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오만택,오광수 圓光大學校 醫科學硏究所 1998 圓光醫科學 Vol.14 No.2
This study attempted to analysis clinical and diagnostic characteristics of 61 patients with recurrent abdominal pain(RAP) in children, from January, 1992 to July, 1997 at the department of Pediatrics, Wonkwang University hospital. The result were summarized as follows : 1) Sixty-one children ranging in age from 2 to 15 years was examined. It showed more frequently in girls than in boys(M:F=2:3) and showed 10 to 15 years of age in 38(62.4%), 5 to 15 years of age in 18(29.5%), below 5 years of age in 5(8.2%). The peak age was 11 to 15 years of age. 2) The pain was predominantly epigastric in 24(39.3%), periumbilicus 13(21.3%), right lower abdomen 6(9.8%), and left lower abdomen in 6(9.8%) in order of frequency. 3) Additional complaints, e.g, vomiting 16(26.2%), headache 9(14.7%), constipation 8(13.1%), occurred at or between the episodes of abdominal pain. 4) Upper gastrointestinal endoscopy was performed in 47 of 61 children with RAP, showed acute gastritis in 19(40.4%), duodenitis in 6(12.8%), gastric ulcer in 3(6.4%), duodenal ulcer 2(4.3%), and chronic superficial gastritis and esophagitis in 1(2.3%), respectively. 5) Helicobacter pylori infection was revealed in 3(33.3%) of 9 children who performed rapid urease test(CLO test). 6) Of the 20 patients who examined with upper gastrointestinal barium(UGI) study and upper gastrointerstinal(UGI) endoscopy, 11(55%) had normal finding in both of two studies, 6(30%) with normal findings in UGI barium study were found to erosive gastritis in UGI endoscopy, and 3 with duodenitis, gastric ulcer, and chronic superficial gastritis were found to gastroduodenitis, chronic superficial gastritis, and acute hemorrhagic gastritis in UGI endoscopy, respectively.
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아나필락시스양 자반증의 임상적 특징 및 예후인자에 대한 분석
오만택,최형철,최두영 圓光大學校 醫科學硏究所 1998 圓光醫科學 Vol.14 No.2
Purpose: Anaphylactoid purpura, a common cause of vasculitis in children, usually involves the skin, gastrointestinal tract, jonit and kidney. The aim of this study is to provide a profile of clinical features of this disorder, as well as to investigate the prognostic significance of various clinical parameters which it depends on the involvement of kidney or relapse. Method : This study included 80 patients with anaphylactoid purpura who had been admitted to the Department of Pediatrics of Wonkwang university hospital from Jan. 1, 1995 to Dec. 31, 1997. The presenting symptoms, associated disease, hematologic features and the abscence or prescence of renal involvement were studied in the patients retrospectively. Results: The results were as the follows. 1. The male to female ratio was approximately 1.5:1. 2. The incidence according to age were 5 to 10 years of age in 48(60.0%), 10 to 15 years of age in 18(22.5%), and 1 to 5 years of age in 14(17.5%). 3. There were somewhat seasonal variations : Nov. to Dec. in 20(25.0%), Sep. to Oct. in 19(23.7%), March to April 18(22.5%), and in Jan. to Feb. in 12(15.0%) 4. The history of upper respiratory tract infections showed high incidence in the patients with anaphylactoid purpura 58(72.5%). 5. The major clinical manifestations on admission showed skin lesions in 77(96.3%), gastrointestinal symptoms in 46(57.5%), joint symptoms in 42(50.5%), and renal manifestations in 2(2.5%). 6. Seventeen(21.3%) of 80 patients occurred renal disease in anaphylactoid purpura. There were no statist, cally significance of various clinical parameters which it depends on the renal involvement except the platelet level. 7. Eleven(13.8%) of 80 patients recurred. There were no significant relationships between the recurrence of anaphylactoid purpura and various clinical parameters.
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Duct-Occlud를 이용한 동맥관개존의 비수술적 폐쇄
오만택,오재화,윤향석 圓光大學校 醫科學硏究所 1999 圓光醫科學 Vol.15 No.2
Background: We tried to occlude the duct with retrievable coil device(Duct-Occlud) in 6 children with patent ductus arteriosus(PDA). And, we reviewed the technical aspects and the short-term results. Methods: PDA occlusion with "Duct-Occlud" system was attempted in 6 patients with small to moderate size PDA from January 1999 to November 1999. Mean age of the patients was 6.56 (1.33 to 14)year. After estimation of the size of PDA, retrievable coil device(Duct-Occlud) was inserted through the femoral vein route. The angiocardiography was performed 10 minutes after the procedure. On next day and one week later, the follow-up echocardiogaphy was checked. And then, it repeated at 3 months, 6 months later. The follow-up duration was 5.5(1 to 11) months. Results: The Qp/Qs was 1.44(1.25 to 1.63), Rp/Rs 0.09(0.03 to 0.15), size of pulmonary end 2.73(2.1 to 3.5)㎜, aortic end 4.58(2.8 to 5.5)㎜, length 5.83(3.8 to 8)㎜. The complication of the procedure occurred in one patient by uneventful earlier detatchment. Flow disturbance was not developed. Conclusions: Coil occlusion with the Duct-Occlud system is a safe and effective method for percutaneous closure of small to moderate-size PDAs. Larger numbers of treated patients and longer follow-up period would be necessary to more precisely define the efficacy, and most appropriate indications for this system.
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소아 감염성 질환에서 경구용 Cefixime(Suprax^�)의 임상 효과에 관한 연구
정수미,오만택,최재각,김종덕 圓光大學校 醫科學硏究所 1994 圓光醫科學 Vol.10 No.1-2
The effect of cefixime was evaluated clinically from March 1 to April 30, 1994. The drug was administered orally to the 30 pediatric patients of acute pharyngo-tonsillitis, pneumonia and urinary tract infections. We compared the result with the other 30 pediatric patients of same diseases whom were administered intrave-nousely augmentin and gentamycin or augmentin and cefotaxime. The results are as follows : 1. The clinical improvements of the cefixime administered group is similar to the control group. 2. The abnormal laboratory findings, such as leukocytosis and elevated ESR and pneumonic infiltrations on chest x-ray were normalized in both groups. 3. Clinically observed cure rate of acute pharyngotonsillitis was 100%, pneumonia 84.6%, UTI 100% respectively on cefixime administered group. 4. The adverse drug reaction was noticed on cefixime administered group as follows; diarrhea were two cases and vomiting one case.
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