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KMID : 0377619760300010133
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Korean Jungang Medical Journal
1976 Volume.30 No. 1 p.133 ~ p.138
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Clinical Observation of Aspiration Pneumonia of the newborn from Inhalation Amniotic Fluid
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Abstract
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Reported a clinical study of 82 cases of newborn infants with aspiration pneumonia who admitted to pediatric department, Ewha Woman’s University Hospital from 1968 Jan. to 1974 Dec.
Obtained following results
1) Sex incidence was male 48(45.8%), female 34(41.5% , no difference.
2) 23(38%) of these infants were born prematurity, 20(24.4%) were born at term, 3(3. 7%) were post mature.
3) 26.5% of the infants were delivered by cesarean in production of aspiration.
4) Abnormality during pregnancy of mother revealed toxemia (53.8%), placenta previa (15.4%), viginal bleeding (23.1%) abruptio placenta (7.7 %) , and premature rupture of membranes (29.3%).
5) The chief complaints on admission were cyanosis (70. 7 °% ), weak crying (52.3%), grunting (34.1%), subcostal retraction (21.9 % ), respiratory difficulty (14.6%),
apneic spell (10.9%), and meconium stained (23.1%) in orders.
6) Positive gastric juice culture were E. coli (42.9%), Staphylococus aureus(32.2
%), Streptococcus, Pseudomonas, Aerobacter, Proteus in orders.
7) 23 patients showed under 6 points in one min. Apgar score.
8) Breathing was faster than 80 per min. in 28(34. 1%) cases and was 40 to 80 per
min. in 39(47.6%). 11 patients died.
9) Treatment of infants involved isolation in an incubator, artificial ventilation, oxygenation, administration of antibiotics. 13 died among 82 cases.
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