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소아 급성 신부전증의 임상적 연구

Other Titles
 Acute renal failure in children 
Authors
 박복열 
Issue Date
1982
Description
의학과/석사
Abstract
[한글]

소아의 급성 신부전증은 빨리 발견하여 적절히 치료하면 어른에서 보다 훨씬 좋은 결과를 얻을 수 있는 것으로 알려지고 있다.

저자는 1978년 1월부터 1980년 12월까지 만 3년간 연세의대 부속 세브란스 소아과에 입원하여 급선 신부전의 치료를 받은 22명을 관찰하여 다음과 같은 결과를 얻었다.

급성 신부전증의 빈도는 6세에서 10세 사이에서 가장 높았고(45.5%) 이들 대부분을 급성 사구체신염이였으며 남아에서 여아보다 3.4배 많았다.

급성 신부전증의 원인은 renal origin이 13예, prerenal origin이 8예였다. 또 질병별로 볼 때 연쇄상구균 감염후 사구체신염이 8예로 가장 많았다.

빈뇨 혹은 무뇨의 평균기간은 5일(1∼2O일)이었으며 최고 BUN치의 평균치는 104㎎/dl(54∼184㎎/dl)이었고 정상치로 되기까지는 3∼10일이 걸렸다. 2명의 환자는 사망하였고 자의 퇴원한 4명의 환자를 사망한 것으로 간주하면 사망률은 27%이었다.

생후 제6일과 제7일에 각각 복막투석을 하였던 신생아가 급성 신부전증으로부터 회복된 것은 특기할 만한 사실이다.



[영문]

The author observed 22 cases of acute renal failure in children who were admitted to Severance Hospital from Jan. 1978 till Dec. 1980 and the results are as follows.

The acute renal failure was the highest incidence between the age of 6 and 10 years (10 cases out of all), most of whom had acute glomerulophritis and male was 3.4 times as high as in female.

The causes of acute renal failure were renal origin (13 cases) and prerenal origin (8 cases) and in type of diseases the acute poststreptococcal glomerulonephritis was the most frequent cause(8 cases).

Average duration of oliguria or anuria was 3 days (range 1-20 days), mean value of peak BUN level was 104 mg/dl (range 54-184 mg/dl) and took 3-10 days to recover.

Two patients died and those who died or discharged against advise were considered as died, mortality rate was 27%.

It was remarkable that two neonates who were performed peritoneal dialysis on the 6th day and the 7th day after birth respectively were recovered from acute renal failure.

Acute renal failure in children have more favorable outcome than in adults therefore early diagnosis and prompt treatment of conservative treatment and peritoneal dialysis should be performed.
Full Text
https://ymlib.yonsei.ac.kr/catalog/search/book-detail/?cid=CAT000000005840
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Appears in Collections:
1. College of Medicine (의과대학) > Others (기타) > 2. Thesis
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/115834
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