Cases Studies of Intussusception with Special References. |
Kyung Sook Choi, Myoung Sook Kim, So Kyung Park, Dong Hak Shin |
Department of Pediatrics, Presbyterian Hospital, Kee Myoung University, Dae Gu, Korea. |
소아 장 중첩증에 대한 임상적 고찰 |
최경숙, 김명숙, 박소경, 신동학 |
계명대학교 의과대학부속 동산병원 소아과학교실 |
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Abstract |
This paper present 105 cases which were admitted to the Department of Pediatrics of Dong San Presbyterian Hospital from Jan. 1978 to July, 1980 The results are summarized as follows; 1) Age incidence, 94% of patients were under age of two, 88.2% of patients were under one year, and adults were high incidence in Korea. 2) Male to female ratio was 2.1:1 3) In seasonal incidence, spring was relatively high. 4) In 76.4% of cases, their body weight were over 50 percentile of Korean normal infants and children. 5) The patients who visited hospital within 24 hrs. from onset of symptom was occupied in 57.7%. 6) The cardinal symptom and signs were vomiting (89.4%), abdominal pain. Irritability, crying, (72.9%), mucous bloody stool (70.6%) and abdominal mass (42.1%) 7) In analysis by intussusception type(40.0%), ileocolic type (23.5%), ileoileal type(17.6%), jejunojejunal type (17.6%), in adults. 8) In simple abdominal X-ray figures showed the dilatation due to gastrostomy 52.9% and phenomenon of fluid retention 30.6%. 9) Etiologic causes were confirmed only 7.1% in children and 29.4% in adults, the causes in 92% were idiopathic in children and 70.6% in adults respectively. 10) In previous illness, we find out its predisposing factors 42.4% in children. 11) Hydrostatic barium reduction was successed in 47.1% of all cases and operative cases were 47% |
Key Words:
Cases Studies of Intussusception in children |
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