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신생아기의 병적황달에 대한 임상혈액학적 관찰

Clinical and Hematlogical Observation of Pathological Jaundice in Nematal period

소아과 1969년 12권 9호 p.35 ~ 40
이현숙, 윤용임, 조영주,
소속 상세정보
이현숙 (  ) - 이화여자대학교 의과대학 소아과학교실
윤용임 (  ) - 이화여자대학교 의과대학 소아과학교실
조영주 (  ) - 이화여자대학교 의과대학 소아과학교실

Abstract


The following is the results of comparative observation of 164 cases of pathological jaundice out of 4,954 newborn infants at the delivery room of Ewha Womans University Hospital during the period from September, 1964 to August, 1967.
1. There´ was no critical defference in clinical course of pathological jaundice from the observational results of others.
2. 6.296 (100 out of 2,572) of male infants and 3.896 (64 out of 2, 382) of female infants were pathological jaundice.
3. The frequency of ocmmce of pathological jaundice is much higher in cases of prematurely babies, 18.1% (109 out of 594)- than in those of full term babies, 1.3% (55 out of 4.360).
4. In terms of hematological ´indings, O-A incompatibility was shown 42.196, 16 of 38 hemolytic jaundice cases, and 0.B incompatibility 31%, 12 cases. The cases of ABO incompatibility. were frequent ones. And the 38- cases show 10% increase of reticulocytes.
5. Steroid hormone was additionally used for less than a week out of 164 cases consequently it was found that jaundice disappearance occurred in 18 cases with steroid hormone therapy from the second day, while, other cases remained same.
6. More, than 95% (6 out of 8) of the dead babies were prematurity ones: this implies that prematurity is a crucial factor for death

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