Causes of Acute Peritonitis and its Outcome in Tertiary Medical Centre

IF 0.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of the Liaquat University of Medical and Health Sciences Pub Date : 2019-09-30 DOI:10.22442/jlumhs.191830626

M. Malik, M. Iqbal, Abdul Malik Magsi, S. Parveen, Muhammad iqbal Khan, M. Shamim., S. Malik

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引用次数: 2

Abstract

OBJECTIVE: To determine the factors causing peritonitis and deaths at Jinnah Hospital Karachi.METHODOLOGY: The study included 216 patients with acute peritonitis who underwent exploratory laparotomy from 2016 to 2018. Surgical treatment according to cause and post-operative treatment of disease carried out. Histopathological report and other diagnostic test like typhoid dot test and blood culture results were recorded and resultwas analyzed by SPSS version 24.RESULTS: Frequent causes of acute peritonitis were typhoid intestinal perforation 62(28.70%),Peptic ulcer perforation 54 (25%), rupture appendix 38 (17.59%), tuberculous intestine perforation 26 (12.05%), gangrene gut 14 (6.48%), large gut tumor perforation 10 (4.62%), ruptured liver abscess 4 (1.85%), ruptured gall balder 4 (1.85%) and acute pancreatitis 4 (1.85%). Complications were septic shock 30 (13.88%), paralytic ileus 16 (7.40%), burst abdomen 12 (5.5%) and mortality was 8 (3.70%.)CONCLUSION: Infectious diseases like typhoid, H-pylori PUD, ruptured appendix, ruptured liver abscess, and TB intestine are common causes of peritonitis. KEY WORDS: Perforation peritonitis, Typhoid Ileal perforation, Duodenal ulcer perforation

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三级医疗中心急性腹膜炎的成因及结果

目的:了解卡拉奇真纳医院引起腹膜炎及死亡的因素。方法:该研究纳入了2016年至2018年行剖腹探查术的216例急性腹膜炎患者。根据病因进行手术治疗和术后对疾病进行治疗。记录组织病理学报告及其他诊断检查如伤寒斑点试验、血培养结果，并采用SPSS 24版对结果进行分析。结果:急性腹膜炎常见病因为伤寒肠穿孔62例(28.70%)、消化性溃疡穿孔54例(25%)、阑尾破裂38例(17.59%)、结核性肠穿孔26例(12.05%)、肠坏疽14例(6.48%)、大肠肿瘤穿孔10例(4.62%)、肝脓肿破裂4例(1.85%)、胆囊破裂4例(1.85%)、急性胰腺炎4例(1.85%)。并发症为感染性休克30例(13.88%)，麻痹性肠梗阻16例(7.40%)，腹裂12例(5.5%)，死亡8例(3.70%)。结论:伤寒、幽门螺杆菌、阑尾破裂、肝脓肿破裂、TB肠等传染病是腹膜炎的常见病因。关键词:穿孔性腹膜炎，伤寒回肠穿孔，十二指肠溃疡穿孔

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来源期刊

Journal of the Liaquat University of Medical and Health Sciences HEALTH CARE SCIENCES & SERVICES-

CiteScore

0.30

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： Journal of Liaquat University of Medical and Health Sciences (JLUMHS) Jamshoro, Pakistan publishes original manuscripts, case reports and reviews on topics related to medical and health sciences. JLUMHS is a peer reviewed journal and is published quarterly (4 issues per year) since July 2002. It agrees to accept manuscripts prepared in accordance with the “Uniform Requirements for submission of manuscripts for biomedical journals adopted by International Committee of Medical Journal Editors (ICMJE), updated October 2001 (Refer JLUMHS July – December 2002 issue).