1987 Volume 18 Issue 2 Pages 277-282
The cumurative number of patients admitted to neonatal intensive care unit (NICU) of Kyorin Medical Center was 144, including two readmission patients and three infants for the purpose of mechanical ventilation. Then the number of neonates was 139. Among 18 extremely premature infants 17 (92%) were survived. Seven infants died and major cause of death was persistent pulmonary hypertension of newborn (2 cases) and bacterial infection (sepsis, meningitis and/or disseminated intravascular coagulation, 3 cases). Freezecoagulation and photocoagulation of retina were carried out for two extremely premature infants with retinopathy of prematurity (ROP). Vitamin E supplementation for the prevention of ROP has not been fully evaluated at this monent. All the major congenital anomalies including diaphragmatic hernia, duodenal atresia, esophageal atresia and macrocephalus were diagnosed in utero by ultrasonography. The case of Bochodalek hernia was performed operation immediately after cesarean section and showed satisfactory result. Strict breast feeding was carried in extremely premature infants and necrotizing enterocolitis did not developed. Recently vertical transmission from mother to infant of human T-cell leukemia virus (HTLV)-I [adult T-cell leukemia (ATL)] and HTLV-III [acquired immune deficency syndrome (AIDS)] even through breast milk are attracted attension. Screening tests of both ATL and AIDS are planning. Follow-up clinic for the high risk babies was started. Tsumori-Inage method and MCC baby tests are using for the evaluation of the child development.
