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Volume 33(1); Jan 1990
Original Articles
Statistical Analysis of Death Cases in Pediatric Ward.
Kui Ae Jang, Kyeung Bae Park, Jae Ock Park, Chang Hwi Kim, Sang Jhoo Lee
J Korean Pediatr Soc. 1990;33(1):1-9.   Published online January 31, 1990
Statistical analysis of death cases during the 9 years from Jan. 1979 to Dec. 1987 in pediatric ward of Soonchunhyang university hospital was carried out. The following results were observed. 1) Total numbers of admission during the 9 years were 16365, of whom 296 expired. 2) Average mortality rate was 1.8% and the annual mortality rate showed decreasing tendency from 1979 to 1987. 3) In age distribution, the neonates...
Mechanical Ventilation in Newborn Infants.
Young Back Hahm, Jong Ho Sung, In Kyung Sung, Byung Churl Lee, Du Bong Lee
J Korean Pediatr Soc. 1990;33(1):10-21.   Published online January 31, 1990
Clinical analysis of 5 years* experience with mechanical ventilation of 68 neonates in NICU of St. Mary’s Hospital, from Jan. 1983 to June 1988, was done. The results were as follows; 1) Indications for mechanical ventilation were hyaline membrane disease(51.5%), postasphyxia syndrome(19.1%), apnea of prematurity (5.9%), sepsis (5.9%), intracranial hemorrhage (5.9%) and others. 2) Number of male patients was 33(48.5%》and of female was 35(51.5%), and male to female...
Exogenous Surfactant Replacement Therapy of Hyaline Membrane Disease: A controlled clinical trial.
Ran Namgung, Chul Lee, Kook In Park, Dong Gwan Han
J Korean Pediatr Soc. 1990;33(1):22-34.   Published online January 31, 1990
We conducted a clinical controlled trial of exogenous surfactant replacement therapy in premature infants with hyaline membrane disease at the neonatal intensive care unit of Yonsei University Medical Center form Nov. 1987 to May 1988. Sixteen premature infants with severe HMD were randomly assigned to control group or surfactant-treated group. Eight infants (mean gestational age 29.9±2.8 week, mean birth weight 1, 425±308.9 gm) were given...
A Clinical Study of Staphylococcus Aureus Infection in Children.
Yong Joon Shin, Young Pyo Chang, Dong Kyu Jin, Byung Kiu Park, Hoan Jong Lee, Hyung Ro Moon
J Korean Pediatr Soc. 1990;33(1):35-41.   Published online January 31, 1990
We reviewed 113 patients with Staphylococcus aureus infection and 219 strains of Staphylococcus aureus isolated from pediatric patients of Seoul National University Hospital from Jan. 1, 1987 to Dec. 31, 1987. The results were as follows: 1) The proportion of MSSA was 50.2% of total Staphylococcus aureus isolated and that of MRSA was 49.8%. Staphylococcus aureus were isolated from pus (33.8%), urine (16.9%), ear discharge (8. 2%),...
Immunologic Diagnosis of Tuberculous Meningitis.
Nak Wan Choi, Hong Ro Lee, Pyung Han Hwang, Dae Yeul Lee, Jung Soo Kim
J Korean Pediatr Soc. 1990;33(1):42-50.   Published online January 31, 1990
One of the inherent features of clinical microbiology is that substantial time is required for the culture of infectious organisms. Especially acid fast bacilli require extensive time and labaratory facilities for reliable recovery. This makes it difficult for clinicians to use the results in early decisions concerning management of the patient. For these reasons, there has been increasing interest in developing or refining methods...
Clinical Strudy of chlamydial Pneumonia in Early Infants.
Mi Kyung Kim, Young Mi Hong, Seung Joo Lee, Keun Lee
J Korean Pediatr Soc. 1990;33(1):51-58.   Published online January 31, 1990
We studied Chlamydiazyme test in 55 infants below 6 months of age with lower respiratory tract infection, admitted to the Pediatric ward of Ewha Womans University Hospital, between October 1, 1987 and February 28, 1989. The results were as follows. 1. The overall incidence of Chlamydial pneumonia was 14,5% (8/55). All of them were below 2 months of age, so the incidence in infants below...
