| Clinical Observation of The Methemoglobinemia in Childrens. |
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Hak Hew Shin, Chull Kwon Chung, Myung Hi Shin, Ji Sub Oh |
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Department of Pediatrics，Wallace Memorial Baptist Hospital Busajt, Korea |
| Methemoglobin 혈증의 임상적 관찰 |
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신학휴, 정철권, 신명희, 오지섭 |
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부산 왈레스기념 침례회병원 소아과 |
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| Abstract |
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The clinical records of 28 cases with. Methemoglobinemia who were admitted to the Dept,
of pediatrics, WMBH Busan from January 1978 to December 1981 were reviewed.
The following results were obtained.
1) Incidence of Methemoglobinemia, was 17.8% among the all drug intoxication and seasonal
incidence was peak in spring(50%).
2) The incidence was higher in boys than girls(60.7%), the highest incidence was noted
in the age of 1 to 2 years.
3) The commonest causative agents were D.D.S which were 75% of all cases, Followed
by Phenacetin(12.1%), Mafenide acetate(6.1%) and Bismuth(3%).
4) The most common presenting symptoms & signs on admisgi on were Cyanosis(100%), the
next were irritability(92.9%), vomiting(42.9%), drowsiness(35.7%), abdominal pain(21.4),
-tachycardia(17.9%) and dyspnea(7.1 %).
5) The clinical symptoms and signs of D.D.S. intoxication were noted within 5 hours after
ingestion in almost all .cases (95%) and those symptoms and signs were disappeared in 4 days
:since the recommendation was institated(92.9%).
6) Methemoglobin levels on admission were over 10% in all cases.
7) Methemogobin levels returned to normal rance within 3 to 5 days after treatment
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| Key Words:
Methemoglobinemia, D.D.S. |
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