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KMID : 0381219830150020081
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Journal of RIMSK
1983 Volume.15 No. 2 p.81 ~ p.86
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Clinical Study of 136 Patients with Intussusception
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Abstract
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This study consists of a clinical analysis of 136 cases of intussusception in infants, children and adults admitted to the department of Pediatrics and Surgery, Chung Ang University Hospital during the period of 12 years, from Jun. 1968 to Dec. 1980.
Most of intussusception (79.4%) occured in children from 4 months of age to 2 years of age, and male predominated in ratio of 1.9 : 1 in infants and children.
Special relationship of incidence to season was not observed.
In terms of the etiologic factors, most cases were idiopathic in both chilcren (97.5%) and adults (50%). In these cases, the cardinal symptoms and signs were abdominal pain in 97.8 %, vomiting in 80.1%, blood mucoid stool in 77.9%, palpable abdominal mass in 69.9% and abdominal distension in 17.6%. On plain abdominal films, features of intestinal obstruction were showed in 72.5% (chldren) and 71.4% (adults).
In analysis of types, most (75.7%) of them was the ileocolic and the ileocecal types.
In infants and children, barium reduction was tried in 105 cases, and 51 cases (48. 1%) were reduced successfully. Unsuccessful 54 cases were corrected surgically; manual reduction in 43 cases, spontaneous reduction in 5 and resection in 6.
The complication rate was 4.4% (6/136), and the most common complication was wound infection (2/6). The recurrance rate was also 4.4% (6/136). The mortality rate in this study was 0.71 %.
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KEYWORD
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