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KMID : 0367419690120080001
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Journal of Korean Pediatric Society
1969 Volume.12 No. 8 p.1 ~ p.8
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Statistical Studies on Acute Glomeruloncphritis in Children
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宋永珏/Song, Yung Kak
金哲圭/李庸一/李尙柱/Kim, Chul Kye/Lee, Young Il/Lee, Sang Jhoo
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Abstract
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During the last 7 years 131 cases of acute glomerulonephritis were admitted to Dep. Of Ped. Han I1 Hospital and evaluated statistically. The resutits were as follows.
1) The sex incidence was slightly higher in boys than in girls and the ratio was 2.6 : 1. The age incidence was highest in the age of 7 to 9. Seasonal peak incidence was from October to December.
2) Of preceding infections, upper respiratory tract infection was most common(51%) and the initial symptoms of nephritis developed most frequently during second week after preceding infection (52%).
3) The most common chief complaint was edema in 86%. Others were oliguria, hematuria, fever, headache and dyspnea in orders.
4) Edema was the most prevalent physical sign in 86% and there were hypertension, hepatomegaly and throat congestion.
5) Laboratory findings revealed albuminuria (100%), hematuria (100%), mild anemia (17%), leucocytosis (51%), increased E.S.R. (89%), elevation of serum N.P.N. (46%) and decreased serum albumin (6%)
6) S-hemolytic streptococcus was cultivated from throat swabs in 2296 of cases. A.S.O. titer above 250 unit was in 69% and above 333unit in 55% and C.R-P. was positive in 23.5%.
7) Hypertension was seen in 65% of cases and the abnormal finding of chest X-ray films included cardiomegaly, increased pulmonary vasculature, pulmonary edema and pleural effusion which were more prevalent in hypertensive patients.
8) In general, subjective symptoms, oliguria, edema and hypertension disappeared within 2 weeks. Increased E. S. R. and elevated N. P. N. within 4 weeks and urinary findings, albuminuria and hematuria, within 8 weeks.
9) Complications in this series included congestive heart failure, convulsion and uremic coma and there was no fatal case.
10) During admission, recovery rate on urine findings was 25.2% and improved cases were 52%. The cases that subjective symptoms and physical findings were disappeared completly during admission, however, not improved on urine findings were observed in 19.8% of cases.
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