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KMID : 0367419660090020013
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Journal of Korean Pediatric Society
1966 Volume.9 No. 2 p.13 ~ p.19
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Clinical Studies on Paralytic Poliomyelitis
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許寅茂/Huh, In Moo
姜世周/安裕卿/黃玉子/尹德鎭/Kang, Se Joo/An, Yu Keung/Whang Ok Cha/Yun, Duk Jin
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Abstract
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The authors observed 322 cases of paralytic poliomyelitis who visited the pediatric service of Severance hospital during 3 years from 1962 to 1964.
Observations
1) The heighest age incidence was from 7 months to 3 years (92.4%)
2) The incidence in male was more frequent than in females (Male 61.2%, female 38.8%)
3) Seasonal occurrence was more frequent from June to September (69%)
-4) Initial symptoms were upper respiratory tract infection such as fever, cough, coryza and gastrointestinal troubles such as diarrhea, vomiting and constipation, convulsion and skin rashes also occurred but less frequently.
-5) Location of paralysis was more frequent in lower extremities (92.2%) than in upper extremities (1.2%) Cases of bulbar paralysis were 1.2%
6) Interval from onset of illness to first detection of paralysis was 1 to 5 days. (85.4%)
7) Paralytic poliomyelitis was observed even in vaccinated children 7.8% after one injection of Salk
vaccine and 5.5% after three injection of Salk vaccine, 1.7% followed a combination of Salk and
Sabin vaccination.
8) Sabin vaccine administered to all the children in Seoul city in 1962 was much more effective than that given in 1963 and 1964 to only part of the child population.
9) Mortality rate was 0.9%
10) 65.8% of the cases recived physical therapy: for 1 to 10days (45.9%) and 3 to 6 months (1.0%)
11) Complete healing was 55.9% mild cripped sequelae: 20.8% , moderate and severe crippled sequelae: 23.3 %
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