E-Type Prostaglandin Therapy for Neonatal Cyanotic CHD.
Ah Young Yun, Jeong Yeon Choi, Yong Soo Yoon
J Korean Pediatr Soc. 1990;33(1):59-65.   Published online January 31, 1990
Between December 1987 and November 1988, Twenty infants with ductus-dependent congenital heart disease received intravenous infusion of PGE1 in the pediatric department of Seoul National University Hospital. Nineteen infants had cyanotic congtenital heart diseases and one had severe coarctation of aorta. Fifteen infants responded to PGE1 treatment and the mean Pa02 increased from 24 mmHg to 40 mmHg within one hour of infusion. Seven infants...
Clinical Studies on Congenital Heart Diseases.
Hee Young Chun, Dae Churl Chung, In Kyung Sung, Kyong Su Lee, Du Bong Lee
J Korean Pediatr Soc. 1990;33(1):66-74.   Published online January 31, 1990
A retrospective study of 10 years* experience with surgical treatment of congenital heart disease in the St. Mary’s Hospital from 1978 to 1987 was made. Data were analyzed on 188 children with congenital heart disease who had received corrective heart surgery under the age of 18 years. The results were as follows: 1) Out of 188 patients, ventricular septal defect(54.2% of all) was the most...
A Study on Anemia of Acute Infectious Disease in Children.
Hae Won Lee, Young Mi Hong, Seung Joo Lee, Keun Lee
J Korean Pediatr Soc. 1990;33(1):75-80.   Published online January 31, 1990
The anemia of acute infectious disease has come to attention recently, since iron deficiency anemia has decreased. We screened for anemia in children admitted to Ewha Womans University Hospital due to acute infectious disease between January 1, 1986 and July 31, 1988, and studied the incidence and characteristics of anemia in acute infectious diseases. The result were as follows: 1) The incidence of anemia in acute...
A Clinical Study of Hereditary Spherocytosis.
Ki Ho Kim, Kun Soo Lee, Haeng Mi Kim, Doo Hong Ahn
J Korean Pediatr Soc. 1990;33(1):81-87.   Published online January 31, 1990
The following results were obtained from eight cases of hereditary spherocytosis (HS) who were admitted at the Department of Pediatrics, Kyung-pook National University Hospital from July 1984 to January 1989. The percentage of HS among the pediatric hematology patients during the same period was 2.6%. Male amd female were one and seven respectively. The mean age at the diagnosis and at onset of symptom was...
The Findings of 2D and M-mode Echocardiography in Young Insulin-Dependent Diabetes Mellitus.
Byoung Rei Cho, Jae Wook Ko, Young Jin Hong, Don Hee Ahn, Keun Chan Sohn
J Korean Pediatr Soc. 1990;33(1):88-93.   Published online January 31, 1990
Twenty-one children and young adults with Insulin-dependent diatetes mellitus and 23 control underwent 2D and M-mode echocardiography. Following results were obtained: 1) LVESD, LVEDD, EF, FS, LAD/AOD ratio, Dm of IVS and Dm of PLVWT were not significantly different in diabetics compared to control subjects. 2) In IDDM PEP was slightly increased and LVET was slightly decreased, but there was not statistical significance between the two groups. But...
A Case of Cornelia de Lange Syndrome.
Hwa Kyoung Oh, Soo Jung Yoo, Myung Jin Kim, Mi Na Lee
J Korean Pediatr Soc. 1990;33(1):94-99.   Published online January 31, 1990
We have experienced a case of Cornelia de Lange syndrome in a girl of 4.5/12 years old. She showed typical features of a microbrachycephaly, hirsuitism and characteristic face with bushy eyebrows, antimongolian slant depressed nasal bridge, thin protruding lips with downtuming of the comers and the microtia. She also had severe retardation in growth and mental development. The diagnosis was established by typical clinical...
Congenital Systemic Cytomegalic Inclusion Disease.
