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Volume 31(11); Nov 1988
Original Articles
A Study of Transcutaneous Oxygen Monitoring in Neonatal Intensive Care.
In Suck Ryu, Chul Lee, Ran Namkung, Dong Gwan Han
J Korean Pediatr Soc. 1988;31(11):1417-1424.   Published online November 30, 1988
191 simultaneous measurement of arterial PO2 and transcutaneous PO2 were made in 14 sick infants from November, 1986 to April, 1987 who were admitted to the Neonatal Intensive Care Unit of Yongdong Severance hospital. Differences between TcPO2 and PaO2 in these sick infants were evaluated in the relation to systolic blood pressure, hematocrit, arterial pH and birth weight. There was a linear relationship and...
A Study of Meconium Aspiration Syndrome.
Chae Sup Yoo, Mee Kyung Kim, Keun Lee, Jae Sun Jung
J Korean Pediatr Soc. 1988;31(11):1425-1431.   Published online November 30, 1988
The authors observed 51 cases of meconium aspiration syndrome in newborns who were bom at Ewha Womans University Hospital during the period of January 1986 through May, 1987. The results are summarized as follows: 1) The incidence of meconium aspiration syndrome was 1.6% (51 cases). 2) There was a significantly greater incidence of developing meconium aspiration syndrome in meconium stained babies who had toxemia mothers and low...
Clinical Observation on the Change of Body Weight in Low Birth Weight Infant.
Dae Young Kim, Gong Sick Kim, Young Bong Park, Sang Kee Park, Chang Soo Ra
J Korean Pediatr Soc. 1988;31(11):1432-1436.   Published online November 30, 1988
A clinical and statistical observation was made on 102 LBWIs who were admitted to the newborn nursery of Chosun University Hospital during 4 years from Jaunary, 1983 to December, 1987. The results were as follows: 1) The maximum weight loss was found on average 4.9 days after birth, the duration of returning to the birth weight was the average 9.4 days, and appeared to be...
A Clinical Study of Hospitalized Neonates with Fever.
Youn Mo Ahn, Chang Ryul Kim, Woo Gill Lee, Soo Jee Moon
J Korean Pediatr Soc. 1988;31(11):1437-1444.   Published online November 30, 1988
Life-threatening bacterial infections such as meningitis, septicemia, and pneumonia in the neonates are more common than at any other time in life and signs of these infections are often subtle and non-specific. Because of these factors, the patient who has persistent fever will almost always be started on parenteral antibiotics immediately following evaluation. On the other hand there is also evidence that the hospital...
A Study on Coagulopathy in High-risk Neonates.
Chae Sup Yoo, H. W. Lee, Keun Lee, Moon Ja Kim
J Korean Pediatr Soc. 1988;31(11):1445-1452.   Published online November 30, 1988
Life threatening neonatal hemorrhage is a common problem in Nursery Intensive Care Unit. It is associated with asphyxia, intracranial hemorrhage, and hyaline membrane disease, and develops to D.I.C., which attributes to neonatal mortality and morbidity. Clinical study was performed on 32 high-risk neonates and 20 mild illness cases, who had been admitted to Department of Pediatrics, Ewha University Hospital, during the period of 2.6...
Relationship of Maternal and Cord Serum Ferritin.
Hae Sung Cho, Jin Hyun Park, Hee Jung Kwon, In Sil Lee
J Korean Pediatr Soc. 1988;31(11):1453-1459.   Published online November 30, 1988
There is controversy as to whether maternal serum ferritin level influences the level of ferritin in the cord blood serum of newborns or not. The present study was designed to evalulate the influence of iron storage status of mothers on the newborn infant. Paired samples from 51 uncomplicated pregnant women and their newborns who were admitted to the department of OB & GY, National...
Urinary Red Blood Cell Morphology in Hematuria.
