Out of a total of 140 children hospitalized with the diagnosis of Kawasaki disease at the Depart- ment of Pediatrics, Hanyang University Hospital during the period of 9 years from July 1980 to July 1989, 68 cases were subjected to echcocardiographic examination at 10 to 15 days after the onset of illness, and these 68 cases were divided into two groups according the... |
Among the total of 2,483 Newborns delivered at Hanyang University Hospital from January 1987 to December 1988, a clinical study was performed of meconium stained baby. The results are summerized as follows: 1) The incidence of meconium staining was 13.4% (333 cases) in total 2,483 newborns. 2) In the groups that the birth weight is 2501 ~ 4000 gm and up to 4001 gm, the incidence... |
Children with cyanotic congenital heart disease (CCHD) and secondary polycythemia exhibit increased susceptibility to hemorrhage or thrombosis. The hemostatic disorder manifests itself by the occurrence of excessive hemorrhage after surgery, and by increased incidence of cerebrovascular accident of a thrombotic nature during life. To assess whether the severity of polycythemia in children with CCHD is correlated with coagula- tion abnormalities, hematologic studies with preoperative and... |
The one-hundred-twenty-seven asthmatic children who were diagnosed and treated either through admission or through clinic visits at the Department of Pediatrics, Hanyang University Hospital from July 1987 to March 1989, were investigated for clinical patterns and epidemiologic correlations. The diagnosis of asthma was made by typical clinical history, physical findings and laboratory examina- tion. The results were as follows: 1) Sixty-three percent of the total population at... |
The one-hundred-forty nine children with mucocutaneous lymph node syndrome who were diagnosed and treated through admission at the Department of Pediatrics, Hanyang University Hospital from July 1977 to January 1989, were investigated for clinical patterns and laboratory , correlations. The results are as follows: 1) Most patients (84.5%) were under 4 years of the age. 2) Boys were more prevalent than girls, as a ratio of 1.9:1. 3) Seasonal incidence... |
Acute rheumatic fever and rheumatic carditis were still important disease of the acquired heart disease in children and adults, in spite of improving socioeconomic status in Korea. Recently, many outbreaks of acute rheumatic fever have been reported in the papers from developed countries. We should be aware of such outbreaks of acute rheumatic fever and should pay attention to their treatment of the patients... |
Intracranial tumors presenting in the first year of life are uncommon. Brain tumors in infancy are predominantly supratentorial, whereas in older children the majority are infratentorial. Malignant ependymoma is a rare type of primitive ependymal tumor with clinically high malignancy. We experienced a malignant ependymoma in a 5 month old girl who had progressive enlargement of head circumference with vomiting. Brain computed tomography revealed... |
Ductus arteriosus plays important hemodynamic role in fetal development, and establish a certain spatial relationship with aorta. Although ductus arteriosus normally closes after birth, it could remain patent alone, or in association with various congenital heart anomalies. In these patients the develop- mental hemodynamic changes may result in the specific variation in the spatial relationhip of patent ductus arterisus (PDA) and aortic arch. The developmental... |
Computed tomography is a very valuable method by which the pathogenic evolution of tuberculous meningitis may be followed, thereby facillitating its differential diagnosis and controlling the effi- ciency of therapy, and assessing the degree of hydrocephalus. Fifteen cases of clinically proven intracranial tuberculosis were studied by lateral ventricular indices of brain computed tomography in our hospital during last 3 years. The results were as follows: 1)... |
Chromosomal studies were carried out in 730 patients at the Dept, of Pediatrics and Genetics, Hanyang University Hospital, form December 1979 to April 1986. A statistical assessment was carried out in 244 cases who have chromosomal aberrations. The following results were obtained: 1) Chromosomal aberrations were observed in 244 cases among 730 cases, so the propotion of chromosomal aberrations was 33%. 2) Age distribution revealed 53% of chromosomal... |
The treatment of acute leukemia in childhood has been increasingly successful due to progression of chemotherapeutics and other supportive care. Improved survival rates in acute childhood leukemia have been associated with an increasing number of complications in the gastrointestinal tract. Typhlitis also known as ileocecal syndrome is a necrotizing inflammation of the cecum in leukemic patients on chemotherapy in the terminal stage of the... |
Acute Leukemia is the most common among malignant disease in childhood, and the loss of normal hematopoiesis by proliferation of leukemic cells and the chemotherapy result in immunosuppression and the reduction of red blood cells, normal white blood cells and platelets. The children with acute leukemia may succumb to the disease due to infections, hemorrhage, other complications, or the progression... |
Neonatal period is marked with constantly changing hematologic process due to a number of physiologic and pathologic factors, and with risk of underdiagnosis or misdiagnosis of anemia of various causes. Therefore, prompt diagnosis of anemia and accurate identification of its underlying causes would be essential to arrive at the appropriate management and to avoid occasional serious complications. 104 full term... |
In order to find out whether some of serum enzyme levels could be used as markers for acute leukemia in children, activities of amylase, alkaline phosphatase, 5 -nucleotidase and ribonuclease (RNase) and positive rates of these enzymes as markers for acute leukemia in children were determined in serum of patients with acute lymphocytic leukemia (ALL) and acute non-lymphocytic leukemia(ANLL). Since the... |
Acute megakaryoblastic leukemia in a very rare type of leukemia characterized by megakaryoblatic proliferation and organ infiltration without proliferation of other marrow elements. The authors experienced a case of acute megakaryoblastic leukemia in a 3 9/12 year-old female patient on admission. Acute leukemia was suspected because blast cells were found in peripheral blood smear, and there was hepatosplenomegaly. Bone marrow... |
40 Pediatric patients with mild to moderate dehydration due to nonbacterial acute infantile gastroenteritis were admitted to the study. On admission to the hospital, each patient was assigned at random either to the Pedialyte® RS+Isomil®(Group A), or to intravenous fluid+cow's milk-based formula (Group B). Each group consisted of 20 patients. There were no significant differences between the two group as... |
During the period from May 1981 to Feb. 1984, authors experienced 15 cases of double chambered right ventricle (D.C.R.V.) at Hanyang University Hospital. Among these 15 cases of D.C.R.V., 13 cases were confirmed by open heart surgery. We analysed the physical characteristics and echocardiographic, cardiac catheterization, angiographic and operative findings. Results are as follows; 1) Authors observations suggest that right ventricular obstructing... |
To assess the validity of Echocardiographic criteria for pulmonary arterial hypertension we studied pulmonary valve motion in 75 congenital heart disease children. 75 patients were divided into two groups, A and B. The group A consisted of 39 patients who had normal pulmonary arterial pressure, group B consisted of 36 patients who had pulmonary arterial hypertension(pulmmonary artery mean pressure more... |
An in-vitro sensitivity of Ceftizoxime sodium (CZX), a third generation Cephalosporin, using Epocelin® (a product of Fujisawa Pharmaceutical Central Laboratory, Japan), was studied against various bacterial strains isolated from the children with infections hospitalized on the pediatric ward of Hanyang University Hospital during the period from February, 1983 up to June, 1983. And therapeutic responses were observed in 26 pediatric... |