著者

井村 賢治 川原 央好 松尾 吉庸 窪田 昭男 福沢 正洋 鎌田 振吉 高木 洋治 岡田 正

出版者

特定非営利活動法人 日本小児外科学会

雑誌

日本小児外科学会雑誌

巻号頁・発行日

vol.26, no.4, pp.815-821, 1990

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Anthropometric measurements of 171 postoperative children, who had radical operations for neonatal surgical diseases from 1974 to 1985 in our institutions, were performed. Twenty-two percent of those out-patient children were classified as stunted (H/A<95%), and 26% as wasted (W/H<90%) according to Waterlow's classification. About 40% of the children had mild protein-energy malnutrition, although theier visceral protein status was preserved. In paticular, wasting was noted in patients with congeital esophageal atresia, abdominal wall defects and Hirschsprung's disease, while stunting was noted in patinets with congeital duodenal atresia. The usefulness of H/A and W/H for evaluating the long-term prognosis of post-operative children is discussed.

著者

井村 賢治 川原 央好 藤井 真 中井 澄雄 松尾 吉庸 井上 善文 根津 理一郎 福沢 正洋 鎌田 振吉 高木 洋治 岡田 正

出版者

特定非営利活動法人 日本小児外科学会

雑誌

日本小児外科学会雑誌

巻号頁・発行日

vol.25, no.3, 1989

著者

窪田 昭男 井村 賢治 小林 敬 住田 裕 北島 博之 藤村 正哲 末原 則幸 上田 清治 米倉 竹夫

雑誌

日本新生児学会雑誌 (ISSN:00290386)

巻号頁・発行日

vol.31, no.1, pp.120-127, 1995-03-30

参考文献数

29

被引用文献数

14

著者

北爪 博文 岡田 正 金 昌雄 山下 裕 山崎 芳郎 井村 賢治 信友 政明 中尾 量保 川島 康生 山本 賢司 ヤマモト ケンジ

出版者

特定非営利活動法人 日本小児外科学会

雑誌

日本小児外科学会雑誌 (ISSN:0288609X)

巻号頁・発行日

vol.18, no.5, pp.1003-1007, 1982

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Total parenteral nutrition (TPN) has gained wide acceptance as valuable adjunct in the care of critically ill patients. However, the risk of catheter-related sepsis is still of continued concern. The investigation on the current state of TPN and incidence of catheter-related sepsis was performed by the questionnaire method to 1,064 general hospitals throughout Japan in 1980. Replies submitted to the questionnaire were obtained from 569 hospitals (53.5%). Catheter-related sepsis was defined as an episode of sepsis, for which no anatomic locus could be identified, that is resolved on removal of the catheter. This time, catheter-related sepsis in pediatric patients seen in 126 hospitals was especially reviewed and analyzed. Catheter-related sepsis in 1979 was associated with 16.2% of catheters and occurred in 13.0% of patients. This incidence was little higher comparing with 11.2% in adult patients. The predominant organism of catheter-tip culture was Staph. epidermidis. The aseptic technique provided at each institution was also investigated. By this analysis, futher need for a precise protocol delivered by an experienced team is emphasized to minimize the incidence of catheter-related sepsis.