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Volume 32(3); Mar 1989
Original Articles
Study on the Clinical Aspect of Failure to Thrive.
Hyung Keun Nam, Myung Ik Lee, Don Hee Ahn, Keun Chan Sohn
J Korean Pediatr Soc. 1989;32(3):303-310.   Published online March 31, 1989
Failure to thrive means infants and children whose growth and often development are significantly below expected stanards, usually below the third percentile. It is relatively apt to develop during the first 2 years of life. The clinical observations were made on 79 patients of failure to thrive who were diagnosed at pediatric dept., National Medical Center from January, 1981 to June, 1986. The results were...
Acid-Base and Electrolyte Change Before and After Exchange Transfusion with ACD-B Blood in Hyperbilirubinemia of Newborn.
Ki Hong Park, Chong Woo Bae, Yong Mook Choi, Chang Ill Ahn, Jung Kook Lee
J Korean Pediatr Soc. 1989;32(3):311-320.   Published online March 31, 1989
Exchange transfusion is being used widely to correct anemia and control existing hyperbilirubinemia for the prevention of kernicterus in newborn. But the blood used for exchange transfusion is stored blood containing anticoagulants and other substances. So many metabolic changes can be developed after exchange transfusion. This study was undertaken to evaluate the acid-base and electrolyte change after exchange transfusion using the ACD-B blood. In...
Clinical Survey of Perinatal Mortality in Multiple Pregnancy.
Hoon Kook, Dong Hun Cho, Hwa Il Kwag, Kwang Ok Lee, Young Youn Choi
J Korean Pediatr Soc. 1989;32(3):321-330.   Published online March 31, 1989
A clinical survey was performed on 151 cases of multiple pregnancies (149 cases of twins and 2 cases of triplets) and their 304 multiplets who were born at the Chonnam University Hospital during 7 years from January 1, 1980 to December 31, 1986. The results are as follows: 1) The incidence of twins was 1 out of 50 births, and that of triplets...
Clinical Study on Twins.
C H Han, W H Kwon, H R Jung, S Y Kim, Y D Kwon
J Korean Pediatr Soc. 1989;32(3):331-341.   Published online March 31, 1989
We observed 150 twin cases over 26 weeks gestational age among 8,328 deliveries which were born from 75 Korean twin pregnancies at Catholic Hospital. Taegu during 5 years from Jan. 1981 to Dec. 1985. retrospectively. We investigated survey of twin delivery on various aspects as same manner as singletons. which was incidence of twin deliveries, body weight with gestational age, body weight difference between co-twins,...
Clinical Evaluation of Gastric Juice Culture of Newborn.
Byoung Hoon Lee, Back Hee Lee, Soon Wha Kim, Keum Chan Sohn
J Korean Pediatr Soc. 1989;32(3):342-348.   Published online March 31, 1989
A clinical evaluation of gastric juice culture was done on 545 newborn at the N.M.C. Jan. 1st 1985 and Dec. 31, 1986. The results were as follows; 1) There were no significant statistic difference of biπh weight, gestational age, maternal age, labor duration, delivery type and duration of rupture of membrane between gastric juice culture positive and negative groups. 2) Apgar score after 1 minute was...
Clinical Application of Shake test od Gastric Aspiretes for the Prediction od Respiratory Distress Syndrome in the Newborn infants.
In Sang Jeon, Hann Tchah, Myoung Jae Choi, Beyng Il Kim, Jung Hwan Choi, Chong Ku Yun
J Korean Pediatr Soc. 1989;32(3):349-358.   Published online March 31, 1989
To study the predictive value of gastric aspirates shake test on respiratory distress syndrome (RDS) in the newborn infants, we carried out the shake test on gastric aspirates of all newborn who admitted to NICU of Seoul National University Hospital from July 1986 to December 1987. We successfully carried out gastric aspirates shake test on 96 newborn infants and analyzed the relation between gastric...
Studies on Type of Ventricular Septal Defect of Tetralogy of Fallot and its Clinical Significance.
Myung Kul Yum, Hee Shang Youn, Heung Jae Lee
J Korean Pediatr Soc. 1989;32(3):359-365.   Published online March 31, 1989
To assess the VSD type of TOF and relationship between VSD type of TOF and pulmonary valve stenosis, small pulmonary valve annulus, and pulmonary artery anomaly, we analyzed 256 cases of surgically confirmed TOF patients. The summary of observation is as follows; 1) Four tytes of VSDs were found. The most frequent is perimembranous (PM) VSD of which incidence is 75.7% (159/210), second most...
Abdaninal Tumor in Infants and Children.
Young Soo Kim, Kwang Man Kim, Seung Ho Kim, Tae Chan Kwon, Chin Moo Kang
J Korean Pediatr Soc. 1989;32(3):366-374.   Published online March 31, 1989
Eighty seven patints with abdominal tumor which were diagnosed with abdominal C-T scan and confirmed histologically were reviewed. These patients were admitted to pediatric department of Dong San Medical Canter from January, 1980 to June, 1986. The results were as follows; Out of 87 patients, 30 (34.5%) were intraperitoneal and 57 (65.5%) were retroperitoneal tumor. Among intraperitoneal tumor, 15 cases (50%) were hepatosplenomegaly, and among...
Significance of Brain CT in Children with Seizure.
Soon Ock Kang, Hyang Sook Hyun, Jee Sung Kim, Im Ju Kang
J Korean Pediatr Soc. 1989;32(3):375-380.   Published online March 31, 1989
For review of diagnostic utility and significance of brain CT in children with seizure, we analysed history, EEG, neurological examination and brain CT of 130 children who had vistied our hospital from January 1984 to June 1987. The results were as follows; In this series, the frequency of abnormal brain CT was 37.7% and it’s finding kept in order of atrophy, hydrocephalus, tumor, adnormal calcification,...
