Non invasive blood pressures measured by the Dinamap monitor, an oscillometric device, were compared with the invasive radial artery pressure in neonates. There were 21 patients with a mean age of 16.5 days (ranges 7 days to 1 month) and a mean body weight of 3.3 kg. The invasive radial artery pressures were recorded on a strip chart and comparisons were made between the... |
Kawasaki disease, first reported in Korea in 1973, is now one of the disease commonly encountered in pediatric age group. It presents systemic symptoms including abdominal ones such as pain, nausea and vomiting, etc. There have been several case reports of hydrops of the gallbladder occuring concurrently with Kawasaki disease, and the abdominal symptoms of the disease are known to correlate with hydrops of... |
The authors have experienced a case of persistent fetal circulation associated with hypocalcemia. The baby was delivered with full-term by repeated cesarean section. He showed marked dyspnea 4 hours after birth and thereafter cyanosis appeared. So artificial ventilator had been applied combined with tolazoline administration. The patient was treated successfully and discharged on 28th hospital day without complications. We present one case of persistent fetal... |
The clinical study on the results of intensive care was performed on the 137 very low birth weight infants with birth weight of 1001-1500 gram who were admitted to the neonatal intensive care unit of Severance hospital from 1981 to 1986. The results were as follows. 1) The range of gestational age of very low birth weight infants was from 22 to 40 weeks, most predominantly... |
The transmission of hepatitis B virus (HBV) from carrier mothers to their infants is a serious problem in many countries and the transmission rate is reported to be as high as 60%. The best preventive method of perinatal transmission is hepatitis B immune globulin (HBIG) which confers a passive immunity and HB vaccine which confers an active immunity. However, the exact dosage and the... |
We reviewed 19 cases of chronic hepatitis B confirmed by liver biopsy during the 3 years and 5months from March 1983 to July 1986 at Young Dong Severance Hospital. The following results were obtained: 1) There were 16 boys and 3 girls with ages ranging from 7 months to 14 years old (mean+S.D.; 6.5 ±0.9 years). 2) There were 2 cases (10.5%) of chronic persistent... |
We report our experience with Neonatal Tetanus treated with Intermittent Positive-Pressure Ventilation combined with Neuromuscular blockade and high dose diazepam. Duration of mechanical ventilation was ranged from 15 days in case 1 to 36 days in case 2. Pneumonia with atelectasis and sepsis due to pseudomonas cepacia was complicated in case 2, but cleared up with sensitive antibiotics and vigorous physiotherapy. Muscle relaxation and sedation... |
Since the initiation of routine vitamin K prophylaxis in the newborn, the incidence of hemorrhagic disease of the newborn has been dramatically decreased. We report here a case of intracranial hemorrhage due to vitamin K deficiency in a 2-month-old which was diagnosed with cranial ultrasonography. With advent of cranial ultrasonography which is portable, relatively inexpensive and noninvasive, the intracranial hemorrhage is easily confirmed especially as... |
The following is the result of a retrospective clinical study on the clavicle fractures iit 33 newborns who were delivered at Yonsei University Medical Center during the eight years between 1978 and 1985. 1) The incidence of clavicle fractures was 2 per 1,000 deliveries and there was no difference in incidence by sex. 2) The incidence of clavicle fracture by the birth weight was... |
Since the clinical features of neonatal sepsis were first reported by Dunham in 1933, there have been many studies. But because of the uncertain early symptoms and it’s rapid progression, the mortality rate of neonatal sepsis runs still high. We are reporting 72 cases of neonatal sepsis confirmed by clinical symptoms and blood culture studies over 3 years and 5 months between... |
We experienced 20 cases of infantile diarrhea caused by Enteropathogenic E. Coli during 2 months from May. 1985 to Jun. 1985 at Yonsei medical center, Newborn nursery. The onset of illness is ususally slow vague signs of reluctance to feed lethargy, spitting up of formula, mild abdominal distention and diarrhea. The outbreak abated abruptly after institution of strict aseptic technique,... |
Real time ultrasound scans were performed on 54 low-birth weight infants within the 7th 'birth day. Fifty infants were inborn. The incidence of periventricular and intraventricular hemorrhage (PV-IVH) was 38.9%. Seven of 21 infants had mild hemorrhage (Papile, grade I and II): Others sustained severe hemorrhage(Papile, grade III and IV ). Low Apgar score, respirator care and use of dopamine... |
We have experienced a case of Leiner’s disease characterized by generalized seborrheic dermatitis, intractable, severe diarrhea, marked wasting, and recurrent local and systemic infections. We are reporting this case with brief review of literatures. |
The authors studied 36 cases of wet lung disease who were born and admitted to pediatric department of Severance hospital from January 1981 to June 1984. following results were obtained: 1)The incidence of wet lung disease was 0.5% and the predisposing factors were male sex(78%), full term(75%), C-section(58%) and multipara(72%). 2)Number of cases whose Apgar score were above 7 werp... |
This study was made of 9 cases of neonatal septicemia complicated with DIC and sclerema, who were admitted to the pediatric department of YUMC from January 1981 to June 1983. The following results were obtained; 1) A higher incidence was observed in males(77.8%), low birth weight(66.7%) and1 pretnature(77.8%). 2) The mean onset of sepsis was noticsd on 4.4 days of life. The most common presenting symptoms... |
