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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 Colititis

중앙의학 1969년 16권 3호 p.240 ~ 246
金禮欽, 李永殷,
소속 상세정보
金禮欽 (  ) - 서울대학교 醫科大學 外科學敎室
李永殷 (  ) - 서울대학교 醫科大學 外科學敎室

Abstract


A tobal of 28 patients with ulcerative colitis treated at the department of Internal Medicine and General Surgery of S.N.U. Hospital from Sept, 1061 to Aug, 1968 was reviewed, The results obtained are as follows:
1) The sex distribution assumed a ratio of 3 to 2 with 17males and 11 females.
2) The majority of the cases was between 3rd and 4th decade (57.1%), while the relatively even distribution of age from 1st to 7th decade of life.
3) The time interval from the onset of symtoms to the first admission was 1 to 20yrs in 18 cases (64%), and less than lyrs in 10 cases (36%).
4) The most diagnostic signs encountered were abdominal pain, diarrhea, gross bleeding, weight loss, tenesmus, fever and vomiting.
5) The Signoidescopic examination showed, positive findings in 25 cases (89.3%), and the colon study in 17 cases (60. 7%).
6) As to the extent of disease determined by sigmoidoscopic examination and the colon study, 18 cases (64.3%) involved 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 underwent subtotal colectomy without ileostomy showed good result.

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