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소아에서의 급성호흡곤란 증후군에 대한 임상적 고찰
DC Field | Value | Language |
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dc.contributor.author | 김동수 | - |
dc.date.accessioned | 2015-07-15T16:45:16Z | - |
dc.date.available | 2015-07-15T16:45:16Z | - |
dc.date.issued | 2003 | - |
dc.identifier.issn | 1738-1061 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/113532 | - |
dc.description.abstract | Purpose: The acute respiratory distress syndrome(ARDS), an acute form of severe alveolar-capillary injury evolving after a direct or indirect lung insult is thought to be a common cause of respiratory failure though not many clinical studies on the subject have been made yet. Methods: Between January 1992 and December 2001, we conducted a retrospective study on 33 children who fulfilled the definition of the ARDS recommended by the American-European consensus conference in 1994 Results: A total of 33 patients(20 boys and 13 girls) were selected. Their age ranged from 4 months to 12 years with seven children younger than 1 year. The overall mortality rate was 78.8% and no significant difference was noted based on age or sex. Concerning seasonal variation, incidence of the ARDS increased in spring, especially in May(21.2%). Pneumonia(66.7%) was found to be the most common risk factor of the ARDS followed by sepis(24.2%) and aspiration(3.0%). In immune compromised children(six cases), including a recipient of bone marrow transplantation, the mortality rate was 100%. Compared with children with multiple organ failure recording a 83.3% mortality rate, those with isolated respiratory failure, showed a lower mortality rate of 33.3%, although stastistically insignificant. Between survivor and non-survivor groups, significant difference were shown in hematocrit, PaO₂, PaCO₂, PEEP, and PaO₂/FiO₂ on the seventh day after the onset of the ARDS. Conclusion: According to our study, respiratory failure proved to have a great effect on mortality rate in the ARDS. More aggressive intervention and further studies on this subject should be done to improve the survival rate. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.relation.isPartOf | Journal of the Korean Pediatric Association (소아과) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Acute respiratory distress syndrome | - |
dc.subject.MESH | Pediatric | - |
dc.subject.MESH | Mortality | - |
dc.subject.MESH | Respiratory failure | - |
dc.title | 소아에서의 급성호흡곤란 증후군에 대한 임상적 고찰 | - |
dc.title.alternative | A clinical study of the acute respiratory distress syndrome in children | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Pediatrics (소아과학) | - |
dc.contributor.googleauthor | 이택진 | - |
dc.contributor.googleauthor | 김동수 | - |
dc.contributor.googleauthor | 신동환 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00405 | - |
dc.relation.journalcode | J01842 | - |
dc.subject.keyword | Acute respiratory distress syndrome | - |
dc.subject.keyword | Pediatric | - |
dc.subject.keyword | Mortality | - |
dc.subject.keyword | Respiratory failure | - |
dc.contributor.alternativeName | Kim, Dong Soo | - |
dc.contributor.affiliatedAuthor | Kim, Dong Soo | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 46 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 42 | - |
dc.citation.endPage | 50 | - |
dc.identifier.bibliographicCitation | Journal of the Korean Pediatric Association (소아과), Vol.46(1) : 42-50, 2003 | - |
dc.identifier.rimsid | 52189 | - |
dc.type.rims | ART | - |
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