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J Korean Soc Emerg Med > Volume 7(1); 1996 > Article
Journal of The Korean Society of Emergency Medicine 1996;7(1): 118-125.
PEDIATRIC PATIENTS WITH ACUTE ABDOMEN NEED TO ADMISSION CARE
Taeg Hwan Bae1, Jun Sig Kim1, In Sool Yoo1, Joon Pil Cho1, Min Young Ki3, Cheol Joo Lee2
1Department of Emergency Medicine, Ajou University School of Medicine
2Department of Chest Surgery, Ajou University School of Medicine
3Ajou University Medical Student
  Published online: March 31, 1996.
ABSTRACT
The acute abdomen defined as an acute abdominal condition which needs immediate decision for treatment is one of the most common cause for emergency care. One thousand six hundreds nine patients were visited to pediatric emergency center due to acute abdomen. To aid in early diagnosis and proper treatment, a clinical review was made on 278 cases of acute abdomen under 15 yrs old which admitted to Pediatrics and General surgery via emergency center from June of 1994 to May of 1995. The results as follows: It was 17.3% of total visiting to pediatric emergency center due to gastrointestinal symptoms. The sex ratio(Male : Female) was 2.35 : 1. Acute gastroenteritis was the most common acute abdominal condition(54%) and followed by acute appendicitis(17.9%), and intussusception(13.9%). The most common chief complaint was vomiting(58.0%) and followed by abdominal pain(39.4%), diarrhea(35.8%), and fever(42.1%). One hundred fifty-five patients were visited to pediatric emergency center via local clinic and thirty patients via OPDs. The operations were done in 75 patients. Among them, immediate operation were done in 60 patients and delayed operations were done in 15 patients, but there is no difference in complication.
Key words: Acute Abdomen, Pediatric Patients, Admission
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