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도시형 한국형 출혈열의 임상상에 관한 연구 |
권오선 , 나명숙 , 박성우 , 오하영 , 박정식 |
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Abstract |
To evaluate clinical differences between urban type and rural type in KHF, we categorize 63 KHF patients into two types. In rural type, there are 40 patients who live in rural areas and have .histories of field work, in urban type, 23 patients live in Seoul and have never been outside the city since 2 months ago. We study on clinical findings, clinical courses and laboratory examina- tions in cases of two types from Jan., 1983 to Dec., 1985. The results are as follows; 1) In rural type, male to female ratio is 3: 1, but there is no difference in sex ratio in urban type, Age distribution is not remarkable, but there is tendency to prevail after thirties in rural type. 2) There is higher incidence during Oct.-Dec. in both type. Especially in rural type. But neither shows two seasonal peaks. 3) There are no remarkable clinical dif ferences between two types. There are higher incidences of nausea, vomiting and abdominal pain in urban type, and higher incidences of petechiae, facial edema and flushing in rural type. 4) Oliguria is noted in 18 cases(45%) in rural type, but only 2 cases(8 .7%) in urban type. 5) Lahoratory examinaticns are milder in urban type. Leukocytosis, thrombocytopenia and uremia are significantly higher in rural type(p<0.05). There are no differences in SGOT, SGPT, uric acid and cholesterol in both types(p>0.1). 6) Fo ur patients(10%) are died in rural type, two, CVA, tow, GI herr.orrhage, but no patient is died in urban type. |
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