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Volume 34(6); Jun 1991
Original Articles
Predictive factors and initial selection of antibiotics in neonatal sepsis.
Dong Chul Park, Chul Lee, Kook In Park, Ran Namgung, Dong Gwan Han
J Korean Pediatr Soc. 1991;34(6):755-762.   Published online June 30, 1991
For simplifying and standardizing the interpretation of usual findings for neonatal sepsis, prenatal and perinatal factors, clinical symptoms and signs, method of management and hematologic findings were evaluated as a screening test. From the data obtained, a scoring system was formulated that assigns a score of 3 for diarrhea, 1. 5 for tachypnea, 1.5 for cyanosis, 1 for umbilical vessel catheterization, 1 for intravenous...
A clinical study on neonatal bacterial meningitis.
Yong Won Park, Jung Hwan Choi, Chong Ku Yun
J Korean Pediatr Soc. 1991;34(6):763-770.   Published online June 30, 1991
Clinical courses of 12 neonates who were confirmed as neonatal bacterial meningitis by CSF culture or CSF latex agglutination test from January, 1986 to June, 1990, emphasizing on their complications and treatments, were evaluated. The results were summarized as follows; 1) The most common etiologic organism was E. coli (33.3%). 2) Two most common complications were ventriculitis (66.7%) and hydrocephalus (66.7%). 3) EVD with intraventricular antibiotics therapy was only...
Diagnosis and hydrostatic saline reduction of intussusception under ultrasonographic guidance.
Jong Yul Jeon, Jae Yun Kim, Chong Woo Bae, Sung Ho Cha, Chang Il Ahn, Sun Wha Lee, Jae Hoon Lim
J Korean Pediatr Soc. 1991;34(6):771-778.   Published online June 30, 1991
Recently, a new technique of reduction for intussusception using saline solution and ultrasonogram instead of barium enema is being used in several centers. In order to evaluate its efficacy, we have conducted the clinical observation in 40 patients with intussusception who were treated by hydrostatic saline reduction under the ultrasonographic guidance in Kyung-Hee University Hospital from June 1989 to July 1990. We have observed...
The muscular ventricular septal defect and multiple ventricular septal defects in some congenital heart diseases.
Young Hwi Kim, Ki Soo Kim, Chung Il Noh, Jung Yun Choi, Yong Soo Yoon, In One Kim, Kyung Mo Yeon
J Korean Pediatr Soc. 1991;34(6):779-786.   Published online June 30, 1991
In order to find out the incidences of muscular ventricular septal defect and multiple ventricular septal defects in cases with isolated ventricular septal defect, tetralogy of Fallot, complete endocar- dial cushion defect, complete transposition of the great arteries, corrected transposition of the great arteries and double outlet right ventricle, a retrospective analysis of 620 left ventriculograms were performed. The surgical and echocardiographic findings were...
Acute hemodynamic effects of increasing hemoglobin concentration in children with congenital heart disease and relative anemia.
You In Park, Young You, Chang Sung Son, Joo Won Lee, Young Chang Tocko
J Korean Pediatr Soc. 1991;34(6):787-795.   Published online June 30, 1991
The short-term effects of increasing hemoglobin concentration were evaluated on cardiac catheter- ization in nine patients with congenital heart diseases and relative anemia. Diagnosis were ventricular septal defect in six, tetralogy of Fallot in two, and endocardial cushion defect in one. Various hemodynamic data including pulmonary and systemic blood flow, pulmonary and systemic vascular resistance and the degree of shunt were compared before and...
Clinical study of supraventricular tachycardia in children.
Eui Kyung Chung, Yun Seok Suh, Joo Won Lee, Soon Kyum Kim
J Korean Pediatr Soc. 1991;34(6):796-804.   Published online June 30, 1991
Supraventricular tachycardia is the most symptomatic dysrhythmia encountered in infants and children. Recognition of the dysrhythmias is of great clinical importance, since increasing number of infants will develop congestive heart failure and occasionally circulatory collapse. Retrospective study was done in 17 patients with supraventricular tachycardia, who were admitted to our hospital from 1983 to 1989. The results were as follows: 1) 47 percent of our patients with...
