Journal of the Korean Academy of Family Medicine 1986;7(2):1-6.
Published online February 1, 1986.

소아 장중첩증의 임상적 고찰

최학붕 이혜리 이순일 김재억

연세대학교의과대학 가정의학교실 소화 아동병원

Abstract

Intussusception is the most frequent cause of intestinal obstruction in children between the age of 2 months and 5 years. The prognosis of this disease depends on early diagnosis and treatment. A clinical study was done on 199 cases of intussusception in children who were admitted to Soh Wha Children's Hospital from Jan. 1983 to Dec. 1984.
The results were:
1. Intussusception was more common in male than female children (M:F = 2:1), the peak age group was 4-9 months (47.2%).
2. URI history was noted in 25 cases (12.6%) and diarrhea in 12 cases (6.0%) before intussusception.
3. The most frequent symptoms were abdominal pain and irritability in 156 cases (78.3%), followed by vomiting in 153 cases (76.9%).
4. Bloody, mucoid stool was noted in 91 cases (45.7%) and abdominal mass was palpated in 74 cases (37.2%).
5. The most frequent anatomical type of intussusception was ileo-colic type in 134 cases (67.3%), followed by colo-colic type in 25 cases (12.6%) and ileo-cecal type in 14 cases (7.0%).
6. Intussusception was managed by barium reduction in 123 cases (61.8%), manual reduction in 70 cases (35.2%) and segmental resection in 6 cases (3.0%).
7. Barium reduction rate by onset of symptoms and signs was highest (94.4%) within 12 hours, followed by 86.1% within 12-24 hours, 47.5% within 24-48 hrs.
8. Operation rate by age was highest (60.4%) in patients under 6 months, followed by 34.5% in 7-12 months, 22.5% in 13-24 months, 17.6% in 25-36 months of age.