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KMID : 0360919730160110043
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Journal of the Korean Medical Association
1973 Volume.16 No. 11 p.43 ~ p.51
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尹德鎭/Yun, Duk Jin
李哉昇/曺昌周/李琦寧/Lee, Jae Seung/Cho, Chang Joo/Lee, Ki Young
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Abstract
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Physical examination, laboratory tests, Chest X-ray and Tuberculin skin test were performed on all or selected cases of 3, 928 children who were living in different areas)urban, forest and mountainous areas) and different socioeconomic states in Korea and the following results were obtained.
1. On physical examination, the most frequent finding was cervical lymphadenopathy (24. 2%) and cheilosis (18.4%) tonsillar hypertrophy (13.3%) and chronic OMPC (1. 7%) were found in order of frequency. Of these, cervical Iymphadenopathy was most frequently found in children o` poor family in Seoul and school children of mountainous area. Tonsillar hypertrophy was also frequently observed in children of Seoul area.
2. Dental caries was seen in 30% of all school children and most frequently observed in private school children in Seoul (60%).
3. Ascaris infestation was the most frequent intestinal parasite in all study cases (33..2%) and high incidence was noted in children of poor family in Seoul (37.4%) and school children in mountainous area (44.1%) Next frequent intestinal parasite was Trichocephalus trichiurus which was found in 25. 8% of all cases and- most frequently seen in children of poor family (24. 1%) and school children of poor class (40. 1%) in Seoul.
The other less commonly found intestinal parasites in- study cases were Trichostrongylus oriental ´s (l. 8 %) and Hook worm (1. 6%).
4. In 263 cases of family children who had taken Hb. study, 24-.3% of them had 10 gm% cr 5ss. In general, children of poor family in Seoul had lowest Hb. level of other groups and consist of 5.5% with 7. 0% or less of Hb.
In 361 cases of school children who had taken Hb. study; 3.9% of them had 10 gm% or less.
5.. In 231 cases of family children who had taken Hct. study, 22.4% of, them had 35% or less and the lowest value of Hct. was found in poor family in Seoul area (8. 3% of study cases had 30% or ´less of Hct.).
In 355 cases of school children who had taken Het. study, 7. 2% of them had 35% or less, and the lowest value was noted inl school children or poor cases in Seoul area.
6. In 244 cases of family children who had taken total serum protein. 5. 7% of them had 6 gm% or less of total serum protein and the lowest value was noted in children of families in farm area (14.3%).
In 394 cases or school children who had taken total serum protein, 1. 3% of them had fgm% or less.
7. Positive tuberculin skin test was noted in 18. 6% of all study cases (3, 843 cases). Highest incidence of positive rates was noted in children of poor families in Seoul (24.8%) and next in order of incidence were school children of poor class in Seoul (22. 8%), rich family in Seoul (21.2%) and private school children in Seoul (18.0%).
8. Pulmonary tuberculosis was _found by chest X-ray in 4.7% of 753 children who had positive or suspicious tuberculin skin test. Almost of all cases were minimal in activity and children of family in mountainous area (11.8%), private school children in Seoul(8. 5%) and school children of ´mountainous area (5.4%) were in order of frequency.
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