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潰瘍性 大腸炎에 關한 臨床的 考察

A Clinical Study on Patients with Ulcerative Colitis

대한외과학회지 1969년 11권 9호 p.565 ~ 572
李永殷, 金禮欽,
소속 상세정보
李永殷 (  ) - 서울대학교 醫科大學 外科學敎室
金禮欽 (  ) - 서울대학교 醫科大學 外科學敎室

Abstract


A total of 28 patients with ulcerative colitis treated at the department of Internal Medicine and General Surgery of S.N.U. Hospital from Sept. 1961 to Aug. 1968 was reviewed.
The results obtained are as follows:
1) The sex distribution assumed a ratio of 3 to 2 with 17 males and 11 females.
2) The majority of cases was between 3rd and 4th decade (57.1%), while relatively even distribution of age from 1st to 7th decade of life.
3) The time interval from the onset of symptoms to the first admission was 1 to 20 yrs in 18 cases (64%), and less than 1 year in 10 cases (36%).
4) The most diagnostic signs encountered were abdominal pain, diarrhea, gross bleeding, weight loss, tenesmus, fever and vomiting.
5) The sigmoidoscopic examination showed positive findings in 25 cases (89.3%), and colon study in 17 cases (60.7%).
6) As to the extent of the disease determined by sigmoidoscopic exammination and the colon study, 18 cases (64.3%) inuolved rectum or rectosigmoid colon.
7) Significant lab. findings were the tendency of mild leukopenia, eosinophilia, low value of hemoglobin and occult blood.
8) The most common coincidental diseases were neurosis (8 cases) and hypertension (3 cases).
9) Complications were colonic and systemic; hemorrhoid, anal fistula, polyp, anemia and arthritis.
10) Three of 4 patients who under went subtotal colectomy without ileostomy showed good result.

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