Childhood hyperlipidemia in Korea: a review

No abstract available.

A Clinical Study of Congenital Hypertrophic Pyloric Stenosis

No abstract available.

Clinical Review of Tuberculous Meningitis in Children

No abstract available.

A Case of Patent Urachus

Pateat urachus is a uncommon disease and it has a good prognosis if there is no combired major anomaly and evidence of malignancy. This paper presents one case of patent urachus which was found and removed surgically during the neonatal period. A brief review of related literatures is also presented.

A Case of Lung Metastasis of Testicular Yolk Sac Tumor

No abstract available.

A Clinical and Statistical Observation on the Idiopathic Neonatal Hyperbilirubinemia

Clinical and statistical observations were performed on 97 newborn infants who were admitted to newborn nursery of St. Paul's Hospital from September, 1978 to August, 1979 with the diagnosis of idiopathic neontal hyperbilirubinemia and the following results were obtained. 1. The highest monthly incidence was seen in March with 19 cases(19.2%). 2. The peak gestational age and birth weight were 40 weeks(33.0%) and 3,001-3,500 gm(38.2%), respectively. 3. In majority of cases appearence of jaundice was seen between 2 and 4 days. The peak value was reached between 3 and 8 days in premature infants and between 3 and 5 days in term infants. 4. The peak serum bilirubin levels in most of premature infants were 12.1-16.0mg% and term infants were 14.1-18.0mg%. 5. Apgar score at 1 minute and 5 minutes in majority of newborn infants were 7-10. 6. Total number o cases who were received exchange transfusion were 5 (5.2%).

A case of Aplastic Anemia following Hepatitis

Aplastic anemia following hepatitis is uncommon disease and it has a poor prognosis. Recently authors expirienced a case of aplastic anemia following hepatitis in 13-year-old boy. He was admitted due to jaundice and ecchymosis for 1 month. During admission, pancytopenia developed and there was marked hypocellularity of all elements in bone marrow examination. His clinical course was not improved in spite of multiple transfusion and therapy with corticosteroid. A brief review related literatures are also presented.

Two Cases of Right Congenital Diaphragmatic Anomaly

Congenital diaphragmatic anomaly is a rare congenital malformation and is found more frequently on the left side than right side. We had experienced two cases of comgenital diaphragmatic anomaly on the right side. One case was 8 months old male with congenital Bochdalek hernia and the other case was 17 months old female with congenital eventration of the diaphagm. The diagnosis was established by physical examination, chest X-ray, upper G-I series and other special studies. A brief review of the related literature was also presented.

Spinal Epidural Abscess: A case in a 15months old child with recovery

Spinal epidural abscess is one of the rare disease, especially in child. We had experienced a case in 15 months old who was diagnosed by spinal tapping and epidurogram. Total laminectomy of L 1-2 and drainage of the abscess was successfuly performed and he recovered without residual symtoms after operation. A brief review of literatures was made.

The Value of Routine Chest Radiography in Children

To assess the value of routine chest roentgenographic examinations at the time of admission, we analysed chest roentgenogram of 1,283 patients under the age of 15 who were admitted to St. Paul's Hospital from 1975 to 1977. A bonormal radiographic findings were detected in 111out of 1,283 Patients(8.7%). In 108 patients with abnormal findings, no medical or surgical therapy was required except three nowborn infants who had medical therapy as a result of pneumonic infiltration. In view of clinical analysis of 1,283 patients, it is considered that routine chest roentgenographic examinations were not warranted in patients under the age of 15 but justifiable in newborn infants.

A Clinical Observation on the Surgical Abdmen in Children

The clinical observation was made in 220 children who was admitted to department of general surgery of St. Paul's Hospital from 1972 to 1977 and the following results were obtained. 1. The age incidence was the most common in 10~15 years age group (40.0%). 2. Distribution of the operated cases in order of frequency was acute appendicitis(44.6%), inguinal hernia(23.2%) and intussusception)11.4%). 3. 60cases(26.3%) had operation due to intestinal obstruction. The common causes of intestinal obstruction was intussusception(41.7%), congenital anomalies(36.7%) and incarcerated hernia(11.7%). 4. The highist incidence of the cases according to the age were as follows: newborn infant; intestinal obstruction due to congenital origin(all cases), 4wks-1year; intussusception(41.5%), 1-2years and 2-6years; inguinal hernia(75.0% and 44.7%), 6-10years and 10-15years; acute appendicitis(40.6% and 86.4%). 5. 7 cases were injured abdominal visera by trauma. Among them, spleen and liver was injured in 3cases, respectively, and ileum in 1case. 6. Overall mortality rate was 0.9%.

Two Cases of Reye's Syndrome

Two cases of Reye's syndrome in an age of 14months and a 3 years female were observed. The laboratory findings revealed increased SGPT, SGOT and hypoglycemia, respectively. Clinical findings were also compatable with this syndrome. In one case, liver biopsy revealed fatty infiltration of the liver cells. A brief review of related literatures was presented.

Mediastinal Teratoma in Infancy

Authors experienced a case of a huge intrathoracic teratoma in the right uppet mediastinum in male 7 months of age who had dyspnes of 1 month of duration, which was aggravated with cough and fever, and cyanosis 2 days prior to admission. He was relieved dramatically by open chest surgery, resecting the tumor measured 8X5X5 cm. The review of literatures was made.

Clinical Observations of Pediatric Inpatients: Morbidity and Mortality

This paper represents the clinical observations including the causes of admission and of deaths in pediatric age admitted during Jan. 1971 to Dec. 1975, into the pediatric ward of St. Paul's Hospital, Catholic Medical College located in the east zone of Seoul, covering the middle socio-economical classes in the regional and suburban populations. The results obtained were as follows: 1. Total admissions during 5 year-period were 2005, with the ratio of male to female 1.63/1. 2. In age distribution, the neonates and the infants less than 1year of age occupied 47.5%of total admissions and 65.9% of total deaths. 3. Major leading diseases of admission were bronchitis and pneumonia, gastroenteritis, pre-maturity, tuberculosis and upper respiratory tract infections, in order of incidence. 4. Total deaths were 129 and the mortality rate was 6.4%. 5. Major leading causes of deaths were pneumonia, pre-maturity, tuberculosis, septicemia, in order of incidence. The diseases of higher fatality rate were idiopathic respiratory distress syndrome, septicemia, encephalitis and encephalopathy, birth trauma and heart disease. 6. The death occurred within 48 hours after admission was 65.9% of total deaths.