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KMID : 0376119940210020203
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Medical Journal of the Red Cross Hospital
1994 Volume.21 No. 2 p.203 ~ p.212
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A Clinical Study on Acute Appendicitis in Children
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Abstract
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This study is a clinical analysis of 266 pediatric patients with acute appendicitis who were admitted to the Department of Surgery, Seoul Red Cross Hospital during the period of 6 years from March 1985 to February 1991 with a review of the
literature,
and we compared perforated group with nonperforated group.
@ES the results were as follows:
@EN 1) Nonperforated group were 208 cases and perforated group were 58 cases. In the indidence of age, acute appendicits occured predominantly high between 11 years and 15 years(67.7%) and perforation ratio was high (50%) before 5 years. Male to
female
ratio was 1.3:1.
2) In the symptom duration, perforated appendicitis was frequently developed as longer symptom duration. After 48 hours from symptom attack, perforation ratio was above 50%.
3) Perforation occured frequently in high body temperature at admission. Perforation ration was above 50% more than 38℃.
4) The relation between age, symptom duration and body temperature, more than 48 hors of symptom duration, above 38℃body temperature and less than 10 years age were corresponding to prforation of acute appendicitis. When the 3 factor was
included,
perforation ratio was 90.1%.
5) There was no difference in white blood cell count and perforation ratio.
6) the type of perforatio were lcalized peritonitis (46.6%), diffuse peritonitis(31.0%) and peri-appendiceal abscess(22.4%).
7) Peritoneal fluid culture was done 43 case of 58 perforated group, most common organism was E. coli, and remainder were Pseudomonas, Proteus, Alcalignes feacalis, Streptococci and Bacteroides.
8) The complication rate was 6.3% in nonperforated group and 51.7% in perforated group, and the most common complication was wound infection. There were 2 cases of postoperative deaths in this series.
9) Mean duration of hospitalization were 6.8±1.1 days in nonperforated group and 13.5±3.4 dyas in perforated group.
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