• Title/Summary/Keyword: neonate

검색결과 463건 처리시간 0.025초

Hybrid Procedure for Pulmonary Atresia with Ventricular Septal Defect in a Low Birth Weight Neonate

  • Park, Ji Young;Seo, Dong-Man;Shin, Hong Ju;Kim, Soo-Jin;Son, Jae Sung
    • Journal of Chest Surgery
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    • 제46권1호
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    • pp.56-59
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    • 2013
  • Cardiac surgery in neonates with congenital heart disease has progressed dramatically in the past three decades. However, low-birth-weight neonates with congenital heart disease continue to challenge the intellectual and technical skills of healthcare professionals. We present a case of a low-birth-weight neonate with pulmonary atresia and a ventricular septal defect, in whom palliation was achieved with a right ventricular outflow tract stent using a hybrid procedure.

신생아에서 발생한 충수돌기 천공 (Appendiceal Perforation in the Neonate)

  • 박동원;장수일
    • Advances in pediatric surgery
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    • 제3권2호
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    • pp.168-171
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    • 1997
  • Appendiceal perforation is uncommon in the neonate. Diess reported the first case in 1908. Approximately 111 additional cases have been reported since that time. However, with exclusion of neonatal appendicitis associated with inguinal or umbilical hernias, necrotizing enterocolitis, meconium plug, and Hirschsprung's disease, there are only 36 cases of primary neonatal appendicitis. We treated a 12 days old boy with perforation of the appendix. The infant was 3000 g at birth and had a normal spontaneous vaginal delivary at 35 weeks of gestation. The mother was 31-year-old and had premature rupture of membrane. After normal feeding for the first 5 days of life, the infant had emesis of undigested milk, decreased activity and jaundice. The baby was admitted to the Pediatrics. Progressive abdominal distension, fever, decreased activity, and vomitting developed over the next six days. Erect abdominal radiography showed pneumoperitoneum. At exploratory laparotomy, a $0.8{\times}0.6$ cm sized perforation was noted at antime-senteric border of midportion of the appendix. Trasmural inflammation and the presence of ganglion cells were noticed on histology.

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A case of intracranial hemorrhage in a neonate with congenital factor VII deficiency

  • Lee, Won-Seok;Park, Young-Sil
    • Clinical and Experimental Pediatrics
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    • 제53권10호
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    • pp.913-916
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    • 2010
  • Congenital factor VII deficiency is a rare autosomal-recessive bleeding disorder. Bleeding manifestations and clinical findings vary widely, ranging from asymptomatic subjects to patients with hemorrhages that may cause significant handicaps. Treatment has traditionally involved factor VII(FVII) replacement therapy using fresh frozen plasma, prothrombin complex concentrates or plasma-derived FVII concentrates. Recombinant activated FVII ($NovoSeven^{(R)}$) is currently considered the first-line treatment for replacement therapy of FVII deficiency. Here we present a case of severe intracerebral and intraventricular hemorrhage in a neonate with congenital FVII deficiency.

신생아에서 담석을 동반한 Anti-E 항체에 의한 동종 면역성 용혈성 질환 1례 (A Case of Gallbladder Stones Associated with Anti-E Antibody Hemolytic Disease in a Neonate)

  • 이효진;홍승수;심윤희;김은령
    • Neonatal Medicine
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    • 제15권2호
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    • pp.190-195
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    • 2008
  • 저자들은 항-E항체에 의한 신생아 동종 면역성 용혈성 질환 환아에서 생후 8일째 담낭내 오니가 있고 4개월, 9개월, 11개월 및 50개월 후 추적 초음파에서 담석을 보인 1례를 경험하였기에 보고하는 바이다

Complete Repair of Coarctation of the Aorta and a Ventricular Septal Defect in a 1,480 g Low Birth Weight Neonate

  • Lee, Hong-Kyu;Cho, Joon-Yong;Kim, Gun-Jik
    • Journal of Chest Surgery
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    • 제44권2호
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    • pp.183-185
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    • 2011
  • Although outcomes of neonatal cardiac surgery have dramatically improved in the last two decades, low body weight still constitutes an important risk factor for morbidity and mortality. In particular, cardiac surgery in neonateswith very low birth weight (${\leq}$1.5 kg) is carried out with greater risk because most organ systems are immature. We report here on a successful case of early one-stage total repair of coarctation of the aorta and a ventricular septal defect in a 1,480 gram neonate.

신생아에 발생한 원인 불명의 일시적인 복부 팽만 3 예 (Transient Abdominal Distension in Neonate)

  • 최정연;윤은실;최광해
    • Journal of Yeungnam Medical Science
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    • 제23권1호
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    • pp.138-142
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    • 2006
  • Abdominal distension is not an uncommon symptom in the neonate; it is indistinguishable from Hirschsprung disease by symptoms and X-ray findings. In three patients, severe abdominal distension was found at early infancy and improved with conservative treatment without relapse. The findings were different from those of Hirschsprung disease. Immaturity or poor coordination of peristaltic movement is postulated as the cause. With maturation such problems can normalize. However the pathogenesis remains unclear and further investigation is needed to improve our understanding.

