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단일 기관 태변 흡인 증후군의 인공호흡기 사용여부에 따른 임상적 특성
임령경 ( Ryoung Kyoung Lim ),배미혜 ( Mi Hye Bae ),김아영 ( Ah Young Kim ),한영미 ( Young Mi Han ),박경희 ( Kyung Hee Park ),변신연 ( Shin Yun Byun ) 대한주산의학회 2015 Perinatology Vol.26 No.2
Purpose: Meconium aspiration syndrome is an important cause of neonatal morbidity and mortality, and sometimes patients need mechanical ventilator therapy. The aim of this study was to identify the risk factors which required mechanical ventilation. Methods: We retrospectively analyzed 44 infants diagnosed as meconium aspiration syndrome from January 2009 to December 2013. We divided into 2 groups (ventilator group and oxygen therapy group) and analyzed the clinical characteristics, vital signs, laboratory findings and clinical courses. Results: Ventilator group and oxygen therapy group included each 22 infants, and there were no significant differences in clinical characteristics between two groups. Time to transfer and time to start oxygen therapy were longer in ventilator group but not statistical difference. Initial mean blood pressure and pH were significantly lower in ventilator group than in oxygen therapy group (P=0.026, P=0.003). Ventilator group had longer treatment period and worse prognosis than oxygen therapy group. Conclusion: If the infants with meconium aspiration and respiratory distress represent low pH and hypotension, we have to pay close attention to early oxygen supplementation and proper treatment to prevent poor clinical course.
좌심실 게실을 동반한 Cantrell씨 증후군으로 진단된 신생아 1례
양혜경 ( Hea Kyoung Yang ),김아영 ( Ah Young Kim ),임령경 ( Ryoung Kyoung Lim ),박경희 ( Kyung Hee Park ),변신연 ( Shin Yun Byun ) 대한주산의학회 2014 Perinatology Vol.25 No.1
Cantrell`s syndrome is a rare congenital anomaly, consists of five malformations. There are the midline abdominal wall defect, the defect of sterna lower part, an agenesis of the anterior part of the diaphragm, an absence of the diaphragmatic pericardium, and the congenital intracardiac problem. We diagnosed Cantrell`s syndrome with left ventricular diverticulum in a female neonate with no perinatal problems. She experienced an one- staged operation and discharged with no complications. We report a case with brief review of the literature.
박경희 ( Kyung Hee Park ),임령경 ( Ryoung Kyoung Lim ),김아영 ( Ah Young Kim ),변신연 ( Shin Yun Byun ) 대한주산의학회 2013 Perinatology Vol.24 No.4
The risk factors associated with neonatal scalp abscess include electrode insertion for fetal scalp monitoring, traumatic scalp lacerations, and sepsis or meningitis. We report a case of neonatal scalp abscess with extension to dura mater, although our patient had no known risk factors. A 18-day-old, full-term baby was referred to the our hospital to evaluate a swelling over his left occipital scalp. A full sepsis work-up was performed and all were negative. Cranial sonography revealed echogenic cystic mass with peripheral vascularity consistent with ruptured epidermoid cyst or scalp abscess. The computed tomography (CT) scan of head was performed because of possibility of ruptured epidermoid cyt and revealed 2.0×2.0 cm sized hyperattenuating mass with suspicious intracranial extension. The magnetic resonance imaging (MRI) of head revealed the presence of 1.4×1.1 cm sized peripheral rim enhancing mass at left occipital area consistent with scalp abscess. And also, the lesion was suspicious dural exposure at left temporal area. Clinicians should be aware that scalp abscess may occur without any risk factors and perform diagnostic workup including a complete sepsis evaluation, cerebrospinal fluid analysis (CSF), and cranial imaging study to screen for intracranial extension.