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KMID : 0368019870100010191
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Journal of Soonchunhyang University
1987 Volume.10 No. 1 p.191 ~ p.194
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Radiological finding of Asphyxiating Thoracic Dystrophy
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林容均/Lim, Yong Kyun
裵光洙/Bae, Kwang Soo
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Abstract
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The authors have experienced the characteristics of asphyxiating thoracic dystrophy in a newborn in the diagnostic radiologic department of our hospital recently.
Initial chest film showed many features compatible with asphyxiating thoracic dystrophy_ The upper ribs were short and horizontally oriented with bulbous expansion at the costochondral junction. The lower ribs flared out around the upper viscera. Overall configuration of narrow bell shaped chest and normal sized heart suggested small and underdeveloped thoracic cage _ The clavicles lied highly at the level of sixth cervical vertebra horizontally.
On the successive whole body film, pelvic deformities such as square-shaped iliac wings, downward hook formation on the Iower border of ileum, and short ischial and pubic bones were acknowleged. But the vertebral column and the other long bones were not shortened, the skull was not pathologic.
Autopsy findings made us confirm the diagnosis of asphyxiating thoracic dystrophy. The most prominent one of them presented the markedly small sized lungs attached to the normal sized heart_ Both lungs were remarkably hypoplastic and included a little amount of air. The bony thorax was narrow with each rib havings a bulbous expansion at the costochondral junction as same as the radiologic findings.
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