Estadísticas

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        "titulo" => "Factors predictive of complications in patients with perforated gastroduodenal ulcer"
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        "resumen" => "<span class="elsevierStyleBold">Objectives&#46;</span> To determine the predictive factors of mortality and morbidity in patients undergoing surgery for perforated gastroduodenal ulcer&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> A retrospective study was carried out of 131 consecutive patients treated surgically for perforated gastroduodenal ulcer&#46; The parameters assessed were patient age and sex&#44; the interval between initial onset and surgery&#44; additional risk factors&#44; surgical technique&#44; leukocyte count&#44; blood glucose level&#44; urea&#44; hemoglobin&#44; duration of surgery&#44; presence of pneumoperitoneum&#44; intraoperative hypotension and degree of peritonitis&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> The rate of morbidity in this series was 20&#37; and the mortality&#44; 13&#37;&#46; The factor identified as significant predictors of morbidity and mortality were&#58; age&#44; sex&#44; associated risk factors&#44; an interval of more than 24 hours&#44; preoperative blood glucose and urea levels&#44; a leukocyte count of less than 10&#44;000 cells&#44; absence of pneumoperitoneum&#44; intraoperative hypotension and the presence of purulent peritonitis&#46; This system made it possible to identify 23 of the 27 patients who developed complications&#46; <br/> <span class="elsevierStyleBold">Conclusions&#46;</span>&#46; In female patients over 70 years of age with associated medical diseases&#44; an interval of more than 24 hours&#44; blood glucose level over 150&#44; urea level over 35&#44; leukocyte count under 10&#44;000&#44; intraoperative hypotension and the presence of purulent peritonitis&#44; the therapy of choice would probably be laparoscopic suture of the ulcer together with lavage and drainage of the abdominal cavity"
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