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A Climical Observation of Tetanus Neonatorum.

Journal of the Korean Pediatric Society 1981;24(4):311-318.
Published online April 15, 1981.
A Climical Observation of Tetanus Neonatorum.
Sung Koo Park, Hyang Sook Kim, Dong Hak Shin
Department of Pediatrics, Gemeung University College of Medicine Taegu, Korea.
新生兒 破傷風에 對한 臨床的 考察
朴勝九, 金香淑, 申東鶴
啓明大學校 醫科大學 東山基督病院 小兒科
Total 48 cases of the patients of neonatal tetanus, who were admitted and evaluated in our pedi dept from JAN. 1970 to Dec. 1975 and from Jan to Dec. 1979, are summerized with following result. 1) The number of patients yearly means were about 6~7 cases and the over all motality was 48.4%. 2) The sex ratio was 2:1(male: female). 3) Home delivary without sanitory facilities was most common(90%), but 3 cases was delivered at hospital. 4) The most of umbilical cords were cutted by unsterilized scissors(77.5%). 5) The most common symptoms on admission were poor feeding(97.7%), convulsion(93.8%), and trismus(91.7%). 6) The mean of incubation period was 7 days and the longer the incubation period was, the better the prognosis was. 7) The higher the temperature was, the worse the prognosis was. 8) The most of patients were admitted within one day and the earlier admitted cases were, the poorer the condition of baby was. 9) The most of hospital stay in expired cases was about 1~2days. 10) The peripheral blood finding on admission revealed leukocytosis(78%).
Key Words: Tetanus Neonatorum, Clinical Observation

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