This is a clinical observation of congenital anomalies in 55 newborn infants associated with hydramnios. These infants were born at Severance Hospital from Sep. 1975 to Jun. 1983. The results were as follows: 1) The frequency of hydramnios was 49 cases in 160,060 deliveries in that period, which was 0.31%. 27 infants (49.1%) had congenital anomalies of 55 infants associated with hydramnios... |
The Authors observed 51 cases of meconium aspiration syndrome in newborns who were born at Severance Hospital during the period of Jan. 1980 through Jun. 1983. The following results were obtained: 1) The incidencs of meconium aspiration syndrome was 0.6%(51 cases). 2)88.2% of newborn with meconium aspiration syndrome was weighing more than 2,500 gm and 93.1% of that was with a... |
We report a case of thyroid papillary adenocarcinoma in a 5 year 1 month old boy. His major problem was palpable thyroid nodule & cervical lymph nodes. Extensive bilateral pulmonary metastasis was noticed. The metastatic thyroid carcinoma was regressed after therapeutic doses of radioiodine without total thyroidectomy. |
Di Guglielmo Syndrome is a relatively rare disease in childhood and refers to an acute or chronic myeloproliferative disorder in which erythrocytes and their precursors are the cells predominantly involved in the leukemic process. We experienced two cases of Di Guglielmo syndrome, an llyear-old girl and a 14 year-old boy, who had the chief complaints of severe anemia, fever, dizziness and general... |
Salmonella meningitis is characterized by rapid clinical course and poor prognosis in young children. Authors experienced a case of Salmonella meningitis in 16-month-old boy child, who was admitted to the pediatric department with high fever and diarrhea for 5 days. The diagnosis was confirmed by positive culture of Salmonella typhi on CSF and Blood. In this article, we emphasize the atypical symptoms and sign of... |
The so called “Myelofibrosis” within the category of myeloproliferative disorders consists of various degrees of leukoerythroblatosis, bone marrow fibrosis, and extramedullary hema- topoiesis with hepatosplenomegaly. Primary myelofibrosis occurs predominantly in adults and few in childhood. We experie- nced one case of myelofibrosis, at 17 month old male patient. He was admitted due to intermittent fever, pallor and abdominal distension. On admission, hepatosplenomegaly, anemia and generalized petechia... |
Capillary samples obtained by skin prick, generally from the heel or toe, have a higher hemoglobin Concentration than simultaneously collected venous samples. So, capillary values should not be compared to previously obtained cord venous blood values when one is looking for changes in hemoglobin, concentration during the first week of life. Cord venous blood hemoglobin and hemotocrit of 309 normal newborn infants have been... |
We have observed 9 cases of juvenile diabetes mellitus who were admitted to Pediatrics Department of Presbyterian Medical Center in Jeon-ju, during period of 7 years and 2 months from Jan, 1974 to Mar, 1981. The following results were obtained. 1) Incidence of juvenile diabetes mellitus was 0.088% of all patients who were admitted to Pediatric Department ward during period... |
Congenital unilateral renal agenesis is a rare congenital anomaly. Furthermore, renal agenesis associated with neuroblastoma and cryptorchism is more rare in incidence. Recently we experieced a case of Rt. renal agenesis combined with cryptorchism and neuroblastoma. We diagnosed it with IVP and selective renal angiography and confirmed it with explolaparotomy and biopsy. We reviewed the literatures on renal agenesis, cryptorchism... |
Serum immunoglobulin concenatrations were measured in 156 patients with various types of glomerulonephritis such as acute poststreptococcal glomerulonephritis, minimal lesion nephrotic syndrome and Henoch-Sch?lein purpura nephritis. 1) Serum IgG level was above normal mean in acute poststreptococcal glomerulonephritis, and normal range in Henoch-Scholein purpura nephritis. Serum IgG concentrations were significantly reduced in minimal lesion nephrotic syndrome. 2) Serum IgA concentrations... |
In a group of 59 children with nephrotic syndrome who had been admitted to Severance Ho-spital, during the period of 2 years from July of 1978 till June of 1980, the histological picture seen on renal biopsy, the selective protein index, and the response to the steroid therapy were studied. The degree of selective protein index is not related to... |
We have experienced two cases of the Cri Du Chat Syndrome. The first case, 1 and 11/12 year old female, was admitted to evaluated profound mental retardation and failure to thrive. The other, 3 month old female, visit this dept for cat-like cry. They had the typical clinical characteristics of the Cri Du Chat Syndrome and showed showed the classical... |
We report a case of gastroenteritis due to Yersinia enterocolitica in a 7month old male infant who was misdiagnosed as shigellosis at onset of illness. He was treated with Gentamicin successfully. A marked improvement was resulted in clinical symptoms and laboratory finding at the time of discharge. It is a second case of Y.enterocolitica which is proved by stool culture... |
Blood samples from mothers during labor and after delivery were tested for the occurrence of fetomaternal transfusing using Nierhaus acid elution technique. Fetomaternal transfusion had occured 1/2 of the mothers after delivery, 2/3 of the mothers during labor. The fetomateonal transfusions after delivery were most often less than 4.0?? and only few percent had fetomaternal transfusions more than 4.0??. Complicated... |
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