書誌事項
- タイトル別名
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- A CLINICAL STUDY OF THE PERFORATED ACUTE APPENDICITIS IN CHILDREN
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抄録
Ninety-five children with acute appendicitis have been operated on at the department in a recent 15-year period. They were classified into non-perforated and perforated cases by operative findings and further subdivided into two grouups; younger than 5 years and from 6 to 15-year-old. There were 59 non-perforated cases and 36 perforated cases. Perforated cases younger than 5 years (58%) were more than perforated cases from 6 to 15 years (33%). The most common complaint was abdominal pain as a whole. But the appearance of nausea and/or vomiting became frequent in perforated cases, especially, that in youngers than 5 years was higher than that of abdominal pain. Muscle rigidity or defense musculare was a characteristic finding of perforated cases, but it was less useful diagnostic value in youngers under 5 years. The white blood cell counts were less in perforated cases younger than 5 years but more in perforated cases from 6 to 15-year-old. The body temperature was significantly higher in perforated cases. The frequency of perforated cases undergoing an operation within or after 48 hours was 23% or 63% respectively. It was suggested that the patients undergoing a delayerd operation prone to develop perforation. Of operated cases within 48 hours after the onset of the disease, perforation more frequently occurred in younger cases under 5 years (50%) than those between 6 and 15-year-old (17%), in dicating a rapid progress of the disease in younger children.
収録刊行物
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- 日本臨床外科医学会雑誌
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日本臨床外科医学会雑誌 57 (6), 1321-1328, 1996
日本臨床外科学会
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詳細情報
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- CRID
- 1390001205316380544
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- NII論文ID
- 130003600022
- 10008521730
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- NII書誌ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可