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KMID : 0367419780190090017
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Journal of Korean Pediatric Society
1978 Volume.19 No. 9 p.17 ~ p.24
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The Clinical Study of Intussuaception in Infaney and Childhood
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李惠京/Lee, Hye Kyung
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Abstract
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Intussusception is one of the most common abdominal emergercies in infancy and childhood. In most instances, intussusception ´develops idiopathic form. Only in minor instances, the causes are found. In the ?method of treatment, some insist the primary operative measure, some the primary barium reduction.
This is a clinical study of 80 cases who were admitted to Wonju Christian Hospital, affiliated to College of Medicine of Yonsei University, from January, 1961 to December, 1975. The results were summerized as followings:
1) In age incidence, 81.2% of the patients were under 1 year of age. The peak incidence occurred from 6 month to 9 month of age.
2) Male were predominant as male to fenale ratio, 2.1 : 1.
3) 64.9% of cases occurred in Spring anc- Autumn.
4) The clinical symptoms and signs at admission were vomiting (88.8%), bloody stool (83.8%), and abdminal mass (72.5%). The fully developed triad of cardinal symptoms (vomiting, bloody stool, and intermittent abdominal pain) were fonud in 30.09ol of cases.
5) Leukocytosis (over 10, 001/mm3) was found in 81.2% of cases and the all 6 fatal cases revealed leukocytosis in peripheral blood at admission.
6) In anatomical analysis of intussusception, ileocolic type was most common (35.0%).
7) The cause of intussusception was found -only in 8.8%.
8) In 37.5% of cases, barium reduction was performed in success. The nonoperative measure to operative measure ratio was 1 : 1.1 from 1972. Non-operative measure has been adopted more frequently in these days than in the past.
9) Complication rate was 16.3%, and mortality was 7.5%.
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