Statistical observation on 198 operated cases in past 2 years at Chiba National Hospital has been done in order to find out the prognosis of gastric-resection by examining preope-rative EKG and mortality rate as its index.
1) out of 198 cases, 28% showed abnormal EKG findings before surgery.
2) Out of all cases, the cases with normal EKG findings before surgery was 3.5% of mortality rate, while abnormal group was 13%, namely the mortality rate of the latter is higher than that of the former.
3) The more age advances, the more frequently abnormal EKG findings were observed. Group below the age of 40 was 14%, between the age of 41 to 60 was 27% and above 60 was 41%.
4) As to the benign and malignant diseases, the latter had higher mortality rate after surgery, and the cases with abnormal EKG findings before surgery showed high mortality rate in both groups.
5) The following groups who had abnormal EKG showed higher mortality rate after surgery comparing with the cases with normal EKG findings:
(1) The group below the age of 60 with myocardial damage.
(2) The group above the age of 61 with low voltage.
6) As to the mortal cases, all of 12 cases were cancer or perforation of stomach, and the cases with abnormal EKG findings before surgery were a little superior in number.
The author believe that the above-mentioned statistical observation made clear the relationship between preoperative electrocardiogram and results of the gastric-resection to some extent, although great at tention to the clinical findings and other examinations should be paid in order to make exactdecision of operative indication without depending only upon EKG findings.
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