| Clinical Observation on Splenectomized Children. |
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Mi Ryung Um1, Jae Won Song1, Yong Yull Koh1, Jeong Kee Seo1, Hyo Seop Ahn1, Chang Yee Hong1, Kwi Won Park2 |
1Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
2Department of Surgery,College of Medicine, Seoul National University, Seoul, Korea |
| 비 장적출 소아들에 대한 임상적 고찰 |
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엄미령1, 송재원1, 고영률1, 서정기1, 안효섭1, 홍창의1, 박귀원2 |
1서울대학교 의과대학 소아과학교실
2서울대학교 의과대학 일반 외과학교실 |
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| Abstract |
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A clinical study was performed on 26 cases of splenectomized children who had been seen at the
Department of Pediatrics, Seoul National University Hospital, during the period of 7 years 7 months
from January 1978 to July 1985.
The results were as follows:
1) Primary diseases were hereditary spherocytosis (8 cases), Hodgkin disease for staging laparotomy (8 cases),
chronic ITP (5 cases), trauma (4 cases), and cavernous hemangioma of spleen (1 case).
2) Seventeen cases were boys and nine cases were girls.
3) Age distribution at splenectomy was as follows; Four cases were under 4 years, 9 cases between
5 to 9 11/12 years, and 13 cases over 10 years. The mean age was 8.7 years.
4) In twenty-four patients, prophylaxis against infection was given. The mode of prophylaxis was
benzathine penicillin monthly injection in 19 cases, and daily oral penicillin in 5 cases.
5) There were four patients who readmitted because of infection. One patient with no prophylaxis
had sepsis with meningitis and the other had pneumonia, FUO and cellulitis. These patients were
recovered from infection after antibiotic treatment. The other complications following splenctomy
were not observed.
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| Key Words:
Splenectomy, Chronic ITP, Hereditary spherocytosis, Hodgkin disease.
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