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아메바성 대장염의 임상적 관찰

A Clinical Observation on Amebic Colitis

최신의학 1968년 11권 9호 p.53 ~ 57
邊智善, 洪仁範,
소속 상세정보
邊智善 (  ) - 가톨릭大學 醫學部 內科學敎室
洪仁範 (  ) - 가톨릭大學 醫學部 內科學敎室

Abstract


Authors have attempted a clinical observation on the 48 cases of amebic colitis who were selected from the admitted patients to the St. Mary´s hospital, - Catholic Medical College during the 5 consecutive years from January, 1963, .
The 48 subjects were those who have found to have, Endamoeba Hystoiytica in their stool by the iabolatory.; The study which was obtained, the followings as to their ages, sex,symptoms signs, nature of stool, J findings in palpation, sigmoidoscopic findings, findings of balium enema and complications.
1. All 48 cases prescuted overt clinical symptoms. While´child cases revealed diarrhea, abdominal pain and distention, and dehydration as the major clinical symptoms, the adult group showed nutritional deficiency, anemia, diarrhea and neurological symptoms.
2. The frequency of symptoms were diarrhea, abdominal pain, mild fever and nausea consecutively, and tenderness by palpation in the Rt lower quadrant and in the´Lt lower quadrant was noted from about one half of the cases, and 12.5% of the cases revealed hepatomegaly.
3. 50% of the cases with sigmoidoscopic examination prescuted ulcerative changes and 46% of the cases with balium enema revealed pathological findings and mostly in the descending and sigmoid colon.
4. About 30% of the cases showed mild fever, 37% revealed leucocytosis and 21% prescuted more than 20mm oneH at the ESR tests.
5. Complications were liver abscess(12.5intestinal perforation (2.1%), empyema (2.1%) and arthritis (2.1%).
6. Antiamebic treatment showed satisfactory out come at all cases except one case who axpired from intestinal complication.

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