| Clinical Observation of Intussusception in Infancy and Childhood |
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III Woong Lee, Suck Hi Kim, Sung Hoon Cho |
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Department of Pediatrics, Catholic Medical College Seoul, Korea |
| 소아 장중첩증의 임상적 관찰 |
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이일웅, 김석희, 조성훈 |
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가톨릭 의과대 학 소아과학교실 |
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| Abstract |
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Intussusception is the one of frequent and emergency surgical conditions in infancy and childhood. The clinical study of 106 cases of intussuscepton, who were admitted at the St. Mary’s Hospital during the past five years from January 1967 to December 1972, was reviewed. The results of this study were as follows; 1)In age incidence, 68. 9% of the patients were under one year of age, and 83. 1% of the patients were under two years of age. 2)Male were affected more often than female, the ratio was 2. 9: 1. 3)The incidence in Spring was higher than other seasons (40.5%). And also in artificial fed infants the incidence was higher than others (55.1%).
4)Etiologic causes were found only in 7. 6% of them and rest of them (92. 4%) were not determined. 5)Of 106 cases, 21 cases (19. 8%) had upper respiratory infection on admission. 6)The most of patients was well nourished and their body weight were over 76th percetile of Korean normal infants and children in 58.5% of them.
7)In analysis of the pathoanatomical type, the order of frequency was ileocecal (36. 9%), ileocolic(34. 0%), ileoileal (7.5%), cecocolic (7. 5%), colocolic (5.7%). 8)The cardinal symptoms and signs were current jelly stool (88.5%), vomiting (75.5%), intermittent abdominal pain (73. 6%) and papalble mass (68. 9%). In location of palpable mass, the most common region was right upper quadrant (46. 7%). 9)The 81 cases, admitted within 24 hours after the onset, 64 cases (79%) was successfully treated by hydrostatic pressure reduction and rest of them (21.0%) was managed by surgical manual reduction. But 6 cases, admitted after 72 hours from the onset were treated by segmental resection. 10)The recurrence after the first reduction was occured in 3. 8% of them and the other complications were noted in 7. 8% of cases. The mortality was 3.1% in our all of cases. |
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