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Volume 30(4); Apr 1987
Original Articles
Recent Advances in Pediatric Gastroenterology.
Jeong Kee Seo
J Korean Pediatr Soc. 1987;30(4):351-360.   Published online April 30, 1987
Dialytic Management of End-stage Renal Disease in Children.
Kyo Sun Kim
J Korean Pediatr Soc. 1987;30(4):361-369.   Published online April 30, 1987
Chlorambucil Treatment in Chidren with Frequently Relapsing Minimal Lesion Nephrotic Syndrome.
Myung Hee Chung, Hae Woon Chang, Haeng Mi Kim, Ja Hoo Koo
J Korean Pediatr Soc. 1987;30(4):370-377.   Published online April 30, 1987
A clinical study was conducted on children with frequently relapsing nephrotic syndrome to see the therapeutic effectiveness of chlorambucil therapy. Study population consisted of 21 children with biopsy-proven minimal lesion nephrotic syndrome, in whom chlorambucil therapy was given to control their frequent relapses and/or steroid dependency. Eleven patients were frequent relapser and 10 were steroid dependant. Study period extended from December 1980 to August...
A Prospective Study ot Neonatal Acute Renal Failure: The Significance of Various Diagnostic Indices.
Kyung Hyo Kim, Seung Joo Lee, Keun Lee
J Korean Pediatr Soc. 1987;30(4):378-384.   Published online April 30, 1987
Acute renal failure is defined as a sudden decrease in renal function resulting in progressive retention of nitrogenous waste products. Acute renal failure should be suspected in any infant who has a sustained decrease in urine output to less than 1 ml per kg per hour, a blood urea nitrogen level above 20 mg per dl, a serum creatinine level greater than 1.0...
Statistical Observations for Pediatric Inpatients.
Byung Cheol Han, Hack Ki Kim, Byung Churl Lee, Kyong Su Lee, Sung Hoon Cho, Du Bong Lee
J Korean Pediatr Soc. 1987;30(4):385-392.   Published online April 30, 1987
We observed the patients admitted to the department of pediatrics of St. Mary*s Hospital, Catholic Medical College during the past 20 years from Jan. 1966 to Dec. 1985 and classified them by year and disease according to the International Classification of Disease by W.H.O. (1965 Revision). The results were as follows: 1) The total number of pediatric inpatients during 20 years was 18,686, of which...
Electrocardiographic(ECG) Abnormality in School Children.
Ho Youn Hwang, Jung Ran Kim, Jin Gon Jun
J Korean Pediatr Soc. 1987;30(4):393-397.   Published online April 30, 1987
Mass electrocardiographic examination was performed on 5,066 children of elementary school in Taegu from Nov. 1. 1985 to Apr. 30. 1986. Among them 30 children had abnormal ECG. We could investigate further on 26 children. The results were as following; The incidence of ECG abnormality was 0.59% (male 0.57%, female 0.62%) initially, on follow-up examination, only 0.39% showed persistent abnormal ECG. The kinds of ECG abnormality...
Studies on the Changes of Serum Osmolality Electrolytes, Digoxin-like Substance and Plasma Renin Activity Following Angiocardiography using Hypertonic Contrast Media.
Heon Seob Song, Hyeong Won Shin, Chan Uhung Joo, Dae Yeol Lee, Jin Gon Jun
J Korean Pediatr Soc. 1987;30(4):398-405.   Published online April 30, 1987
Angiocardiography and cineangiocardiography have been employed with increasing frequency for the diagnosis of cardiovascular diseases. These commonplace technics of cardiovascular radiology depend upon the rapid injection of hypertonic contrast media into the heart or central circulation. In order to study the effects of concentrated radiopaque materials(Conray®, 1382 mOsm/L, 1-2 ml/ kg) on hemodynamic consequences, the changes of serum osmolality, sodium, potassium, chloride, digoxin-like substance and...
A Clinical Observation on Fulminant Hepatitis in Children.
Hoan Jong Lee, Jeong Kee Seo, Hyung Ro Moon
J Korean Pediatr Soc. 1987;30(4):406-415.   Published online April 30, 1987
Twenty-seven cases of fulminant hepatitis in children were retrospectively analyzed. The overall survival rate was 11%. The interval between onset of encephalopathy and death, and that between jaundice and death were 2-26 days (median 4 days), 4-61 days (median 14 days), respectively. HBs antigenemia was detected in 24%, HAV IgM was negative in 5 patients tested, and 4 cases were suspected as non-A, non-B...
A Case of Congestive Splenomegaly(Banti Syndrome) with Hypersplenism.
