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KMID : 0378019810240090035
New Medical Journal
1981 Volume.24 No. 9 p.35 ~ p.42
A Clinical Study of Acute Glomerulonephritisvv



Abstract
We observed 90 cases of Acute Glomerulonephritis that were admitted to the department of pediatrics, Ewha ¡Æ Womans university hospital during the 5 year period from 1974 to 1978, and obtained the following results.
1) Incidences were, higher in male (M : F=1, 5 : 1), highest in the age group of 7 to 9 years, and seasonal incidence in autumn and winter.
2) Among the preceeding infections, upper respiratory infections showed the highest
percentage (66,7%), and initial manifestation of acute glomerulonephritis developed
most frequently in 8 to 14days, after the initial infections.
3) The most common chief complaints were edema (80.0%), hematuria (53.3%), fever
(17.800), oliguria (13.3%).
4) The important clinical manifestations were edema, hypertension, throat injection, hepatomegaly.
5) Proteinuria(84.4%), and hematuria(80.0%) were found by routine urinalyses. Beta hemolytic streptococci were isolated from throat swab and culture in 7.4% of cases. A.S.O. increased over 333 Todd unit in 78.8%.
6) Pulmonary edema, pneumonic infiltration, pleural effusion, increased pulmonary vascular marking, and cardiomegaly were seen on
chest X-ray films.
7) In the follow up study, most of hypertension return to normal range within 1 week (58.99/0), or within 2 weeks (86.4%) , and hematuria within 1 week (68.9%) , or within 6 weeks (90.0%) , respectively. But 1 case was showed continuous hematuria and proteinuria with transmission to chronic state.
8) In complication, 2 cases had hypertensive encephalopathy, while neither uremic coma nor fatal case was observed.
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