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KMID : 0367419780190020052
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Journal of Korean Pediatric Society
1978 Volume.19 No. 2 p.52 ~ p.60
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Statistical Studies on Acute Glomerulonephritis
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李琓柱/Lee, Wan Joo
李鍾宣/尹永玉/金演基/李庸一/Lee, Chong Seon/Yoon, Young Ock/Kim, Yeun Ki/Lee, Yong Il
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Abstract
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The authors studied about 145 cases of acute glomerulone phritis, admitted to pediatric department of Han-I1 Hospital, for 6 years (1969--1974), and obtained the following results, comparing with the previous ones by Song et. al. (1969).
1) IIncidences were higher in male (M - F=1 Q : 1), highest in the age group of 7 to 9, and during the months of Oct. to Dec. The results were similar to those obtained by Song e
2) U.R.I. (upper respiratory tract infection) occupied the highest percentage of preceding infections (58%), and initial manifestation of acute glomerulonephritis was developed most frequently in 8 to 14 days. These results were not so different from those obtained 6 years before. Latent period between presumptive onset and admission was 59 days, in most cases.
3) The most common chief complaints were edema (83%), hematuria (43%), fever (30%), oliguria, cough, and headache in order of frequency, and the incidence of hematuria was significantly increased comparing with that obtained 6 years before.
4) The important clinical manifestations were ed^ma, throat congestion, hypertension, and hepatomegaly. The incidence of throat congestion was more increased than that obtained 6 years before.
5) Proteinuria (94.5%), hematuria (92.4%), and RBC cast (24.5%) were found by routine urinalysis. Beta-hemolytic streptococci were isolated from th-oat swab and culture in 23% of cases. A.S.G. increased over 250 Todd unit in 58%, and C.R.P. revealed positive result in 23.5%.
6) Cardiomegalv, increased pulmonary vascular marking, pulmonary edema or pleural effusion in 83 of 90 cases were shown on chest P-A X-ray films checked 2 times r~ m--and they were closely associated with high diastolic blood pressure of 90mmHg or more. These findings were similar to those obtained 6 years before.
7) In the follow-up study, clinical manifestations and hematology, and urine findings which had been abnormal return to normal ranges within 2, 4, and 8 weeks, respectively. These results were also similar to those obtained 6 years before.
8) The most frequent complications were congestive heart failure (24. 5%), and convulsion, while neither uremic coma nor fatal case was observed.
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