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Clinacal and Pathological Study for the Congenital Pneumonia.

Journal of the Korean Pediatric Society 1986;29(6):653-660.
Published online June 30, 1986.
Clinacal and Pathological Study for the Congenital Pneumonia.
S S Lee1, S I Lee2, Y S Lee3, D K Han4, J G Chi5
1Department of Neonatology,Sowha Childrens Hospital
2Department of Pediatrics, Sowha Childrens Hospital
3Department of Radiology, Sowha Childrens Hospital
4Department of Pediatrics, Yonsei University College of Medicine
5Department of Pathology, Seoul National University College of Medicine
선천성 폐 염 (congenital pneumonia) 에 대 한 임상 • 병 리 학적 고찰
이성식1, 이순일2, 이영석3, 한동관4, 지제근5
1소아아동병원 신생아과
2소아아동병원 소아과
3소아아동병원 방사선과
4연세의대 소아과학교실
5서울의대 병리학교실
Abstract
Congenital pneumonia is the most important infectious disease in neonatal intensive care unit because congenital pneumonia observed about 7〜38% in autopsy cases of still birth and neonatal death who died a few days after birth. The pathogenetic mechanisms are followings: first, infection from aspiration of infected amniotic fluid or infected secretion of birth canal, second, infection to the damaged lung which was caused by aspiration of amniotic fluid or meconium due to obstetrical complications, last, transplacental infection. The symptoms and signs of congenital pneumonia can not be distinguished from other respiratiory distress syndromes easily, and so the clinical diagnosis is very difficult. Congenital pneumonia is diagnosed by identification of organisms from endotracheal aspiration culture and lung needle aspirate culture which has taken within 8 hours after birth. Neonatologist and obstetrician should be concerned about the prenatal and perinatal obstetrical histories which cause congenital pneumonia and eliminated causative factors of congenital pneumonia in obstetrical aspects and labored for early diagnosis and treatment of congenital pneumonia.
Key Words: Congenital pneumonia


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