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한국재래산양(韓國在來山羊)의 태아(胎兒) 및 신생자(新生仔)의 체적측정치(體尺測定値)에 관(關)한 연구(硏究) (Study on body measurement of fetuses and neonates in Korean native goats)

  • 김종섭;최상용;정헌식;김택석
    • 대한수의학회지
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    • 제28권2호
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    • pp.213-219
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    • 1988
  • The measurement was investigated with 18 heads of fetus(60, 90, 120 days of gestation) and neonate in Korean native goats. The results were summerized as follows: 1. The crown-rump length of fetuses at 60, 90, 120 days of gestation and neonate was 8.71, 20.83, 31.10 and 34.93 cm, respectively. 2. The length of small intestine at 60, 90, 120 days of gestation and neonate was 32.28, 157.10, 303.52 and 457.06 cm, respectively. 3. The length of large intestine at 60, 90, 120 days of gestation and neonate was 9.20, 37.70, 82.06 and 94.46 cm, respectively. 4. The ratio of intestinal length to crown-rump length at 60, 90, 120 days of gestation and neonate was 4.76, 9.45, 12.40 and 15.79 times, respectively. 5. At 60 days of gestation, the total length of the vertebral column was $7.40{\pm}0.72cm$, The mean length of each segment of the vertebral column was $1.55{\pm}0.20cm$ in cervical, $2.29{\pm}0.21cm$ in thoracic, $1.46{\pm}0.10cm$ in lumbar, $0.51{\pm}0.04cm$ in sacral and $1.59{\pm}0.17cm$ in coccygeal vertebrae. 6. At 90 days of gestation, the total length of the vertebral column was $16.52{\pm}0.80cm$. The mean length of each segment of the vertebral column was $3.72{\pm}0.12cm$ in cervical, $5.09{\pm}0.26cm$ in thoracic, $3.22{\pm}0.04cm$ in lumbar, $1.97{\pm}0.03cm$ in sacral and $2.64{\pm}0.35cm$ in coccygeal vertebrae. 7. At 120 days of gestation, the total length of the vertebral column was $26.35{\pm}0.34cm$. The mean length of each segment of the vertebral column was $6.09{\pm}0.16cm$ in cervical, $7.81{\pm}0.07cm$ in thoracic, $5.08{\pm}0.07cm$ in lumbar, $3.07{\pm}0.02cm$ in and $4.31{\pm}0.02cm$ in coccygeal vertebrae. 8. In the neonate, the total length of the vertebral column was $32.41{\pm}1.57cm$. The mean length of each segment of vertebral was $7.70{\pm}0.25cm$ in cervical, $9.97{\pm}0.68cm$ in thoracic, $5.58{\pm}0.44cm$ in lumbar, $3.85{\pm}0.15cm$ in sacral and $5.05{\pm}0.06cm$ coccygeal vertebrae. 9. The chest girth at 60, 90, 120 days of gestation and neonate was $6.13{\pm}0.51$, $13.45{\pm}0.84$, $20.28{\pm}1.53$ and $22.94{\pm}1.75cm$, respectively. 10. The head length at 60, 90, 120 days of gestation and neonate was $2.93{\pm}0.07$, $6.67{\pm}0.13$, $8.84{\pm}0.51$ and $9.76{\pm}0.44cm$, respectively. 11. The width of the head at 60, 90, 120 days of gestation and neonate was $2.20{\pm}0.13$, $4.45{\pm}0.11$, $5.33{\pm}0.20$ and $5.51{\pm}0.32cm$, respectively.

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신생아의 식도 열공 탈장 (Hiatal Hernia in Neonate)

  • 임용택;정승혁;김민용;김병열;이정호
    • Journal of Chest Surgery
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    • 제34권2호
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    • pp.184-188
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    • 2001
  • 선천성 횡경막탈장은 2000∼5000명의 신생아 당 한명 꼴의 발생율을 가진 드문 질환이다. 그 중 신생아에서 열공탈장은 더욱 희귀한 질환이다. 저자는 생후 1주일된 신생아의 선천성 복합열공탈장을 경험하였다. 진단은 빠른 시간내 이루어졌으며 수술은 우측 흉곽절제술을 통해 탈장된 장기를 복원하고 Belsey-mark IV 술식을 시행하였다. 환아는 술후 3일째 음식을 먹었고 퇴원 6개월후 지금까지 별 문제없이 잘 지내고 있다.

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신생아 Bochdalek 탈장의 외과적 고찰 (Bochdalek's Hernia in Neonate -A Clinical Review of 14 Cases-)

  • 문승호
    • Journal of Chest Surgery
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    • 제28권5호
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    • pp.481-486
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    • 1995
  • During the Dec.1990 to April.1994, 14 patients were diagnosed in the Department of Thoracic and Cardiovascular surgery, Medical college of Chonnam National University,as having congenital Bochdalek hernia. All of them diagnosed and operated before the age of 20 days, neonatal period. 3 of 14 were died after operation, so mortality rate was 21%, the deaths occurred in 1,1,13 days neonate. In this retrospective study we describe our experience and results with review of the literature.

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