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KMID : 0382719700010010061
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Medical Journal of the Han-il Hospital
1970 Volume.1 No. 1 p.61 ~ p.70
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Kymographic Tubal Insufflation
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Abstract
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During the last 7 years 131 cases of acute glomerulonephritis were admitted to Dept of Ped. Han-I1 Hospital and evaluated statistically.
The results were as follows.
1) The sex incidence was slightly higher in boys than in girls and the ratio was 2.6 : 1. The age incidence was highest in the age of 7 to 9. Seasonal peak incidence was from October to December.
2) Of preceding infections, upper respiratory tract infection was most common (51%) and the initial symptoms of nephritis developed most frequently during second week after preceding infection ´(52%).
3) The most common chief complaint was edema in´ 86%. Others were oliguria, hematuria, fever, headache and dyspnea in orders.
4) Edema was the most prevalent physical sign in 86% and there were hypertension, hepatomegaly and throat congestion.
5) Laboratory findings revealed albuminuria (100%), hematuria (100%), mild anemia (17%), leucocytosis (51%), increased E. S. R (89%), elevation of serum N. P. N. (46%) and decreased serum albumin (6%).
6) B-hemolytic streptococcus was cultivated from throat swabs in 22% of cases. AS.O. titer above 250 unit was in 69% and above 333 unit in 55% and C. R P. was positive in 23.5%.
7) Hypertension was seen in 65% of cases and the abnormal finding of chest X-ray films included cardiomegaly, increased pulmonary vasculature, pulmonary edema and pleural effusion which were more prevalent in hypertensive patients.
8) In general, subjective symptoms, oliguria, edema and hypertension disappeared within 2 weeks. Increased E. S. R and elevated N.P.N. within 4 weeks and urinary findings, albuminuria and hematuria, within 8 weeks.
9) Complications in this series included congestive heart failure, convulsion and uremic coma and there was no fatal case.
10) During admission, recovery rate on urine findings was 25. 2% and improved cases were 52%. The cases that subjective symptoms and physical findings were disappeared completely during admission however, not improved on urine findings were observed in 19. 8% of cases.
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