The authors have experienced a case of Duchenne type of progressive muscular dystrophy in a 9 year old boy who was presented with significantly increased serum enzymes related to this disedase and musle biopsy findings compatible with muscular dystrophy, reported with review of literatures concerned.
Biopsy ; Child ; Humans ; Male ; Muscular Dystrophies*

Two hundred and thirteen cases of acute poisoning who were admitted in pediatric wards of Severance Hospital and Won ju Christian Hospital from April, 1966 to March, 1976 (10 years) were statistically analyzed and compared it with the statistical study of same hospitals from April, 1956 to March, 1966 (10 years). 1. Incidence of poisoning was 1.2% of all admitted cases. Severance Hospital and Won ju Christian Hospital were corresponding to 0.9% and 2.0% of all pediatric admitted patients respectively 2. Sex incidence was more higher in boys than girls, The highest incidence (39%) was noted in the 1 to 4 year age group. 3. Seasonal incidence was more prevalent in summer months. (form June to August) 4. Fortyseven kinds of various poisonous substances were observed to be causative. The most common causative was insecticide (made for aggricultual use) which was 52% of all cases. (Severance Hospital: 37%, Won ju Christian Hospital: 76%). Drug (23%), CO gas (8.5%) and rodenticide (5%) were the next common causative agnts. 5. Poisoning of accidental cause was frequent (69%) than therapeutic and suicidal purpose, which were 26% and 6% respectively. 6. Mortality rate was 8% and insecticide was the most common cause of death. 7. There was no statistically significant difference between the past study and this study which were performed from two same hospitals in sex incidence, age incidence, seasonal distribution, motivations of poisoning, duration from poisoning to arrival to emergency room and mortality rate. In the past study the most common causative substance was CO gas in Severance Hospital and insecticide in Won ju Christian Hospital. In this study insecticide become the most common causative substance in both hospitals and the incidence was significantly increased than the past. Drug was second common causative agent. Lye was markedly decreased poisoning to compare with past study. Incidence of patients who were treated at the other clinic was increased from 14% to 33%.
Cause of Death ; Emergency Service, Hospital ; Female ; Gangwon-do ; Humans ; Incidence ; Infant* ; Lye ; Mortality ; Poisoning ; Seasons ; Statistics as Topic

A case of congenital Morgagni hernia was presented in a 3 years old male child with the herni-ation of the left lobe of the liver. The diagnosis was confirmed by operation and the hernia was corrected surgically. The review of the literature concerning the congenital diaphragmatic hernia were made briefly.
Child ; Child, Preschool ; Diagnosis ; Hernia* ; Hernia, Diaphragmatic ; Humans ; Liver ; Male

Two cases of single ventricle were diagnosed in a 2 year and 5 months old female baby an. a 8 year old boy according to cardiac catheterization with selective cineangiogram. We report these cases with review of a little literature.
Cardiac Catheterization ; Cardiac Catheters ; Child ; Female ; Humans ; Infant ; Male

While endovascular aneurysm repair (EVAR) is prevailing for the treatment of abdominal aortic aneurysm (AAA) in modern vascular practice, PURPOSE: we conducted nationwide questionnaire survey to investigate the current status of AAA treatment and their results in Korea. METHOD: We reviewed the replies from 28 hospitals (33 departments) to the questionnaire inquiring annual number, clinical features, mode of treatment and results of AAA patients during the period from Jan. 2000 to Jul. 2004. Results: 980 AAA patients were reported including 292 ruptured AAA (29.8%) and 688 non-ruptured AAA (70.2%). For treatment of AAA, 834 (85.1%) surgical repairs (SRs) and 111 (11.3%) endovascualr aneurysm repairs (EVARs) were performed while 35 patients (3.6%) died of AAA rupture before operation. The locations of AAA were infrarenal in 889 (90.7%), juxtarenal in 62 (6.3%), and suprarenal in 29 patients (3.0%). Among 834 patients undergoing SR, 577 patients (69.2%) had non-ruptured AAAs and 257 patients (30.8%) had ruptured AAAs. Mean operative mortality rate was 4.1% after elective SRs, 30.7% after SR for ruptured AAAs, and 2.3% after EVARs. The reported brand name of stent graft devices were various including domestic custom-made in 56 (50.5%), imported brand in 18 (16.2%) while 37 (33.3%) stent grafts were not reported their brand name. The frequencies of type I and III endoleaks after EVAR were reported 5.8% and 5.8% respectively in 86 patients with an available data. CONCLUSION: SR has been used as a major treatment option in Korea for the treatment of AAA patients while EVAR is increasing. The mortality rate of SR of AAA was comparable to western multi-center trial reports but mortality or morbidity rates of EVAR were unable to know in this questionnaire survey.
Aneurysm ; Aortic Aneurysm ; Aortic Aneurysm, Abdominal* ; Blood Vessel Prosthesis ; Endoleak ; Humans ; Korea* ; Mortality ; Questionnaires* ; Rupture ; Treatment Outcome