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        한국형 출혈열의 위내시경적 소견에 대한 임상적 관찰

        김승태(Seung Tae Kim),조항복(Hang Bok Cho),박정종(Jeong Jong Park),이종대(Jong Dae Yee),양종호(Jong Ho Yang),최찬주(Chan Joo choi) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1

        N/A Forty cases of Korean Hemorrhagic Fever who were admitted to Dae Jeon Eul Ji HospitaI from January 1982 to December 1983, were analyzed, based on gastrofiberscopic findings. The results were as follow: 1) The most frequent incidence was found in the age group of 41-50 years old(30% of the total 40 cases studied); the male to female ratio was 1.86:1.2) The location of petechiae in Korean Hemorrhagic Fever could clinically be observed on the soft palate(45%), conjunctiva(32.5%), and axillary portion(20.0%). By using gastrofiberscopy, mucosal and submucosal hemorrhage were found more than twice as often(85% of the total cases) as the above clinical observation. 3) 64.3% of the total Korean Hemorrhagic Fever found on gastrofiberscopy was of the oliguric type. Severe hemorrhage was found in 50% of the oliguric type, but the severe hemorrhage was not found in the non-oliguric type. 4) In the gastrofiberscopic finding for each phase, positive findings were observed throughout all phases. The most frequent incidence and 50% of the severe hemorrhages were found in the oliguric phase. 5) According to the gastrofiberscopic findings, Korean Hemorrhagic Fever occurred most frequently between the 4th and the 9th day after the onset of the incidence, but was generally observed from the first to the 14th day or later. 6) The most frequent bleeding site in the stomach was the fundus(55%) and the body (50%), but bleeding spread to the entire stomach and the esophagus in 8 cases.

      • 충청지방에서 발생한 한국형출혈열 54예의 임상적 고찰

        이종대,조항복,박붕연,심우익,신영태,김선영 충남대학교 의과대학 지역사회의학연구소 1985 충남의대잡지 Vol.12 No.2

        In Dae Jeon Eul-Ji General Hospital, activated since 1581, 54 patients with Korean Hemorrhagic Fever Who were all positive for Korea antigen were observed from January, 1981 to December, 1984. Epidemiology, clinical features, laboratory findings, complications and clinical course in Korean Hemorrhagic Fever were analyzed. The results were as follows: 1. The most prevalent area was OK-Chun Kun. 2. The peak incidence of age was fifth decade and male to female ratio was 2:1. 3. The peak incidence was November to December. 4. The most frequent symptomes were epigastric pain, nausea and vomiting and followed by hemsturia. 5. Conservative treatment was done and hemodialysis was performed in 19 patients without death.

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