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중증 주산기 가사 환아에서 시행한 초기 뇌파 검사의 임상적 의의

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Author(s)
이종욱최원정김천수이상락김준식
Keimyung Author(s)
Kim, Chun SooLee, Sang LakKim, Joon Sik
Department
Dept. of Pediatrics (소아청소년학)
Journal Title
소아과
Issued Date
2003
Volume
46
Issue
8
Keyword
Severe perinatal asphyxiaEEGNeurologic outcome
Abstract
Purpose : Perinatal asphyxia occurring in newborn is one of the major causes of acute mortality
and chronic neurological disability in survivors. We have studied the relationship between early electroencephalography(
EEG) findings and clinical course and neurologic outcome in severe asphyxiated
neonates.
Methods : Between the period of July 1999 and June 2002, 25 neonates who were diagnosed with
severe perinatal asphyxia(1-minute Apgar score of ≤3 and initial pH is less than 7.2) at NICU in
Dongsan Medical Center were enrolled. An EEG was recorded and analyzed within three days of life
and divided into two groups - group 1(normal or focal change on EEG) and group 2(generalized abnormal
EEG). Between the two groups, clinical courses and neurologic outcomes were compared.
Results : Fifteen infants(60%) were group 1 and ten infants(40%) were group 2(polyspikes, burstsuppression,
generalized low voltage). Associated maternal disease, days of hospitalization, need for
ventilator support, delay of oral feeding and convulsion duration are significantly higher and longer
in group 2. Also, poor neurologic outcome(expire, developmental delay) was significantly higher in
group 2(60%) than group 1(13.3%).
Conclusion : Thus, the early neonatal EEG in asphyxiated newborn can be a predictable diagnostic
tool in assessment of neurologic outcome. (J Korean Pediatr Soc 2003;46:784-788)
Alternative Title
The Significance of the Early Electroencephalographic Findings in
Severely Asphyxiated Newborn Infants
Keimyung Author(s)(Kor)
김천수
이상락
김준식
Publisher
School of Medicine
Citation
이종욱 et al. (2003). 중증 주산기 가사 환아에서 시행한 초기 뇌파 검사의 임상적 의의. 소아과, 46(8), 784–788.
Type
Article
ISSN
0560-3560
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36687
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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