Re-evaluation of the indication for renal biopsy in childhood nephrotic syndrome.
Eun Kyoung Sohn, Byung Soo Cho, Chang Il Ahn
J Korean Pediatr Soc. 1991;34(6):805-811.   Published online June 30, 1991
Renal biopsy is indicated in nephrotic syndrome when histopathologic types other than minimal change pattern or the secondary nephrotic syndrome are suspected. But renal biopsy in children has some limitation because of the technical problem. In order to assess the clinicopathologic correlation and to re-evaluate the biopsy indication, the clinical manifestations and histopathologic types were analyzed statisically on the 86 cases of childhood nephrotic syndrome...
A clinical study of Graves' disease in children.
Kee Young Park, Ho Kyung Choi, Jong Jin Seo, Young Hun Chung
J Korean Pediatr Soc. 1991;34(6):812-819.   Published online June 30, 1991
The authors analyzed the clinical manifestations, laboratory results, and relationship between the presence of antithyroid autoantibodies and response of short-term antithyroid medication in 20 children with Graves* disease who were diagosed at the Department of Pediatarics, Chungnam National Universtiy Hospital from March 1985 to February 1990. The results were as follows; 1) The ratio of male to female was 1:9. 2) The age distribution of patients ranged from...
A case of hydrops fetalis of the newborn due to anti-E.
Heock Il Kwon, Myoung Bae Jeon, Gun Tae Yi, Jung Hye Choi, Ean Chen Mong, Hee Ju Rhee, Su Nam Rhee
J Korean Pediatr Soc. 1991;34(6):820-825.   Published online June 30, 1991
Isoimmune hemolytic disease of the newborn is a disease which is caused by maternal sensitization to one of the fetal blood factor. The authors experience a case of hydrops fetalis due to anti-E in 1-day male newborn. Antibody screening and antibody identification tests were made which revealed anti-E antibody.
A case of pancytopenia associated with mycoplasmal pneumonia.
Young Mee Yoo, Beom Soo Park, In Sang Jeon, Hee Young Shin, Hyo Seop Ahn, Se Jung Sohn
J Korean Pediatr Soc. 1991;34(6):826-831.   Published online June 30, 1991
Mycoplasma pneumoniae infection is manifestated as pneumonia and extra-pulmonary symptoms such as hematologic, neurologic, gastrointestinal, musculoskeletal, dermatologic and cardiac manifes- tations. Among the hematologic changes, hemolytic anemia is most frequently seen. Throm- bocytopenic purpura, lymphocytosis or rarely lymphopenia, elevated erythrocyte sedimentation rate, positive direct Coombs test, reticulocytosis and DIC are known hematologic features. This 12 years old female patient was presented with pneumonia and pancytopenia....
A case of asphyxisting thoracic dystrophy.
Chang Hee Bae, Jong Min Lee, In Hee Park, Chin Sam Ro, Hyo Jin Lee
J Korean Pediatr Soc. 1991;34(6):832-836.   Published online June 30, 1991
We experienced a case of asphyxiating thoracic dystrophy in one day old female with a chief complaint of respiratory difficulty, cyanosis, small thoracic cage and polydactyly. The diagnosis was made on the basis of typical morphologic feature, radiologic finding and autopsy finding. A brief review of the related literature was made.
A case of pneumoperitoneum secondary to pulmonary airleak and a similar case of abdominal subcutaneous emphysema.
Sei Joong Ko, Moon Chul Kim, Jai Eok Kim
J Korean Pediatr Soc. 1991;34(6):837-842.   Published online June 30, 1991
Pneumoperitoneum in association with pulmonry airleak syndrome is rarely encountered in spite of the rather frequent occurence of the pulmonary airleak syndrome in the neonates and the premature babies under ventilator therapy. In most cases of pneiimoperitoneum, the major cause is gastrointes- tinal perforation which evidently requires emergency surgery. Nevertheless, no such aggressive procedure as explolaparotomy is needed in case of pneumoperitoneum secondary to...