A Study on the Thyroin Function Test in Patients with Nonthyroidal Illness.
Mi Soo Ahn, Chan Young Kim
J Korean Pediatr Soc. 1989;32(3):381-389.   Published online March 31, 1989
To evaluate the influence of nonthyroidal illnesses on the thyroid function in children, serum T₃ , T₄, rT₃ and TSH were measured using radioimmunoassay in 32 clinically euthyroid children with nonthyroidal illness who were admitted to Department of Pediatrics, Wallace Memorial Baptist Hospital from October, 1987 to April, 1988 Control group was 22 children in absence of thyroid diseases and systemic illnesses. The results of...
Predictive Capacity of Cord Serum IgE for Developement of Atopy.
Hye Ran Byun, Hye Won Lee, Keun Lee
J Korean Pediatr Soc. 1989;32(3):390-395.   Published online March 31, 1989
The incidence of atopic disease has increased in recent years and its symptom begins early in life, in many cases during the first year. It is desirable, therefore, to predict the development of atopic disease early in infancy, preferably in neonatal period, so that it can be prevented or, at least, lessened in symptoms by proper management. One hundred and two fullterm newborn...
A Case of Edward Syndrom.
Youn Hong Choi, Hyun Joo Choi, Eun Hwa Shin, Ju Hong Cha, Kwang Jeon Kim
J Korean Pediatr Soc. 1989;32(3):396-401.   Published online March 31, 1989
Edward syndrome is known as 18-trisomy with multiple congenital anomalies. Recently, we experienced a case of 18-trisomy syndrome in a new-born female baby who was born at Chung Gu Sung Sim Hospital. Grossly this baby had multiple anomalies which were characterized by prominent occiput, hypertelorism, small palpebral fissure, small oral opening, high arched palate, micrognathia, low-set malformed ear, rocker bottom feet, narrow pelvis, limited...
A Case of Type A Niemann-Pick Disease.
Young Bong Moon, Yang Bin Im, Dong Hwan Lee, Sang Jhoo Lee, In Sook Kim, Tae Jung Kwon, Dong Wha Lee
J Korean Pediatr Soc. 1989;32(3):402-411.   Published online March 31, 1989
We experienced a case of type A Niemann-Pick disease in 31 month-old female infant. She showed dyspnea, marked hepatosplenomegaly and developmental retardation. Fundoscopic examination revealed cherry red spots in both macula. Autopsy finding revealed that Iiver, spleen, lung, kidney, bone marrow, lymph node and brain were involved. Especially multiple ischemic necrosis were found on cerebral and cerebellar white matter. Generalized muscular atrophy and reticular...
A Case of Recurrent Bacterial Meningitis due to Congenital Cribriform Plate Defect.
Hong Chul Lee, Jong Leam Choi, Wan Soeb Kim, Myung Ho Lee
J Korean Pediatr Soc. 1989;32(3):412-417.   Published online March 31, 1989
One patient with a history of recurrent bacterial meningitis was examined with skull and sinus radiographs, routine cranial computed tomography and immunologic evaluation. None of these studies were diagnostic. Thin-section (1-2 mm) direct coronal computed cranial tomography demonstrated congenital cribriform plate defect. This patient was repaired surgically and no further meningitis has developed for 16 months
A Case of Mitral Atresia.
Chang Yul Kim, Jun Hee Sul, Sung Kyu Lee, Dong Shik Chin
J Korean Pediatr Soc. 1989;32(3):418-422.   Published online March 31, 1989
Mitral atresia is a rare and fatal congenital heart disease. We experienced a case of mitral atresia associated with double outlet right ventricle(S.D.S). atrial septal defect and multiple ventricular septal defect in a 50 day old female infant. which was diagnosed by echocardiogram and confirmed at autopsy.
A Case of Huge Ovarian Cyst with Hydronephrosis.
Soo Taek Bae, Ho Yon Kang, Un Ki Yoon, Ji Sub Oh
J Korean Pediatr Soc. 1989;32(3):423-429.   Published online March 31, 1989
We experienced and case of huge ovarian cyst in a 13 year-old gril, which is rare in chilbhood and adolescence. The cyst was about 6 kg in weight, 29 x 20 x 17 cm in size and occupied the entire abdome and pelvis. Its pathologic diagnosis was mucinous cystadenoma. Rt. hydronephrosis due to compression by a huge ovarian cyst was found. A brief review...
A Case of Adrenoleukodystrophy.
Kee Sung Yang, Soo Tack Bae, Hong Bae Kim, Ji Sub Oh
J Korean Pediatr Soc. 1989;32(3):430-437.   Published online March 31, 1989
We experienced a case of Adrenoleukodystrophy (ALD), which is a genetically determined metabolic disorder associated with progressive demyelination of brain white matter and adrenal insuficiency. An 11 year old male revealed rapidly evolving neuologic progression, decreased adrenal reserve, increased plasma content of very long chain fatty acids (VLCFAs) and typical radiological findings. We report here the clinical findings of this patient with brief review of...
A Case Posttraumatic Parkinsonism.
Young Wan Kim, Chang Jun Coe
J Korean Pediatr Soc. 1989;32(3):438-443.   Published online March 31, 1989
We experienced a case of parkinsonism in a 6 year 4 month old boy who sustained basal skull fracture after outcar accident. The clinical features and response to therapy were described with brief literature review.
The Right of Decision on the Embryo.
Gook Jin Moon
J Korean Pediatr Soc. 1989;32(3):444-445.   Published online March 31, 1989
Medical Common Sense
A Criteria for Calculation of Hospital Rate for the Health Insurance.
Chong Kil Lee
J Korean Pediatr Soc. 1989;32(3):446-447.   Published online March 31, 1989