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頁籤選單縮合
題名 | Risk Factors for Mortality of Esophageal Perforation: A Clinical Experience in 32 Cases=食道破裂之臨床經驗:32病例之報告 |
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作者姓名(中文) | 周業彬; 張簡吉幸; 蔡成枝; 邱逸群; 趙景華; 郭仲煌; 盧勝男; | 書刊名 | 內科學誌 |
卷期 | 13:5 2002.10[民91.10] |
頁次 | 頁256-262 |
分類號 | 416.241 |
關鍵詞 | 食道破裂; Esophageal perforation; Mortality; Risk factor; |
語文 | 英文(English) |
英文摘要 | Although surgical intervention is a standard treatment of esophageal perforation, the mortality is still high. We studied 32 patients with esophageal perforation and analyzed the risk factors for mortality, including the etiology of perforation, the location of perforation, preexisting diseases, general condition, the surgical timing, the surgical and medical treatment, and the contrast media leakage. The preexisting diseases included diabetes mellitus, old cerebral vascular accident, malignancy, liver cirrhosis, and sepsis. The total mortality rate of our 32 patients was 31.3%. The mortality rate in patients with preexisting diseases was not significantly different from those without (53.8% vs. 15.8% P=0.05). However, patients with poor general condition, including preexisting disease and multiple organ injury associated with car accident, had significantly higher mortality rate than those without (62.5% vs. 0%. P<0.01). The mortality rate was not affected by the etiology or the location of perforation, the surgical timing, and contrast media leakage. We conclude that poor general condition is the major risk factor for mortality in esophageal perforation. |
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