A Clinical Study on Relationship of Surgical Glove and Back Pain after Lumbar Puncture in Children / 소아과

PROPOSE: In this study, we evaluated whether powder on surgical gloves is a cause of postpuncture backpain in children. MOTHODS: In 164 children with meningitis between July and September 1997, we did not remove powder from surgical gloves. However, in 149 children with menigitis between May and October 2001 the powder was removed from the surgical gloves. RESULTS: Out of the 164 patients in 1997, 41 cases(25.00%) were found to have postdural puncture backpain. On the other hand, out of 149 patients in 2001, with whom we used gloves from which the powder was removed, we found only 8 patients(5.36%) with postdural puncture backpain. CONCLUSION: We conclude that the powder on surgical gloves is one of the main causes of postdural puncture backpain in children.

A Case of Resolution of Duodenal Obstruction Caused by Duodenal Ulcer after the Eradication of Helicobacter pylori Infection / 소아과

Duodenal ulcers are often complicated by obstruction, bleeding, or perforation. The eradication of Helicobacter pylori reduce ulcer recurrences and complications in patients with duodenal ulcer. However, there is controversy whether the eradication of H. pylori infection can resolve duodenal stenosis complicated by duodenal ulcers. After the eradication of H. pylori infection, duodenal stenosis complicated by duodenal ulcer was resolved in our case. Therefore, the evaluation and treatment for H. pylori infection are required in patients with duodenal stenosis complicated duodenal ulcers before endoscopic treatment or surgery.

Lumbar Puncture in Patients Who Experienced First Seizure with Fever

PURPOSE: We aimed to ascertain whether lumbar punctures should be done to prove febrile seizure, and to study what conditions can delay or abolish lumbar puncture. METHODS: This retrospective study was done for four years, from January, 1996 to December, 1999. The subjects were the patients who visited Masan Samsung Hospital for the first convulsion with fever, and whose age ranged from 1-month to 5-years old. The total number of patients was 197. We investigated the rate of meningitis, which was classified by age, season, convulsion type, associated symptoms, and results of blood test. All data were tested chi-square. RESULTS: The diagnosis rate of meningitis among all 197 patients was 7.6%, and of these only one patient was proved to have bacterial meningitis. The rate was high in the young(below 6 month), in males and in summer and autumn. Although the general appearance was good after resolution of the fever, the rate of meningitis was 6.5%. Patients with nausea and vomiting totalled 11%; 9.1% of them were diagnosed with meningitis. The diagnosis rate of meningitis in cases in which additional seizures took place were 33.3%. CONCLUSION: The ultimate goal of lumbar punctures in seizure patients with accompanying fever is to rule out bacterial meningitis, which, has been demonstrated to be rare. So we think that lumbar puncture can be postponed by close observation of pediatrics specialists and skilled nurses.