계명대학교 의학도서관 Repository

최근 5년간 경북지역에서 발생한 한국형 출혈열의 임상적 고찰

Metadata Downloads
Affiliated Author(s)
박성배김현철박승국
Alternative Author(s)
Park, Sung BaeKim, Hyun ChulPark, Soong Kook
Journal Title
Keimyung Medical Journal
Issued Date
1987
Abstract
The epidermiology, clinical course, treatment and factors of related prognosis in 157 cases of Korean Hemorrhagic Fever(KHF) were analyzed. The patients studied were admitted to Keimyung University Hospital in Kyungpook Province from January 1982 through December 1986. The results were as follow : 1. By age distribution, the group in the ages 40 to 60 was 55.4%. By sex, there were more male than female(2.4:1). 78.6% of the KHF studied, occurred from October to December in every year which revealed a single large peak prevalence pattern. 2. The geographic distribution in the Kyungpook Province showed the occurrence of KHF concentrated in the northern and middle part of the province near the So Bak Mountains. 3. The oliguric phase was the most frequent phase of the disease on admission. The common clinical symptoms were fever, chill, general aches, and abdominal pain and nausea. Conjunctival congestion, CVA tenderness, and abdominal tenderness were frequently found on physical examination. Soft palate petechiae was the most common finding of the bleeding tendency. 4. Leukocytosis, thrombocytopenia, hematuria, proteinuria and elevation of BUN & serum creatinine levels were the common laboratory findings. Usually the SGOT level was higher than SGPT level. SGOT elevated cases were 73% in all of the KHF patients. 5. 47.1% of the patients received hemodialysis , 11% were treated with peritoneal dialysis, and the remaining patients received conservative therapy. The frequency of hemodialysis was less than 3 times in most of the cases and the average duration of peritoneal dialysis was 7.4 days. 6. The overall mortality rate of KHF was 11.5% in this study. The fatalities in the hypotensive phase were 61.6% and oliguric phase was 38.9%, but there were no deaths during the diuretic phase. The main cause of death was irreversible shock(61.1%). Other causes of death were pulmonary edema(16.7%), gastrointestinal bleeding, cerebral hemorrhage, and encephalopathy (5.6% respectively). 7. The factors more commonly seem in the patients who died were the older age group with elevated hemoglobin, hematocrit, urine specific gravity, and serum transaminase levels.
Alternative Title
A Study of Korean Hemorrhagic Fever for the Past Five Years in Kyungrpook Province
Department
Dept. of Internal Medicine (내과학)
Publisher
Keimyung University School of Medicine
Citation
박성배 et al. (1987). 최근 5년간 경북지역에서 발생한 한국형 출혈열의 임상적 고찰. Keimyung Medical Journal, 6(2), 364–372.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/14499
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 1987
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.