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고승석(Seung Suck Koh),정기수(Ki Soo Chung),이동훈(Dong Hun Lee),김창식(Chang Sig Kim),이중건(Choong Kyun Lee),이경원(Kyung Won Lee) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.2
N/A A c)inical study was performed in 99 cases of acute pancreatitis who were admitted to Seoul Adventist Hospital during the preceding 5 years from Jan. 1978 to Dec. 1982 and following results were obtained. 1) Of total cases with acute pancreatitis, 38 were male and 61 were females. And the ratio of male to female was 1:1.6. 68.8%, of all cases were in 3rd-5th decade of the age groups. 2) The common etiologic conditions were dietary, biliary disease, alcoholic and drug in descending orders. There were no etiologic factors in 35.4%. 3) The cardinal manifestations on admission were abdominal pain, nausea and vomiting, radiating pain, diarrhea and perspiration in descending orders. The physical examination showed abdominal tenderness, abdominal rigidity, diminished peristalsis, fever and abdominal distention in descending orders. 4) On laboratory test, a level of serum amylase more than 300 Somogyi units/100ml were seen in 86.9% Leukocytosis was evident in 73.7%, proteinuria in 45.5% Glycosuria in 29.3% hyperbilirubinemia in 16.1%, and hypocalcemia in 17.2%. 5) The radiologic examination in acute pancreatitis revealed paralytic ileus in 57.0% non- visualization of gall bladder in 33.3% pleural reaction in 12.1%, elevation of diaphragm in 8.1%, and atelectasis in 7.l%. 6) The associated electrocardiographic abnormalities were inverted T wave(6.1%, depre- ssion of ST segment(5.1%), p-mitrale(2.0%), and arrhythmia(3.0%). 7) The major complications were shock, gastrointestinal hemorrhage, psychiatric problem, pancreatic and peripancreatic abscess, and pseudocyst. 8) The mortality rate during the hospitalization was 1.0% and cause of death was septic shock. 9) The causes of readmission which was found in 7 cases were 4 cases of recurrent pancreatitis(2 cases were combined by biliary stone), 2 cases of biliary stone, and 1 case of diabetic coma. Judging from the result so far obtained, we felt deeply the neccessity of detecting and removing the etiologic or combined conditions intensively at first admission to avoid the preventable readmission.