Hong Jin Lee, Chang Yeon Lee, Hae Il Cheong, Yong Choi, Kwang Wook Ko, Myung Hee Park
J Korean Pediatr Soc. 1988;31(11):1460-1467.   Published online November 30, 1988
We have studied morphological alterations in urinary RBC as a tool for the differential diagnosis of hematuria in children, that is, differentiation of glomerular bleeding from nonglomerular bleeding, and the results were as follows; 1) Urinary RBCs from glomerular diseases showed higher rate of dysmorphism (84.3±16.8%), and those from nonglomerular diseases did lower one (15.2 ±12.9%) with phase contrast microscopic examination. 2) Simple light microscopic examination after Wright’s...
Childhood Renal Diseases.
Tae Sung Ko, Hae Il Cheung, Yong Choi, Kwang Wook Ko
J Korean Pediatr Soc. 1988;31(11):1468-1474.   Published online November 30, 1988
1978년 1월부터 1987년 12월까지 만 10년간 서울대학교 소아병원 소아과에 입원한 환자중 신질환 환아를 대상으로 후향적 인 임상통계학적 고찰을 시 행하여 다음과 같은 결과를 얻었다. 1) 10년기간중 신질환 환아는 총 2,023명으로 이는 동일기간 전체 소아과 입원환아(28,611)의 7.1 %에 해당하였고，전체 환아에 대한 신질환 환아의 비는 매년 거의 일정하였다. 2) 전체 신질환 환아의 남여 비 는 2.2 : 1이 었다. 3) 신증후군(38.8%), 요로감염(18.0%), 급성사구체신염(12.1%) 이 3대 질병을 이루었으며 다음 으로는 반복성 혈뇨(7.6%),...
A Clinical Study on Myasthenia Gravis in Children.
S L Lee, I J Cho, H S Kim, C M Kang
J Korean Pediatr Soc. 1988;31(11):1475-1481.   Published online November 30, 1988
Eleven cases of mysthenia gravis under the age of 15 years who were admitted to department of pediatrics of Dong San Medical Center during the past 13 years from Jan. 1974 to Dec. 1986 were analysed clinically. The results were summarized as follows; Nine cases (81.1%) were over the age of 5 years and the youngest was 2 years old. Male to female ratio was...
A Case of Female Poseudoherma Phroditism due to Maternal Krukenberg Tumor.
Yong Sil Chi, Hwa Kyung Oh, Myung Jin Kim, Mi Na Lee
J Korean Pediatr Soc. 1988;31(11):1482-1485.   Published online November 30, 1988
Hermaphroditism implies a discrepancy between the morphology of the gonads and of the external genitalia. We report a case of female infant with virilization bom to a mother who also developed signs of virilization during the pregnancy. Mother was diagnosed having huge, bilateral ovarian Krukenberg tumors metastsized from the stomach. A brief review of the literature was made.
A Case of Agnogenic Myeloid Metaplasia.
Min Sook Um, Jo Sam koo, Jae Sun Park, Sook Ja Park, Hae Kyung Jang
J Korean Pediatr Soc. 1988;31(11):1486-1493.   Published online November 30, 1988
Agnogenic myeloid metaplasia characterized by marrow fibrosis, leukoerythroblastic anemia, extramedullary hematopoiesis with varying degree of hepatosplenomgaly, is very rare disorder in children. We experienced a case of agnogenic myeloid metaplasia 34 months old male patient who was presented with pallor, generalized petechiae, marked hepatosplenomegaly and intermittent fever. Peripheral blood smear showed leukoerythroblastosis, poikilocytosis and tear drop cells. Bone marrow aspiration and biopsy showed fibrosis with no...
A Case of Infantile Cortical Hyperostosis.
Jae Kyoun Rhim, Young Hyuk Lee, Chang Jun Coe, Duk Jin Yoon
J Korean Pediatr Soc. 1988;31(11):1494-1498.   Published online November 30, 1988
Recently we have experienced a case of infantile cortical hyperostosis. The patients was 2 months old male who complained irritability, soft tissue swelling of both lower extremities. X-ray showed periosteal new bone formation on both tibiae. Bone scan revealed hot uptake at the lesion. We are reporting this infantile cortical hyperostosis with reviewing literatures.
