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KMID : 0367419780190080052
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Journal of Korean Pediatric Society
1978 Volume.19 No. 8 p.52 ~ p.59
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Clinical Observation of Intussusection in Infant
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김진주/Kim, J.J.
이상교/남기종/신성희/Lee, S.K./kim, K.J./Shin, S.H.
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Abstract
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There have been many studies of in-zssusception in pediatric and surgical department of many hospitals, but this is the first strdy one hundred three cases were reviewed. The results are as follow:
1) Males were affected more often tian females; the ratio was 2.6 1.
2) In age distribution, 76% of the pe:ients were under 1 year of age and 91% of the patients were under 2 year of age. The highest morbidity (60%) occurred between 5 months to 7 months.
3) The incidence in early summer was higher than in other seasons, and an increasing number of cases noted from 1972.
4) Etiologic causes were found only in 11% of the cases; the causes in 89% were not deter-mined; one case was accompanied with allergic pupura.
5) Most of the patients were well nourished and 72% of than were over the 50 percentile of
normal weight value of Korean infant and children. 49% of them were bottle fed.
6) The cardinal symptom signs were vomiting (79%) current jelly stool (68%), intermittent
abdominal pain (65%), and palpab. a mass (63.6%).
7) In analysis by intussusception type, the order of frequency was ileocolic (70%), and ileocecal (10%).
8) In simple flat abdomen X-ray showed the dilatation due to gas, 44.6% and phenomenon of fluid retention 23.3%.
9) When the patient is admitted with 24 hours of the noting of symptoms and treatment by means of barium enema is done a good rate of recovery (50%) is noted.
10) Complications were noted in 7.7% of the cases; the recurrence rate was 4.8%, the mortality rate was 2.9%.
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