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KMID : 0367419690120020033
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Journal of Korean Pediatric Society
1969 Volume.12 No. 2 p.33 ~ p.39
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Clinical Observation of Neonatal Tetanus
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權寧助/Kwon, Yung Jo
崔泰榮/張在暹/Choi, Jin Young/Chang, Jai Sum
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Abstract
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Total 68 cases of the patients of neonatal tetanus were clinically , evaluated, who were admitted to the Department of Pediatrics, Seoul National University Hospital during the 8 year and 8 months period
from Jan. 1959 to Aug. 1967. The results were as follows.
1) The 29 cages out of the total 68 cases were died and the mortality rate was 42.6%.
2) High incidence of the male than the female was revealed and its ratio was 3.1 : 1. The incidence
of neonatal tetanus reached its peak on April and Sept. and it seems to be related to the numbers of
delivery.
3) The mortality rate is reducing year by year.
4) Home delivery was a problem of the neonatal tetanus and we must keep in cur mind that neonatal tetanus was also Napped in the cases of delivery at the private clinics.
5) The majority of patients (60.3%) were 6 to 8 days of age on admission. The case fatality rate was above 57% in the patients up to 7 days of age on admission.
6) After the 6th or 7th hospital day, most of patients could be recovered
7) Fever, muscular spasm with convulsion, and cyanosis revealed the poor prognosis.
8) The main complications of neonatal tetanus were the pulmonary complications which showed poor prognosis.
9) The causes of death were mainly respiratory spasm, pulmonary edema and respiratory center failure.
10) The mortality rate was high at night comparing with that of daytime and it needs continuous vigilence of doctors and nurses.
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