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RISS 인기검색어
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- 저자 : 김경국(Kyung Gook Kim) (검색결과 2 건)
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신용운(Yong Woon shin),정원재(Won Jae Chung),김진희(Jin Hee Kim),한명희(Myung Hee Han),김영범(Young Bum Kim),김기수(Chi Su Kim),김치열(Chi Youl Kim),김경국(Kyung Gook Kim),주영채(Young Chae Joo) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
Polyarteritis nodosa, one of the necrotizing vasculitis involving predominantly small and medium sized arteries is rare disease.Polyarteritis nodosa may afiect many organs such as kidney, heart, liver,gastrointestinal tract and muscle, so that non-specific symptorns ate characteristic and diagnosis is very difficult. Gastrointestinal Ivoivement was reported in about 50% of cases, but bleeding complication is rere and results in poor prognosis.Recently we experionced a case of plolyarteritis nodosa complicating massive upper gastrointestinal bleeding, which was diagnosed by pathologic wxamination of stomach apecimen surgically removed.
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안성태,이용주,한승태,김준식,김경국 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.4
Acute appendicitis most commonly affects the young adult and the adolescent child. Although symptoms are generally recognized by pediatricians, general practicianers and emergency room physicians, young children and elderly patients are still often overlooked and misdiagnosed. It is true that acute appendicitis in infancy and childhood is very difficult to diagnose and has high incidence of perforation. This retrospective study was carried out on 184 consecutive patients fifteen years of age or younger who underwent operation because of suspicion of acute appendicitis at Inha hospital during the past three years between January 1, 1993 and December 31, 1995. The following results were abtained. There were 129 male (70.2%) and 55 female (29.9%) children. On operation 164 children (89.1%) had acute appendicitis, 20 (10.9%) had no disease in the appendix. Of the 164 children. 38 (23.2%) had perforated appendixes. The highest incidence(31.1%) was in age group between ten and twelve years of age. The incidence was low(6.7%) under the age of 3. It occured most frequently in autumn, however it was not significant. The most common symptoms on initial presentation were abdominal pain. vomiting, nausea, fever, and anorexia in the order of frequency. The most common initial clinical signs were tenderness on right lower abdominal quadrant, rebound tenderness on right lower abdominal quadrant, and abdominal rigidity in the order of frequency. The rate of perforation increased from 6.0% for children who had symptoms for less than 20 hours to 100% for those who had symptoms for longer than 80 hours. The rate of perforation was 22.6% for children who had mean duration (time from patient hospital arrival to operation) less than 6 hours. Leukocytosis (more than 10,000 cells/㎣) was present in 138 children (84.1%) with an average white blood cell count of 14,200 cells/㎣ and with perforation rate 24.6%. The average hospital stay after operation was 5.7 days. The rates of perforation were 14.3% for children who had admitted via emergency department, 46.7% for children who had admitted via any pediatric or general surgery outpatient department, 92.3% for children who had admitted via pediatric outpatient department, 28.1% for children who had admitted via general surgery outpatient department.
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