5세 이하 소아의 급성 충수염에 관한 임상적 고찰

• Published in: Annals of surgical treatment and research Vol. 69; no. 5; pp. 412 - 416
• Main Authors: 전규하(Gyu Ha Jun), 전봉춘(Bong Chun Jun), 이현규(Hyen Gyu Lee), 배종대(Jong Dae Bae), 김낙희(Nak Hee Kim), 하동엽(Dong Yub Ha), 정호근(Ho Geun Jung), 정기훈(Ki Hoon Jung), 정병욱(Byung Wook Jung)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.11.2005
• Subjects: 일반외과학; 소아; 급성 충수염; Acute appendicitis; Children
• ISSN: 2288-6575; 2288-6796

Purpose: Acute appendicitis is one of the most common causes of abdominal emergency. Children, under age of 5 years, are unable to give an accurate history, but other nonspecific abdominal pain is more common at this age. Because diagnosis is often delayed and progression of appendicitis is faster, incidence and perforation rate is higher than those of adults. Abdominal US and CT are helpful in diagnosis of acute appendicitis. Methods: Between July, 1997 and April, 2004, 39 patients below 5-year-old were participated, but 2 (Negative) patients were excluded. This study was done retrospectively based on medical charts. For statistical analysis, Chi-squre test was used. Results: All patients undergone emergency operations, in which male to female ratio was 1.79：1, with its mean age of 4.05. 19 patients (49%) were perforated and fever developed more frequently in perforating group, but leukocytosis was not significant. Delayed preoperative duration was associated with perforation rate significantly. All complications were occurred in perforating group. Conclusion: To decrease perforation rate and complications, early diagnosis and management are necessary to avoid delaying preoperative time. KCI Citation Count: 2