Advances in pediatric surgery
- 제9권1호
- /
- Pages.19-23
- /
- 2003
- /
- 2635-8778(pISSN)
- /
- 2635-8786(eISSN)
만삭아에 발생한 괴사성 장염
Necrotizing Enterocolitis in Term Infants
- 김대연 (울산대학교 의과대학 서울중앙병원 외과학교실) ;
- 김성철 (울산대학교 의과대학 서울중앙병원 외과학교실) ;
- 김경모 (울산대학교 의과대학 서울중앙병원 소아과학교실) ;
- 김애란 (울산대학교 의과대학 서울중앙병원 소아과학교실) ;
- 김기수 (울산대학교 의과대학 서울중앙병원 소아과학교실) ;
- 피수영 (울산대학교 의과대학 서울중앙병원 소아과학교실) ;
- 김인구 (울산대학교 의과대학 서울중앙병원 외과학교실)
- Kim, Dae-Yeon (Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center) ;
- Kim, Seong-Chul (Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center) ;
- Kim, Kyung-Mo (Department of Pediatrics, University of Ulsan College of Medicine and Asan Medical Center) ;
- Kim, Ellen Ai-Rhan (Department of Pediatrics, University of Ulsan College of Medicine and Asan Medical Center) ;
- Kim, Ki-Soo (Department of Pediatrics, University of Ulsan College of Medicine and Asan Medical Center) ;
- Pi, Soo-Young (Department of Pediatrics, University of Ulsan College of Medicine and Asan Medical Center) ;
- Kim, In-Koo (Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center)
- 발행 : 2003.06.30
초록
Necrotizing Enterocolitis (NEC) is usually a disease of premature infants, but occasionally it affects the term neonate. Twenty-five infants with NEC were treated at Asan Medical Center between January 2000 and December 2002, and 13 of them were term infants. In each case, the diagnosis of NEC was established by a clinical illness fulfilling the Bell's stage II or III NEC as modified by Walsh or by surgical findings. There were six males and seven females. The birth weight was from 1,960 to 3,700 g. The age at diagnosis was from 1 to 40 days. Four patients had congenital heart disease: one of who had hypothyroidism and cleft palate. Abdominal distension was present in all, and bloody stools in four. One patient had history of hypoglycemia, three had Rota viral infection. Eight patients had leucopoenia (<