[Analysis of premature death].
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Biomedical subjects
Publications and source records attributed to K Kopetsch.
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301 cases with perforated gastroduodenal ulcers are reported. The rate of primary stomach resection was 64%. The total letality amounted to 13.6%, after primary stomach resection 4.1%, after simple closure 31%. Both procedures are corresponding methods. Primary stomach resection is able to treat gastroduodenal ulcer definitively. Reserve with primary stomach resection is indicated in patients older than 60 years of age and times of perforation more than 12 hours.
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From 1951 to 1975 due to perforation of gastric and duodenal ulcers 274 patients have been operated. 179 patients (65,2%) had primary resections of the stomach. The lethality of all patients with perforated gastric and duodenal ulcers was 15%, the lethality rate of primary resections of the perforated stomach amounts to 4,5%.
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