취염에 대한 임상적 연구 = Surgical Pbresvation on Ooncseatis

다국어 초록 (Multilingual Abstract)

A total of 24 patients with acute hemorrhagic admitted to the Dept. of Surgery, Seoul national University Hospital during the past 5 years (1970-1975) was studied.
Thirteen patients of the whole group were 8 less severe cases diagnosed clinically and 5 severe cases of which early diagnosis were definitely made; they were treated conservatively. The remaining 11 patients were severe cases con firmed by laparotomies under the preoperative diagnosis of generalized peritonitis due to such as gastric and duodenal ulcer perforation (5 cases), appendicitis or intestinal perforation (4 cases) and suspected pancreatic (2 cases); They were all treated with conservative (supportive) measures postoperatively besides the given operative procedures.
None of mortality or serious complication was noted both in the laparotomied and in the conservativelly treated group.
The operative procedures comprised the drainage of the lesser sac and the peritoneal cavity or the diversionary operation on the biliary tract. The conservative (supportive) measures were under following categories, (1) blood volume replacement, including whole blood (1-3 units), plasma, fluid and electrolytes (2) control of pain with Demerol or atropine (3) continuous suction (4) vagolytic drugs (Atropine, Banthine, Diamox) (5) use of steroids (6) Oxygen
therapy.
From the results obtained it would appear that the prognosis of acute pancreatitis depends on rather the severity of the disease- and the predisposed resistance of the patient than the case is not an extremely severe one, the limited manipulation of the viscera during operation is applied and active conservative treatment is added postoperatively.