Journal of the Korean Pediatric Society 1987;30(5):469-486.
Published online May 31, 1987.
Status of Pediatric Disease in Korea.
H J Oh, J H Lee, S B Lee, S I Lee, J Y Choi, S J Lee, K S Jung, Y C Tockgo
The Statistics Committee of Korean Pediatric Association
소아질병에 관한 통계적관찰 一제 1 차 계통별 질환 통계보고一
오호진, 이정화, 이상범, 이상일, 최정연, 이승주, 정기섭, 독고영창
고려의대 ,경북의대,인제의대,서울의대,이화의대,연세의대 소아과학교실
Abstract
It is the purpose of this study to help understand the disease pattern in the pediatric f The survey was made mostly by the Korean Pediatric Association during the period o 1983 to 1984 with the help from 43 pediatric training hospitals throughout Korea. The studies were made from the total of 67,550 pediatric inpatients under 15 years of s the distribution of the disease by age and sex according to system. The frequency of disease by system was as follows; disease of gastrointestinal tract: 28.42% disease of genitourinary tract: 8.06% congenital heart disease: 4.8% disease of the blood: 2.68% neoplastic and neoplasm like lesion: 1.86% 1. Disease of gastrointestinal tract; The number of disease of gastrointestinal tract were 1,197 (28.42%) out of 67,550 inp£ sex ratio was 1.79:1 in favor of the male. The most frequent age group was between 1 r year of age as 32% and the least group was under 1 month of age as 6.26%. The frequency of diseases was as follows respectively; 1) acute gastroenteritis: 52.84% a) viral infection: 29.93% b) bacterial infection: 20.57% 2) hepatobiliary tract disease: 20.44% acute hepatitis: 15.8% a) type A: 9.75% b) type B: 6.05% 3) intussusception: 7.73% 4) inguinal hernia: 5.07% 5) congenital anomalies: 3.28% 6) anaphylactoid purpura: 2.80% 7) motility disorders: 1.65% 8) intestinal obstruction: 1.08% 9) acute appendicitis: 1.06% 2. Disease of the blood The number of hematologic disorder patients were 1,788 (2.68%) out of 66,825 inpatients and the male outnumbered the female group as 1.86:1. The age between 1 and 5 years old group had the most of 30.82%. The percentage of the diseases was as follows in order of frequency: 1) iron deficiency anemia: 38.93% 2) ITP: 13.09% 3) physiologic anemia: 10.07% 4) acquired aplastic anemia: 7.21% 5) hemorrhagic disease of the newborn: 5.03% 6) hemophilia: 4.36% 7) DIC: 3.64% 3. Neoplastic and neoplasm like lesion The number of neoplastic and neoplasm like patients were 1,246 (1.86%) out of 66,825 and sex ratio 1.7:1 the male outnumbering the female. The most frequent age group was between 1 and 5 years old as 40.77%. The frequency of the diseases was shown below respectively; 1) leukemia: 45.99% a) acute leukemia: 43.74% b) chronic myelocytic leukemia: 2.24% 2) hemangioma: 12.2% 3) lymphoma: 8.59% 4) neuroblastoma: 6.7% 5) Wilm’s tumor: 6.18% 6) lymphangioma: 3.85% 7) neoplasm of Liver: 3.45% 4. Congenital heart disease The frequency of CHD (congenital heart disease) was 4.8%, 3,541 out of 73,801, and sex ratio was male:female, 1.29:1. One and five years of age group showed the most of 34.17%. The order of frequency of the diseases was as follows; 1) ventricular septal defect: 42.33% 2) tetralogy of Fallot: 11.97% 3) patent ductus arteriosus: 11.18% 4) atrial septal defect: 8.3% 5) transposition of great arteries: 3.81% 6) pulmonary stenosis: 3.22% 7) double outlet of right ventricle: 2.32% 8) pulmonary atresia: 1.24% 9) abnormal position of heart: 1.16% 10) tricuspid atresia: 0.9% 5. Disease of genitourinary system The number of urinary system diseases were 4,087 (8.06%) among 50,712 inpatients and the sex ratio was 1.54:1, male over female group. The most frequent age group was between 5 and 10 years of age as 33.96%. The frequency of diseases was as follows; 1) urinary tract infection: 33.86% 2) acute glomerulonephritis: 27.53% 3) nephrotic syndrome: 12.63% 4) henoch-Schonlein nephritis: 5.9% 5) benign recurrent hematuria: 5.78% 6) renal failure: 3.16%




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