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June 1962

Laboratory Findings in Acute Perforated Gastroduodenal UlcersA Review of 1,904 Cases

Author Affiliations

From the Departments of Surgery of the Cook County Hospital, Northwestern University Medical School, and the Cook County Graduate School of Medicine.

Arch Surg. 1962;84(6):646-661. doi:10.1001/archsurg.1962.01300240050008

An acute perforation of a peptic ulcer is so catastrophic an illness that little time is customarily afforded for laboratory procedures other than an admitting blood count, urinalysis, and appropriate x-rays. In the course of a survey of a large clinical material, we have found a surprising amount of laboratory data collected in the management of 1,904 patients with acutely perforated gastroduodenal ulcers. We have previously reported on general factors influencing the incidence and mortality of these patients admitted to the Cook County Hospital between 1936 and 19551 and on the clinical signs and symptoms which had some prognostic value in the outcome of this same series of patients.2 This report is concerned with the laboratory data available in this series of patients.

As previously described,1,2 the survey method consisted of the screening by 2 registered nurses trained as medical record historians of over 16,000 records of

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