Áö³ 15³â°£ ¼Ò¾Æ¿Ü°ú ÁúȯÀÇ ÀÓ»óÀû °íÂû
A Clinical Review of Fifteen Years¢¥ Pediatric Surgical Diseases
Á¤»ó¿µ, ÃÖ¼öÁø³ª,
¼Ò¼Ó »ó¼¼Á¤º¸
Á¤»ó¿µ ( )
Àü³²´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
ÃÖ¼öÁø³ª ( )
Àü³²´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
KMID : 0371320030650050431
Abstract
Purpose: Pediatric surgery includes a large portion of neonatal patients who are exposed to a high operative risk and mortality. The clinical analyses of pediatric surgical patients, under 15 years of age, were evaluated.
Methods: A total 3,512 patients underwent an operation at the Division of Pediatric Surgery, the Department of Surgery, Chonnam National University Hospital, between January 1988 and December 2002. The patients¢¥ medical records were retrospectively reviewed for the clinical findings.
Results: The total number of operations in the pediatric age for all specialties was 22,180 (13.4%). The total number of operations, including those performed on adults, was 164,948. The Under 5 years of age group was the most common to undergo an operation (48.8%). The number of operations at the Division of Pediatric Surgery was 3,512 (15.9%) out of total 22,180 for all the pediatric specialties. 40.7% (1,427/3,512) of the patients under 1 year of age underwent pediatric surgery. The most prevalent diseases in neonates were hypertrophic pyloric stenosis (18.0%) and anorectal malformation (16.4%). Infants older than neonates commonly underwent an operation for an inguinal hernia (34.3%) and intussusception (19.8%). The total mortality rate in the neonatal intensive care unit was 26.1%, with Gastroschisis having the highest mortality.
Concilision: Specially trained pediatric surgeons need both a thorough understanding of the neonatal physiology and surgical skills, because of the high incidence of the neonatal surgery and the high mortality rate.
Å°¿öµå
¼Ò¾Æ¿Ü°ú;Pediatric surgery
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