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Clinical studies on 32 subdural effusions

Journal of the Korean Pediatric Society 1976;19(2):113-120.
Published online February 28, 1976.
Clinical studies on 32 subdural effusions
Kwang Yean Chung, Soo Hyung Kim, Chang Jun Coe, Dong Gwan Han, Duk Jin Yun
Department of Pediatrics, Yonsei University College of Medicine
硬膜下慘出(subdural effusion) 32例에 對한 臨床的 觀察
鄭光烟, 金秀炯, 高昌後, 韓東觀, 尹德鏡
延世大學校 醫科大學 小兒科學敎室
This is a clinical study of 32 cases with subdural effusion who has been admitted to Severance hospital from Jan. 1966 to Dec. 1975. And following result has been obtained. 1. Among 32 cases, 19 were male and 13 were female. Their ages were ranged from 3 days to 37 months with peak incidence 2 to 6 months. And 12 cases had abnormal delivery history. 2.The chief problems on admission were convulsion; 19 cases, vomiting; 9 cases and poor sucking; 6 cases. Abnormal physical findings on admission were bulging anterior fontanel; 20 cases, high fever; 5cases and enlarged head(over 97 percentile in head circumference);5cases. 3.Twenty cases had abnormal findings in transillummation (80%) among 25 cases performed the test. Eleven cases over 31, had abnormal CSF findings. Among the 11 who had CSF culture, 3 of them showed H. influenzae, 1 E. coli, 1 Streptococci, and 1 Staphylococci. Subdural tap was performed on 32 cases, abnormal finding (more than 2ml of subdural fluid, with more than 40mg% of protein) was noticed in 30 cases. 4.The etiology of subdural effusion was thought; traumatic in 13 cases, postmeningitis 11, bleeding tendency 1, and idiopathic 7 cases. 5.Eleven of these 32 cases were expired, and the mortality rate was 34.4%.

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