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KMID : 0367419750160040049
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Journal of Korean Pediatric Society
1975 Volume.16 No. 4 p.49 ~ p.57
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Clinical Observation of Pericarditis in Children
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金吉中/Kim, Kil Joong
李重林/金仲植/李謹洙/Rhee, Jung Lim/Kim, Joong Sik/Lee, Keun Soo
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Abstract
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27 cases of pericarditis were presented, among which 19 cases were acute pericarditis and 8 cases chronic constrictive pericarditis.
Its over all incidence were 0.3% of total admission.
Males were more frequently affected than female. The ratio was 20:7.
In acute pericarditis, purulent and rheumatic orgins were most common, which were followed by tuberculous, idiopathi, postpericardiectomy syndrome and pericarditis due to malignant metastasis in order of frequency.
All cases of purulent pericarditis were developed under the 5 year of age, whereas other cases were usually developed over the 5 year of age. In chronic constrictive pericarditis, all cases were developed over the 10 year of age, the causes of which were tuberculous more frequently than idiopathic form. clinical observations and laboratory examinations were discussed.
Acute pericarditis were treated with medical treatment with or without pericardial drainage exept one case of tuberculous origin. pericardiectomy had to be performed in almost all cases of chronic constrictive pericarditis. Autopsy were performed in 6 of 8 cases of hospital death, the main causes of which were congestive heart failure in the majority of death cases. A brief review of the literature was made.
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