One case of hereditary spherocytosis with aplastic crisis.
Kee Young Park, Ho Kyung Choi, Jong Jin Seo, Keon Su Rhee, Yong Hun Chung
J Korean Pediatr Soc. 1991;34(6):843-848.   Published online June 30, 1991
We experienced one case of hereditiary spherocytosis with aplastic crisis who was 3 year-old female. On admission, there were pallor and fever. Diagnosis was made by pressence of spherocytes in peripheral blood smear, osmotic fragility test, and bone marrow examination. A brief review of related literature was made.
A case of Bartter's syndrome.
Kyu Young Lee, Byoung Soo Cho, Hah Young Lee, Jay Bernstein
J Korean Pediatr Soc. 1991;34(6):849-856.   Published online June 30, 1991
Bartter’s syndrome in characterized by renal potassium wasting, hypokalemic alkalosis, hyper- reninemia, normal blood pressure and resistance to the blood pressure augmenting effect of angioten- sin, accompanied by often hypomagnesemia and increased production of certain renal prostaglandins. The primary defect in this rare disorder is considered to be a renal tubular dysfunction. We had experienced a case of Bartter’s syndrome in 9 months old...
Mannitol induced acute oliguric renal failure.
Young Mi Chung, Jae Seung Lee, Chang Jun Coe
J Korean Pediatr Soc. 1991;34(6):857-862.   Published online June 30, 1991
Mannitol known as non-electrolytic, osmotic diuretic agent is widely used in clinic for the purpose of diagnosis and prevention of acute oliguric renal failure, cerebral edema as well as glaucoma and dialysis-disequilibrium syndrome. That mannitol may cause serious life-threatening situation if administered in a patient with renal problem has been well known. Recently, it has been published that mannitol may be nephrotoxic in patient...
Acute renal failure with back pain after exercise.
Hae Jung Park, Mi Jung Kim, Dong Kyu Jin, Hae Il Cheong, Yong Choi, Kwang Wook Ko, Jung Mi Park, Kyung Mo Yeun
J Korean Pediatr Soc. 1991;34(6):863-868.   Published online June 30, 1991
We have experienced one case of acute renal failure without clinical rhabdomyolysis characterized by preceding exercise and back pain. This patient showed patch renal increased uptakes in bone scan with 99mTechnetium-methylene diphosphonate, and delayed wedge-shaped contrast enhancements in renal computed tomography. These findings can be explained by focal renal vasoconstriction of interlobar arteries or arcuate arteries, which may be considered as one of the...
A case of myelofibrosis with juvenile xanthogranuloma.
Jong Chan Kim, Hae Yong Lee, Hwang Min Kim, Baek Keun Lim, Jong Soo Kim, Young Hyuk Lee
J Korean Pediatr Soc. 1991;34(6):869-876.   Published online June 30, 1991
Myelofibrrosis is characterized by anemia, leukoerythroblastosis, extramedullary hematopoiesis, hepatosplenomegaly, osteosclerosis and fibrosis of bone marrow. Idiopathc myelofibrosis is usually a disease of the adult and is rare in the pediatric age group. Juvenile xanthogranuloma is characterized by multiple papules on forehead and scalp. Lipid laden histiocytes and Touton giant cell are found in skin biopsy. We experienced a case of myelofibrosis with juvenile xanthogranuloma....
Observation on neurocysticercosis in childhood.
Hae Jung Park, Seong Hee Jang, Se Hee Hwang, Jae Il Sohn, Yong Seung Hwang, Kyu Chang Wang, Byug Kyu Cho, In One Kim, Kyung Mo Yeun, Je Geun Chi, Seung Yull Cho
J Korean Pediatr Soc. 1991;34(6):877-889.   Published online June 30, 1991
A clinical study was performed on 5 patients of neurocysticercosis in childhood who admitted to the Seoul National University Hospital for the last two years. The conclusions were as follows: 1) Boys were more than girls with the ratio of 4:1. The average age was 9.5. 2) Three out of five lived in Jeju Island. Three had familial history of taeniasis. 3) Three out of five were...
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