잠시만 기다려 주세요. 로딩중입니다.

幼小兒 腸閉鎖症의 臨床的 考察 A Clinical Review in Surgical Case of Intestinal Obstruction in Infancy and Children

대한외과학회지 1975년 17권 12호 p.15 ~ 24
尹正秀, 趙榮國,
소속 상세정보
尹正秀 (  ) 
全南大學校 醫科大學 外科學敎室

趙榮國 (  ) 
全南大學校 醫科大學 外科學敎室

Abstract


This article reports a clinical and statistical review of 170 cases of intestinal obstruction in infancy and children under the age of 15 years, which were treated at the Chonnam National Universty Hospital from January 1971 to December, 1974.
1) As for the etiological classification in order of frequency in our 170 cases intussusception 69 cases (40.7%), intestinal obstruction due to congenital disease 61 cases (35.8%), intestinal obstruction due to adhesion 25 cases (14.4%). .
those were more than 90% in all cases.
2) Regional distribution showed those 112 cases (65, 9) were obstruction in small intestine and 35 cases (20.5) were in large intestine and colon. The ratio of small intestine and large intestine was 3.2 1.
3) The age range in majority of patients was finder the age of 6 months (45.3%), 7-12 months (24.7%), 1~2 years (9%). 75. 3% of the patients were under the age of 2 years.
4) The sex distribution assumed the ratio of 3-8: 1 with 133 males and 37 females.
5) The main symptoms and signs were vomiting in 140 cases (82.3%), abdominal pain, in 122 cases (71.8%), abdominal distention in 75 cases (44. 1%), bloody stool in 54 cases (31.8%) and difficulty of defecation in 52 cases (31.5%).
6) As for the operative fashion in order of frequency in our 170 cases; 45 cases were manual reduction of intussusceotion with cecopexy, 20 cases abdominoperineal anoplasty, 18 cases enterolysis, 15 cases pyloromyotomy and etc.
7) The mortality was 15.5% (26 cases in all 170 cases).
The most frequent cause of death was electrolyte imbalance (14 cases, 53.8%).

키워드

원문 및 링크아웃 정보

 

등재저널 정보

KCI
KoreaMed
KAMS