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Original Articles
The Analysis of Death Causes of 50 Fetal Cases in Korean Hemorrhagic Fever
On Sik Won, Chong Hwee Chun
Department of Internal Medicine, Catholic Medical College
Vol.5 Num.1 (p57~62)
Since 1950 the causes of death in Korean Hemorrhagic Fever were changed becouse of the improvement of patient treatment based on its pathophysiology.
From previous report aproximately 2/3 of death occured at oliguric phase and remainging 1/3 at hypotensive phase. The major causes of death were pulmonary edema & bleeding acute renal failure and shock.
Our data revealed systemic infection (28%), C.N.S. problem (possibly cerebral hemorrhage) (22%), pulmonary edema & bleeding (16%), and shock (14%) as major causes of death.
The deaths of each phase were as the following.
Hypotensive....7 (14%). Oliguric.....31 (62%). Diuretic....11 (22%). Convalescent....1 (2) The major problems in managing patients that was experienced by authors were shock and pulmonary edema, systemic infection, severe hyperkalemia and cerebral complication, possibly cerebral hemorrhage.
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