Hypokalemic Periodic Paralysis.
Seok Min Choi, Jong Kyun Lee, Pyung Kil Kim
J Korean Pediatr Soc. 1988;31(11):1499-1501.   Published online November 30, 1988
Periodic paralysis is a group of illness characterized by episodic attacks of muscle weakness with complete or nearly complete recovery of strength between attacks. In hypokalemic form, serum potassim level is usually low during the paralytic phase. But the basic defect is unknown. We have experienced a case of hypokalemic periodic paralysis in a 7-year-old girl who had intermittent attacks of flaccid paralysis of...
A Case of Wilson Disease.
Cheol Soo Dan, Sang Hoon Lee, Woo Yeong Chung, Soon Yong Lee, Jong Eun Joo, Hye Jae Cho
J Korean Pediatr Soc. 1988;31(11):1502-1508.   Published online November 30, 1988
We have experienced a case of Wilson disease manifesting chronic hepatitis. The patient, 10-year-old boy, has shown elevated SGOT and SGPT levels since 5 years ago, but no other specific symptoms of Wilson disease. His younger sister died of fulminant hepatitis (absence of hepatitis A or B markers) at the age of eight. The diagnosis was based on the characteristic laboratory data and the...
Two Cases of Tsutsugamushi Disease in Children.
Eun Saing Jee, Hae Lim Chung, Hoan Jong Lee, Hyung Ro Moon
J Korean Pediatr Soc. 1988;31(11):1509-1515.   Published online November 30, 1988
Tsutsugamushi disease is an acute infectious and febrile disease that is transmitted to human by larvae of several species of mites, Leptotrimbidium pallidum, Leptotrimbidium akamushi and Leptotrimbidium scutellare. Recently in Korea, this disease is increasingly reported in adult age but few cases are reported in pediatric age. We experienced two cases of tsutsugamushi disease in children, one of whom had no rash. This disease should be...
A Case of Massive Thymic Hyperplasia.
Hye Kyung Bae, Jung Kyu Suh, Jae Seung Yang, Baek Keun Lim, Yeun Kee Kim, Chan Il Park
J Korean Pediatr Soc. 1988;31(11):1516-1521.   Published online November 30, 1988
We have experienced a case of massive thymic hyperplasia in 2 months old female with about 1 month’s history of upper respiratory tract infection and inspiratory stridor. The chest X-ray and chest CAT scan examination revealed superior mediastinal huge mass and so surgical resection and pathologic examination were perfermed because of clinical suspicion of pathologic mass. The pathologic finding of mass showed massive thymic...
A Case of Kartagener's Syndrome.
Young Jin Min, Chang Il Ahn, Kyung Sook Cho, Jong Dae Cho
J Korean Pediatr Soc. 1988;31(11):1522-1526.   Published online November 30, 1988
We experienced a case of Kartagener’s syndrome in a 15 year-old male patient who showed bronchiectasis, sinusitis, and situs inversus by X-ray and physical examination. We report a case of Kartagener's syndrome and a brief review of literliture was done.
Two Cases of Allergic Rhinitis in Children Diagnosed by Youlten's Peak Nasal Inspiratory Flow (PNIF) Meter.
Yil Sub Lee, In Suck Ryu, Kyu Eun Kim, Ki Young Lee
J Korean Pediatr Soc. 1988;31(11):1527-1532.   Published online November 30, 1988
Two asthmatic children associated with allergic rhinitis were performed nasal provocation test with various allergens which were detected by allergic skin test. The degree of nasal obstruction induced by allergens were measured with Youlten’s Peak Nasal Inspiratory Flow (PNIF) meter and Red top,Trichophyton and Sagebrush were known as causative allergens in case 1, and Chrysanthemum was detected as causative allergen in case 2. The...