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KMID : 0378019890320040051
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New Medical Journal
1989 Volume.32 No. 4 p.51 ~ p.60
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Clinico-pathological Analysis of The Acute Appendicitis in Korean Soldiers
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양기화/Yang, Ki-Hwa
조준필/하영천/한진우/정학재/손수창/이성희/Cho, Joon-Phil/Ha, Young-Chun/Han, Jin-Woo/Chung, Hak-Jae/Son, Soo-Chang/Lee, Sung-Hee
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Abstract
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Acute appendicitis is one of the most common surgical disease in army medical field. The cases are chiefly composed of adolescent male in army.
The authors performed a retrospective analysis on one-hundred seventy five patients who received appendectomy under the diagnosis of acute appendicitis at Department of General Surgery, Dae-Jeon Armed forces General Hospital, from May 1987 to december 1988.
The results obtained were as follows;
1. Age distribution is between 16 years and 44 years, and the mean is 22.1 years(SD ±3.7 years), and they are all males.
2. On histopathological classification, acute appendicitis was 19 cases(10.9%), acute suppuratve appendicitis was 50 cases(28.6%), acute gangrenous appendicitis was 38 cases(21.7%), perf- orated appendicitis was 29 cases (16.5%), and non-inflammed appendix was 39 cases (22.3%).
3. The most common clinical symptom was right lower quadrant abdominal pain (67.4% ).
4. The mean of peripheral blood leukocyte count were as follows; non-inflammed appendix, 1 0,100/mm3i(±3,000), acute appendicitis, 14,800/mm3(±5,300), acute suppurative appendicitis, 13,400 / mm3 ( ±4,300 ), acute gangrenous appendicitis, 16;000 / mm3 ( ±3,700), perforated appendicitis, 16,900 / mm3 (± 5,500 )
5. Sixty patients (55.3%) out of one-hundred seventy patients visited with in 24 hours from or set
of symptoms, and fifty-nine patient (46.9%) out of one-hundred seventy five patient were
received an operation within 24 hours from onset of symptoms.
6. The mean length of the vermiform appendix was 7.lcm(SD ± 1.7cm). 7. Most common location was retrocecal position (43.4%). 8. The ABO types of non-perforating appendicitis were as follows ; A(38.1%), B(27.4% , 0(2 9.8%6), AB (4.7% ), and that of perforating appendicitis were as follows; A(41.7?/o), B (20 8%u ), 0(29.2%), AB(8.3%).
9. The incidence of wound infection was 7.4%.
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