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千桓旭,洪榮義,金光姚,尹英順,李鉉金 최신의학사 1974 最新醫學 Vol.17 No.11
A clinical analysis were performed on 140 cases of jaundice, including neonates to 15 years of age who were admitted to the Dept. of Pediatrics, Woo Sok Hospital, College of Medicine, Korea Uni?versity during the years from Jan. 1969 to Dec. 1973. The patients were classified by sex ratio, annual distribution annual frequency, incidence of causative diseases and the total serum bilirubin level and sex distribution of causative diseases. The results were revealed as follows; 1. Among the 140 cases, male patients were 92 cases (65.7%) and female 48 cases(34.3%), the ratio of male to female was 1.9 to 1. 2, The frequency of total icteric patients related to total admitted patients during the past 5 years was 4.9%. 3. On annual distribution, 37 cases were in 1972; 30 cases in 1970, 28 cases in 1973;23 cases in 1971;22 cases in 1969 in the order of incidence. 4. On annual frequency, the peak frequency was 6.1% in 1969 and 1970 respectively. 5. The most common causative disease was the infectious hepatitis- revealed 72 cases(51.4%) and the hyperbilirubinemia of 48 cases(34.3%) was the next. 6. The relationship between causative disease and the total serum bilirubinemia, 26 cases(23.2%) of infectious hepatitis were at the level of 2.01-5mg%, and the highest level of one case was 20.1?25 mg%. respectively. 7. The age and sex distribution of causative diseases, the infectious hepatitis was most common and it occured 30 cases(21. 4% ), the sex ratio of male to female was 1. 4 to 1. The hyperbilirubinemia were 29 case(20.7%) within 7 days of age and the sex ratio of male to female was 2.7 to 1.
千桓旭,崔平和 고려대학교 의과대학 1981 고려대 의대 잡지 Vol.18 No.1
A large number of reflex patterns, mediated by brain stem and spinal cord mechanisms, are found in the newborn infant and during the first few months of postnatal life. Absence of reflex responses lndicates general depression of central or peripheral motor functions, asymmetric responses suggest focal motor lesions, either peripheral or central. As the infants mature, the neonatal reflexes disappear in a predctable order as voluntary motor functions supersed them. Abnormal persistence of these reflexes is seen in infants with general developmental lag or with central motor lesions. Present study was carried out to determined the age at primitive reflex usually appears and no longer obtainable in normal or abnormal infants and children. 124 of normal infants and children age of 2 months to 3 years and 115 who with cerebral palsy age of 7 months to 8 years were studied and results obtained were as follows. 1. Moro reflex in normal infants was appeared from soon after birth and the age of no longer obtainable was 3 months to 6 months after birth. Positive Moro reflex was found in only 4.3% of children with cerebral palsy after 1 year of age. 2. The asymmetrical tonic neck reflex was prominent in 20% of infants age of 2 to 4 months. Persistence of the response past age of 6 to 9 months occurred in 48% of children with cerebral palsy, especially in athetotic type. 3. The tonic labylinthine reflex was negative for all of the normal infants, but 25.6% of children with cerebral palsy showed positive response, especially athetotic type. 4. Supporting reflex in normal infants was appeared since 2 weeks after birth and 25% of infants below 2 months, 100% of after 6 months of age showed positive. Although children with cerebral palsy had lower response than normal and 79.1% was positive post 6 months of age. 5. The neck righting reflex consist of rotation of the trunk in the direction in which the head of the supine infant is turned. It was decreased in infants with cerebral palsy and only 61.5% was positive at the age of 1 year. 6. Labyrinthine righting reflex was appeared at age of 5 months and all of the cases were positive after 8 months of age in normal infants, but in infants with cerebral palsy showed high incidence of negative response with 15.8% of infants after 1 year, especially athetotic type, 7.1%.