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Revista Cubana de Cirugía
versão On-line ISSN 1561-2945
Resumo
VALDES JIMENEZ, Jesús et al. Hallazgos necrópsicos en 100 pacientes del servicio de cirugía general. Rev Cubana Cir [online]. 2001, vol.40, n.4, pp. 280-283. ISSN 1561-2945.
The necropsy protocols of the deaths registered at the Service of General Surgery from January, 1996, to December, 1998, were reviewed. Those patients who uderwent some kind of surgical procedure were selected. In the 100 studied deaths, it was proved that the age increase is proportional to the rise of severe complications and mortality. The high frequency of associated diseases was significant (63.0 %). 70 % of the operations had an emergent character and the main indications were peritoneal syndrome (29 %), intestinal obstruction (27 %), visceral cancer (12 %) and high digestive bleeding (10 %). Peritonitis secondary to perforation and dehiscence of suture was the most frequent surgical complication, whereas bronchopneumonia, atelectasis and pulmonary thromboembolism were among the commonest clinical complications. The direct causes of death were generalized sepsis, hypovolaemic shock and bronchopneumonia.
Palavras-chave : SURGERY DEPARTMENT, HOSPITAL; AUTOPSY; MORTALITY.