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KMID : 0367419690100110033
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Journal of Korean Pediatric Society
1969 Volume.10 No. 11 p.33 ~ p.38
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Clinical Report Concerning Deaths in Pediatric Ward, Neonates and Fetal Life
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金丁鎬/Kim, Chung Ho
金秀子/鄭求昌/陳東植/Kim, Soo Ja/Chung, Koo Chang/Chin, Dong Shik
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Abstract
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This is the clinical report concerning the deaths of admitted patients and newborns including pre-matures, and stillborns observed in pediatric department of mow- ha Womans University.
1. Concerning the deaths of admitted patients during the period from January, 1961 to August, 1965:
Average death rate was 7. 2%. By the etiologic diseases, acute respiratory infections were 42.5% of total deaths, each 9, 6% in tuberculosis and various acute intoxication, each 6.8% in gastrointestinaI infection and neonatal tetanus, and fourth frequent causes of death were birth trauma of head, infection of central nervous system and congenital malformation (each 3% of total deaths), etc.
Among the causes of death acute respiratory infections were mostly frequent in infancy, and tuberculosis, intoxication and C.N.S. infection were more frequent in older children. About 52% of deaths. was within 24 hrs after admission and 22% in next 24 hrs.
2. Concerning neonatal deaths during the period from January, 1961 to December, 1964:
Death rate was 0.32% in fullterm and 21.1% in premature, which was approximately 15% in recent 2 years of observation period. Acute respiratory disorder was most frequent cause of death in both fullterm (48%) and premature group (73.7%), birth trauma of head, in fullterm (20%) and in premature (7.9%), third frequent cause of neonatal death was congenital malformation, 8% in fullterm and infection, 7.9% in premature.
3. Concerning stiilborns during same period as neonatal deaths:
271 cases (3,1%) of total deliveries were stillborn, which was most frequent between 37 and 40 weeks of gestation (33.2%), next frequent one, before 28 weeks of it (Z6,5%). By the etiologic and predisposing facters ox" stillborn, various abnormal deliveries were recognized in 16.6% of total stillborn, maternal toxemia in 14,8%, abruptio placenta in 8.5%, artificial aad habitual abortion in 7, 8% and 6.6%, placenta previa in 5.9%, congenital malformation of fetus in 4.8% and uydramnios in 3.7%, etc. No abnormal factors were clinically found in both maternal and fetal condition in 26.6% of total stillborn.
Among 13 congenital malformations of stillborn, anencephaly was most frequent one which was found in 5 cases.
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