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Abstract：
Background The aim of this retrospective study is to establish a correlation between clinical features, surgical diagnosis, and the final diagnosis of laparotomies, as well as to establish the relationship between preoperative delay on the outcomes of surgery in the form of mortality and morbidity. Emergency surgery is high-risk in patients with acute abdomen with uncertain diagnosis. The results of surgery are remarkable and provide quick relief to the suffering and agony of patients with the dreadful condition of acute generalized peritonitis. Methodology Patients presenting with complaints of acute abdomen who needed laparotomy based on clinical judgment and investigations were included in this study. The study data were reviewed from April 2007 to January 2011 and March 2014 to February 2016 in a government hospital. Results A total of 174 patients with acute abdomen in whom there was an indication of laparotomy based on clinical judgment and radiological investigations were selected. Most patients had gastrointestinal perforation (n = 115) and acute intestinal obstruction (n = 23). The most important clinical features analyzed were abdominal tenderness (n = 160), guarding (n = 153), distention (n = 75), and tachycardia (n = 63). Conclusions Among the total patients, 150 underwent surgery within 24 hours of the presentation in the emergency and the remaining after 24 hours. The most common cause of laparotomy was a duodenal perforation in 79 patients and gastric perforation in 24 patients. A total of 114 patients developed no complications postoperatively. Among patients who developed postoperative complications, wound sepsis and acute respiratory distress syndrome were the most common. Mortality was noted in three patients.
摘要：
背景这项回顾性研究的目的是建立临床特征之间的相关性，外科诊断,最后诊断为开腹手术，以及建立术前延迟与死亡率和发病率之间的关系。对于诊断不明确的急腹症患者，急诊手术是高风险的。手术效果显着，可迅速缓解患有急性全身性腹膜炎的患者的痛苦和痛苦。方法本研究包括根据临床判断和调查需要剖腹手术的急腹症患者。研究数据于2007年4月至2011年1月和2014年3月至2016年2月在一家政府医院进行审查。结果根据临床判断和影像学检查，选择有开腹指征的急腹症患者174例。大多数患者有胃肠道穿孔（n=115）和急性肠梗阻（n=23）。分析的最重要的临床特征是腹部压痛（n=160），守卫（n=153），扩张(n=75)，和心动过速（n=63）。结论在所有患者中,150人在急诊就诊后24小时内接受手术，其余24小时后接受手术。剖腹手术的最常见原因是79例十二指肠穿孔和24例胃穿孔。共有114例患者术后无并发症。在发生术后并发症的患者中，伤口脓毒症和急性呼吸窘迫综合征是最常见的.3例患者死亡。
