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先天性心臟疾患의 臨床的硏究

Clinical Studies on Congenital Heart Disease

소아과 1963년 4권 2호 p.43 ~ 47
소속 상세정보
洪彰義/Hong, Chang Yee

Abstract


During 4 years, from October 1951 to September 19x1, 13o cases of congenital heart disease were observed, which represents about I% Of the iotal patients who were seen dUTng the same period and approximately six times more than the occure:lce of chronic rheumatic heart disease.
Out of the 135 patients, 77 cases(57%) were male and 58 cases(43%) were female. Approximately one half of the patients were under 2 years of age at the firs examination.
Among the chief complaints at the first visit, cysp ea or exertional dyspnea cyanosis, fever, frequent upper respiratory Infection, growth retardation, fatigueability, palpitation and irritability were the most common.
There were only three mothers according to their history who gave the history of some febrile disease of unknown origin during early pregnancy but in many oases their histories were unreliable.
The Incidence of individual lesions is shown in Fig. 2. Ventricular septal defect, Tetralogy of Fallot, patent ductus arteriosas, atrial septal defect and pulmonary stenosis were the most common congenital heart anomalies.
There were nine patients who had associated congenital anomalies. Mono lism was the most common.
Out of the 135 cases, 16 patients were operated, 12 cases b;r extracardiac surgery and 4s by intracardiac, by using pump-oxygenator.

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