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A Study of Meconium Aspiration Syndrome.

Journal of the Korean Pediatric Society 1988;31(11):1425-1431.
Published online November 30, 1988.
A Study of Meconium Aspiration Syndrome.
Chae Sup Yoo1, Mee Kyung Kim1, Keun Lee1, Jae Sun Jung2
1Department of Pediatrics, College of Medicine, Ewha Womans University, Seoul, Korea
2Department of Pediatrics, Yeongdeungpo Municipal Hospital, Seoul, Korea
태변 흡입 증후군의 임상적 고찰
유채섭1, 김미경1, 이근1, 정재선2
1이화여자대학교 의과대학 소아과학교실
2영등포 시립병원 소아과학교실
Received: 14 November 1987   • Accepted: 25 July 1988
Abstract
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 Apgar scores at 1 and 5 minutes. 3) The clinical findings of meconium aspiration syndrome were meconium staining, delayed initial crying, cyanosis, tachypnea, chest retraction, and fetal distress. 4) Chest X-ray findings of infants with meconium aspiration syndrome were infiltration, hyperinfla- tion, pneumothorax, and atelectasis. 5) Tracheal suctions via endotracheal intubation were done before the 1st breath or within post- natal 12 hours. 6) The modes of therapy were immediate tracheal suctioning, antibiotics, oxygen via nasal catheter or endotracheal tube, closed thoracotomy with chest tube insertion, or assisted ventilation.
Key Words: Meconium aspiration syndrome


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