Hyun Mo Cheong, Jae Kwang Hong, Joon Taek Park, Jung Sik Min, Chang Hee Choi, Seung Hye Ahn, Sang Chull Kim
J Korean Pediatr Soc. 1987;30(4):416-421.   Published online April 30, 1987
The authors experienced a case of hypersplenism in a 12 year-old male patient with the chief complaints of nasal bleeding and palpable mass on LUQ of abdomen. The patient had splenomegaly, leukopenia, and thrombocytopenia. He had high portal venous pressure of about 340 mmH20 and the splenoportography showed non-visualized portal vein and tortuous vessels suggesting portal vein obstruction. Splenectomy was done and his symptoms...
A Case of Pulmonary Lymphangiectasis Associated with Chylothorax.
Min Hee Kim, Jae Kyoung Lee, Oh Bae Chun, Byoung Hoon Yoo, Jae Hyung Yoo
J Korean Pediatr Soc. 1987;30(4):422-426.   Published online April 30, 1987
Congenital pulmonary lymphangiectasis is a rare abnormality usually becoming manifest at birth and almost invariably fatal in neonatal period or early infancy. Chylothorax is an infrequent manifestation of this disease. We report a patient with pulmonary lymphangiectasis, 3 year old male, who had been suffered from persistent respiratory distress since 7 days after birth, in whom the diagnosis was suggested by the appearance of...
A Case of Neonatal Spontaneous Pneumomediastinum.
Kee Hwan Yoo, Ho Chan Na, Min Shik Kim, Hyun Kum Lee
J Korean Pediatr Soc. 1987;30(4):427-430.   Published online April 30, 1987
Neonatal spontaneous pneumomediastinum is a rare phenomenon which is observed in case of respiratory distressed, meconium stained and meconium aspirated neonate. In certain state, air can leak from the ruptured alveoli into the pulmonary interstitium and movement of this air along the vascular structures may result in pneumomediastinum. We experienced a case of spontaneous pneumomediastinum, in a 3 day-old male infant (43+5 wks gestational...
A Case of Congenital Anterior Urethral Diverticulum.
Young Ho Lee, Gyu Jeon Song, Woo Yeong Chung, Moo Young Oh, Soon Yong Lee
J Korean Pediatr Soc. 1987;30(4):431-434.   Published online April 30, 1987
Recently, we experienced a case of congenital anterior urethral diverticulum in 8-month-old male infant. He had recurrent fever and urinary dribbling for 3 months. The diagnosis was based on radiologic and cystoscopic findings, and anterior urethral diverticulectomy was performed. A review of literatures was also presented briefly.
A Case of Left Atrial Myxoma in Childhood.
H S Kim, J S Cho, S G Jin, J D Cho, K S Cho, D S Moon
J Korean Pediatr Soc. 1987;30(4):435-440.   Published online April 30, 1987
Myxoma of the heart is a very uncommon disease constituting nearly 50% of all primary cardiac tumors. The majority of them are detected in the adult life over 30 years of age, but very rarely they can be seen in the childhood. We have recently experienced a case of left atrial myxoma in a 12-year-old boy. The diagnosis was made by echocardiography and cardiac...
Percutaneous Transluminal Angioplasty in Four Children with Takayasu's Arteritis.
Byung Kiu Park, Sejung Sohn, Chung Il Noh, Young Soo Yun, Chang Yee Hong, Kyung Mo Yeon, In One Kim
J Korean Pediatr Soc. 1987;30(4):441-449.   Published online April 30, 1987
Percutaneous transluminal angioplasty (PT A) was done in four children with Takayasu’s arteritis at Seoul National University Children’s Hospital in 1986. Successful results were obtained in all cases. But one child with narrowing of the innominate artery, thoracic aorta and occlusion of the left subclavian artery showed the most dramatic improvement clinically as well as radiologically because the lesions were focal. PT A is...
Three Cases of Spontaneous Neonatal Gastric Perforation.
Wha Mo Lee, Hye Jin Lim, Son Sang Seo, Jung Woo Yang
J Korean Pediatr Soc. 1987;30(4):450-455.   Published online April 30, 1987
Three cases of spontaneous neonatal gastric perforation seen at II Sin Christian Hosp, between 1981 and 1985 were seen in all reported with brief literature review. Of the three cases, two occurred in males and one in female. One case was prematurity and other two cases were small for gestational age. All perforations occurred within first five days. Respiratory difficulty and abdominal distension with radiographic...
A Case of Cloverleaf Skull; Kleeblattschael Syndrome.
Chang Hyon Yang, Kyu Earn Kim, Chang Ho Hong, Young Mo Sohn, Don Gyu Yang, Kee Keun Oh
J Korean Pediatr Soc. 1987;30(4):456-460.   Published online April 30, 1987
A case of Cloverleaf skull; Kleeblattschadel syndrome in a 70-day old male infant with facial deformity since birth was seen. The diagnosis was made on the basis of typical morphologic clinical features an radiologic findings. A brief review of the related literature was given.