Dong Beom Lee, Dong Hyun Kim, Jung Sik Min, Chang Hee Choi, Je Geun Chi
J Korean Pediatr Soc. 1990;33(1):100-106.   Published online January 31, 1990
The authors experienced a case of congenital systemic cytomegalic inclusion disease in a newborn baby. This case showed the clinical features of low birt wight (2,200 gm), numerous petechiae, severe jaundice, hepatosplenomegaly, hypotonia and respiratory difficulty with cyanosis and Apgar score of 3 at 1 minute at birth. In the clinical course, he showed hypotonia, repeated spell of apnea. These symptoms progressively worsened and he...
One Case of Leptospirosis.
Sang Joo Han, Jung Hyeun Park, Kyung Ja Lee, Woo Kap Chung
J Korean Pediatr Soc. 1990;33(1):107-110.   Published online January 31, 1990
Leptospirosis is a zoonosis distributed worldwide. Ifs caused by spirochetes of the genus leptospira and charaterized by systemic and protean clinical manifestation. On August 1981, a diagnosis of this disease was made by a serologic test. Thereafter many cases were reported in adults, but there are no published reports in children. This report deals with one case of leptospirosis in children diagnosed by clinical...
A Case of Congenital Esophageal Duplication Cyst.
Kyoung Hoon Choi, Chung Ah Whang, Byung Ju Jeaung, Kyu Earn Kim, Ki Young Lee
J Korean Pediatr Soc. 1990;33(1):111-116.   Published online January 31, 1990
A case of congenital esophageal duplication cyst has been studied in a 10-month old male Korean infant. He had suffered from cough, fever and dyspnea since 4 months of age, and he had been admitted 4 times to other hospitals before he visited severance hospital due to aggravated cough and dyspnea. An esophagogram and computed tomogram of chest were done and a post-tracheal mass...
A Case of Bilateral Wilms' Tumor.
Hyun Jun Cho, In Sang Jeon, Hyo Seop Ahn, Hwang Choi
J Korean Pediatr Soc. 1990;33(1):117-123.   Published online January 31, 1990
Bilateral Wilms’ tumor is a relatively uncommon disease. We experienced a case of bilateral Wilms’ tumor in a 3 year 9 month-old boy. He had favorable histology on the both sides with pulmonary metastasis. Chemotherapy and radiation therapy on the lung and left renal bed were performed after left radical nephrectomy with biopsy on the right tumor. There was a good response to chemotherapy...
A Case of Mucinous Cystadenocarcinoma in a Premenarchal Girl.
Hong Hoe Koo, Sang Oh Na, In Sang Jeon, Hyo Seop Ahn, Wan Suk Park, Suk Koo Lee, Kwi Won Park, Chong Jai Kim, Je Geun Chi
J Korean Pediatr Soc. 1990;33(1):124-128.   Published online January 31, 1990
In childhood, cancer of the ovary is highly unusual. It is responsible for only 1—2% of cancers found in patients under the age of 17. The frequency with which the various histologic types of ovarian neoplasm occur in childhood differs from that in adults. Epithelial tumors account for 70% to 80% of ovarian neoplasms in adults but only 20% in patients less than...
Two Cases of Goitrous Hypothyroidism in Siblings.
Kwang Ok Lee, Hwa Il Kwag, Hoon Kook, Young Youn Choi, Tai Joo Hwang
J Korean Pediatr Soc. 1990;33(1):129-134.   Published online January 31, 1990
The authors experienced two cases of goitrous hypothyroidism in siblings. The etiology was considered to be defect of iodide organification in steps of thyroxine synthesis. The diagnosis was made on the basis of history, clinical features, thyroid function test, thyroid scanning, ultrasonogram and perchlorate discharge test. We report these cases with a review of related literatres.
The Right of Ingeritance and Family Name of Embryo by Artificial Conception (45).
Gook Jin Moon
J Korean Pediatr Soc. 1990;33(1):135-135.   Published online January 31, 1990
Medical Common Sense
A Criteria for Calculation of Hospital Rate for the Health Insurance (45).
Chong Kil Lee
J Korean Pediatr Soc. 1990;33(1):136-136.   Published online January 31, 1990