A Clinical Review of Esophageal Varix Bleeding Patient in Pediatric Emergency Center
Journal of the Korean Society of Emergency Medicine
;
: 466-471, 1999.
Artigo
em Coreano
| WPRIM
| ID: wpr-31639
ABSTRACT
BACKGROUND:
Varix bleeding in children is infrequent but it is potentially fatal. It has characteristics different from adult age varix bleeding. But there was little clinical data about it. The purposes of this study is to detect its characteristics of varix bleeding in pediatric patients, and to help an emergency physician make a decision about the management.METHODS:
We reviewed medical records of 32 patients who visit Seoul National University Hospital Pediatric Emergency center from Jan. 1, 1995 to Dec. 31, 1996.RESULTS:
1) The peak age was between 1 and 5 years of age, and the ration of males to females was 1 1. 2) As a underlying cause, intrahepatic disease were more common than extrahepatic diseases(87.1%12.9%). 3) 10 patients(31.3%) had URI symptoms as a precipitating factor. 4) Varix bleeding has a circardian rhythm, and occured more often during the night. 5) In Child Classification for the hepatic reserve fuction, Child C was the most common(75%). 6) Endoscopic eliminations were performed in 14 patients(43.8%). 7) According to shock classification. the ration of conservative to vasopressin treatment in class I and class II were 13(40.6%)/10(31.3%) and 6(18.8%)/3(9.4%), respectively. 8) Fever was the most common complication(43.8%), and the mortality rate was 3.1%.CONCLUSION:
We suggest that the only conservative management can show a good result far pediatric varix bleeding compared to other treatment modalities.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Choque
/
Varizes
/
Vasopressinas
/
Varizes Esofágicas e Gástricas
/
Fatores Desencadeantes
/
Prontuários Médicos
/
Mortalidade
/
Classificação
/
Emergências
/
Febre
Tipo de estudo:
Estudo prognóstico
Limite:
Adulto
/
Criança
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
1999
Tipo de documento:
Artigo
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