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金慶植,白樂晥 中央醫學社 1964 中央醫學 Vol.7 No.1
Between June 1953 to Joune 1963, total 328 Cases of intussusception have been treated at The Paik Clinic, Seoul. Out of these total, 154 cases covering the period between june 1953 .through May 1956 have been previously reported from this Clinic, and the present report deals with 174 Cases representing all cases seen after May 1956. 1) Age; 29 Cases(16.6%) were below 1 year of age, 80 cases (45.9%) were between 1 and 15 years of age and the rest, 94 Case (54.1%) represented the adult population. 2) Sex; Male dominated at the ratio of 76.4% to females 23.6% 3) Cause; In only 15 Cases (8.7%), a cause considered responisble for the Intususception could be discovered. Out of these 15 eases, 10 were children. 159 Cases, or 91.3% of total were idiopathic in which no cause could be discovered. 4) Symptoms a) Abdominal pain was present in all cases(100%) b) Vomiting was seen in 62% This was a commoner symptom in Children (80%) while it occured in about half the adult cases (47.9%) c) Melena was in only 5.3% of adult cases while it -occured in 50% of children. d) Palpable tumor was present in 72. 4% of adult cases and 94% of children, an overall palpability of 81.2%, It was felt in 57.2% at right lower quadrant, 18.9% at right upper quadrand, 14, 6% at mid upper abdomen, 5.6% at left upper quadrant and in 2%, the mass was described in periumbilical area. 5) Type of intussusception; In children, ileocecal type was the commonest (56,5%) followed by colocolonic (43.5%). In adult, colo-colonic type was by far the commonest (71.3%) followed by ileo-colic (25.5%) and ileo-ileal (2.1%). 6) Treatment Except the 4 cases inwhich reduction was accomplishel by barium enema, 170cases were treated by surgery including the cases in which intestinal resection was required. 7) Mortality Overall mortality was 4% (7 cases) all of these were children, and 6 out of these 7 were under 1 year of age. Mortality of children, therefore was 83% and that of infant under 1 year ofage was 20.7%.
絞扼性 腸閉鎖時의 代謝 및 組織學的 變化에 關한 實驗的 硏究
李舜濟,金相孝,白樂晥 인제대학교 1983 仁濟醫學 Vol.4 No.4
실험적인 교액성 장폐쇄에서의 혈청단백, 콜레스테를, 전해질 및 병변 장의 조직학적 변화를 시간별로 관찰함. Acute obstruction of small bowel is caused by hernia, adhesions and bands within peritoneal cavity, and that results in accumulation of fluid and gas proximal to the obstruction producing distention of the intestine. Strangulation develops when the circulation to obstructed intestine is impaired by longstanding or "closed loop" obstruction. Strangulation causes loss of blood and plasma from the strangulated segment, which may be particularly severe if the vascular obstruction is predominantly venous. Author investigated the changes of serum protein, cholesterol, electrolytes, and histological findings of strangulated intestine experimentally in the rats. The following results were obtained. 1.Serum protein was slightly decreased after 30 minutes of obstruction, but the sequential changes of serum protein levels showed no significant differences statistically throughout the experimental periods. 2.Serum cholesterol levels were gradually decreased reaching to 97.4mg/dl within three hours of obstruction in conrast with 116.8mg/dl in control group. 3.Serum calcium levels were slightly decreased after obstruction, but there were no significant differences in serum sodium and potassium levels. 4.In the histological investigation, degeneration of mucosal epithelium, submucosal congestion and edema appeared in 30 minutes of intestinal obstruction. Necrosis of mucosal epithelium, degenerative chance of muscle fiber and thrombus formation in the vessels appeared in one hour of obstruction. In the groups of two to three hours after strangulation obstruction, marked thrombus formation and necrotic changes of all intestinal wall were noticed.