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      • 소아경련성질환에 대한 임상적 관찰

        홍국식,조경숙,한순히,독고영창 최신의학사 1972 最新醫學 Vol.15 No.7

        A total of 342 cases with convulsive disorders, who admitted to the Korea University Woo Sok Hospital from January, 1968 to August, 1971 were studied. The most frequent age group of convulsion was from one to three years of age which comprise 26. 3% of total convulsive disorder cases. The main causes of convulsive disorder were acute febrile convulsion, 110 (32. 2%), and others were associated with tuberculous meningitis (14. 0%), purulent meni ngitis(10. 2%), epilepsy(8.8%), aseptic meningitis (6.4%), and tetanus (4.4%). The most frequent age group of acute febrile convulsion was from one and three years of age, and the major etiologic factor was acute pharyngotonsillitis (50.9%). The most frequent degree of body temperature was 38-40°C by axilla, and some evidence of genetic influence in children having febrile seizure was observed.

      • 神經芽細胞腫症例

        洪局植,千桓旭,李中基,獨孤英昌 최신의학사 1974 最新醫學 Vol.17 No.5

        Neuroblastoma is. one of the most common and highly malignant tumors of infancy and childhood. Recently, we experienced a case of neuroblastoma accompanied with bone metastasis in a 112 year-old male infant. He was treated both bth surgically and medically. The recent concept, prognostic factors and treatment were reviewed briefly.

      • 臀位分娩兒의 出生後 發達에 對한 觀察

        洪局植,崔平和 고려대학교 의과대학 1980 고려대 의대 잡지 Vol.17 No.1

        Present study was carried out to determined the influence on peri-and postnatal status of infant born by breech deliveries. For the purpose of study of perinatal status, the results of survey of 1,250 breech presentation from 3 institution have been presented. The observation of postnatal development was conducted in the 332 infants who were born at Korea University hospital until at the age of 2 to 2 1/2 years. The following results were obtained. 1. The incidence of breech presentation was 4.2% of the total deliveries and it is evident that breech presentation was accompained by an increased premature birth. 2. Prenatal mortality rate of breech delivery was higher (16.88%) than other delivery (2.51%). In which prenatal mortality of low-birth-weight breech was 38.6% but other delivery was 1.6% pre-term breech 38.6%, other delivery 16.1%, and full-term breech was 5.67% instead of 1.11% in other delivery. 3. Postnatal mortality rate for breech newborn was 22.6% and other delivery was 1.5%. It is estimated that risk of pre-and postnatal mortality for breech presentation was 2 to 3 or 6 to 7 times more than non-breech deliveries. 4. Of the 332 infants who survived, 271 or 81.6%, were apparently well and left the hospital in good condition. 5. Of the 21 infants with moderate asphyxia, 15 apparently appeared absolutely normal. With the remaining 6, in addition to neurologic findings (mainly spasticity), their development was well behind the average for their age. 6. Of the 15 with nerve paralysis, three of branchial and two of the facial group were still in almost the same condition. In ten others, the nerve function was completely improved. 7. Two of the six infants with injury to the genitalia who were seen again at the age of two still had gross hydrocele.

      • 分娩歷과 生後育兒環境이 步行開始에 미치는 영향에 대하여

        洪局植 고려대학교 의과대학 1973 고려대 의대 잡지 Vol.10 No.1

        The normal child has his own schedule of growth and development. The individual pattern is determined by an interplay of hereditary and environmental factors. The purpose of this investigation was to determined the factors influencing the time of onset of walking alone. An unselected group of 540 children observed at a well baby clinic of Department of Pediatrics, Woo-Sok Hospital Korea University. The results obtained were as follows; 1. The average infant was walking alone at 12 months of age. This results to be accelerated somewhat as compared with the generally accepted standard time. There was no difference between the rate of the boys and that of the girls. 2. In children delivered normally walking alone appeared earlier than who born by cesarean section, forceps or vaccum extraction. 3. The age of walking alone was not influenced by birth order. 4. The time of onset of walking alone for low-birth-weight children were somewhat delayed compared with that of normal birth weight children. 5. Both full-term and postmaturely born children seemed to be walk alone ealier than prematurely born children. 6. To compare the age of walking alone of breast fed and bottle fed children, former group was earlier than that of latter group. 7. Person of foster care was not effected upon the time of onset of walking alone, although children under the grandmother's care seemed to be somewhat delayed to walk alone.

      • 硫酸鐵中毒症例

        金容巨,申東春,洪局植,李中基,趙種淑 최신의학사 1973 最新醫學 Vol.16 No.2

        A 11-month-old boy ingested about 40 tablets of ferrous sulfate and was hospitalized with frequent vomiting and marked pallor. The highest serum level of iron was 450 pg per 100 milliliter. Inducing emesis and gastric lavage were repeatedly used. The infant then were given BAL and EDTA until 48 hours after admission. The clinical course was satisfactory and discharged on the 4th hospital day.

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