Journal of the Korean Pediatric Society 1981;24(9):882-890.
Published online September 15, 1981.
Hyaline Membrane Disease (Five cases report including two autopsy cases).
Jun Hee Kang1, Young Min Ahn1, Joong Gon Kim1, Chun Haeng Park1, Jeong Kee Seo1, Ok Ja Hwang1, Chong Ku Yun1, Yoon Seong Lee2, Shin Eun Choi2, Je G Chi2
1Department of Pediatrics College of Medicine, Seoul National University, Korea.
2Department of Pathology College of Medicine, Seoul National University, Korea.
疏璃質膜症 5例
강준희1, 안영민1, 김중곤1, 박천행1, 서정기1, 황옥자1, 윤종구1, 이윤성2, 최신은2, 지제근2
1서울大學校 醫科大學 小兒科學敎室
2서울大學校 醫科大學 病理學敎室
Abstract
The hyaline membrane disease is not a common disease in Korea. Only a few reports of small scale are avaiable in the literature. We have experienced 5 cases of HMD during approximately 1 year period. The diagnosis was made either on characteristic clinical and roentgenological features or postmortem examination. The birth weights of these cases were in the range of 1,000-1,500gm in 2 cases and 2,000-2,500gm in 3 cases. And their gestational age was 28-34 weeks in most of the cases. Three cases were delivered by C-section. There was 1 case of placenta previa. Four of these 5 cases died after average 18 hours postnatum. Postmortem findings in two cases were characterized by typical hyaline membrane lining th respiratory bronchioles and alveolar ducts. Other prominent findings were atelectasis, interstitial edema and congestion and lymphatic dilatation. One case complicated with multifocal bronchopneumonia and perinatal telencephalic leukoencephalopathy. The other case showed acute subarachnoid hemorrhage probably from germinal matrix hemorrhage.
Key Words: Hyaline membrane disease, Chest X-ray, Autopsy, Subarachnoidal hemorrhage




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