retrospectively. The overall mortalityrate was 46.9. Patients with elevated serum amylase>180 u/L and amesenteric infarction of length > 100 cm had significantly higher mortalityrates (75.0 and 57.4, respectively) than did those patients with serumamylase≦180 u/L and mesenteric infarction of length ≦ 100 cm (34.5 and17.6, respectively). There were no statistical differences in age, serumlactate dehydrogenase, serum creatine kinase or leukocytosis with WBC>15000/cumm. It was concluded that serum amylase levels and length ofmesenteric infarction are two prognostic factors related to mortality inpatients with mesenteric infarction. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。