지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Purpose: The aim of the study was to determine the factors associated with complicated acute cholecystitis of initial clinical findings during an emergency department (ED) visit, and to use them as a guideline for consideration of early and active surgical intervention, to improve the prognosis of acute cholecystitis. Methods: Medical records of adult patients diagnosed and treated in the ED as acute cholecystitis were reviewed retrospectively. Clinical findings including demographic data, past medical history, symptoms, physical exam, and laboratory test results were included in the analysis. A case associated with gall bladder empyema, gangrene, perforation, hydrops, or failure of initial laparoscopic approach was defined as complicated acute cholecystitis. Factors showing significance in univariate analyses were included in binary logistic regression analysis for prediction of complicated acute cholecystitis. Results: Age, sex, hypertension history, anorexia, body temperature, white blood cell count (WBC), aspartate aminotransferase, creatinine, total bilirubin, amylase, and lipase were significant in univariate analyses, and included in multivariate analysis. Age (p=0.039), male sex (p=0.004), and WBC (p=0.019) were significant in multivariate analysis. Conclusion: Age, sex, and initial WBC of patients diagnosed and treated in the ED as acute cholecystitis were independently associated with complicated acute cholecystitis.
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등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Tintinalli JE / 2011 / Tintinalli's emergency medicine:a comprehensive study guide / McGraw-Hill :526
Karayiannakis AJ / 2004 / Laparoscopic cholecystectomy in patients with previous upper or lower abdominal surgery / Surg Endosc 18:97~101
Majeski J / 2004 / Laparoscopic cholecystectomy in geriatric patients / Am J Surg 187:747~750
Wiesen SM / 1993 / Laparoscopic cholecystectomy : the procedure of choice for acute cholecystitis / Am J Gastroenterol 88:334~337
Asai K / 2014 / Risk factors for conversion of laparoscopic cholecystectomy to open surgery associated with the severity characteristics according to the Tokyo guidelines / Surg Today 44:2300~2304
Karayiannakis AJ / 2004 / Laparoscopic cholecystectomy in patients with previous upper or lower abdominal surgery / Surg Endosc 18:97~101
Majeski J / 2004 / Laparoscopic cholecystectomy in geriatric patients / Am J Surg 187:747~750
Wiesen SM / 1993 / Laparoscopic cholecystectomy : the procedure of choice for acute cholecystitis / Am J Gastroenterol 88:334~337
Asai K / 2014 / Risk factors for conversion of laparoscopic cholecystectomy to open surgery associated with the severity characteristics according to the Tokyo guidelines / Surg Today 44:2300~2304
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