Compared to the adult group, the elderly patients with deep neck infection had more cases with multiple spaces involvement, complications, surgical interventions, and longer hospital stay. However, the outcome of the elderly group was the same as the adult group. Therefore, the benefits of aggressive management for deep neck infection should not be withheld from patients simply because of the old age.

1972). Archives of Disease in Childhood, 47, 250. Albumin in management of neonatal hyperbilirubinaemia. The effect of albumin priming on the plasma volume, intravascular bilirubin, and HBABAbinding capacity during the subsequent 2 to 4j hours before exchange transfusion was studied in 7 jaundiced neonates with no haemolytic disease. After priming with albumin at a dose of 1 -75 g/kg body weight as a 10% solution, there was a marked increase in plasma volume as well as total intravascular bilirubin and HBABAbinding capacity. However, the serum bilirubin concentration fluctuated only very slightly, largely because of the dilution effect of the expanded plasma volume. Both albumin and bilirubin gradually diffused out of the intravascular compartment again, but at the end of the observation period there was still a net gain of both.In another 20 neonates, the efficiency of exchange transfusion in removing bilirubin was compared. The efficiency was decreased by early albumin priming and enhanced by enriching the donor's blood with albumin.It is concluded that albumin offers immediate and short-term protection against bilirubin toxicity, and albumin-priming should be useful in situations where the babies are admitted with high bilirubin levels and blood is not immediately available for exchange transfusion. Because of its effect on the plasma volume, albumin is not recommended for babies who are already hypervolaemic. If albumin is used to increase the efficiency of exchange transfusion, it should be given together with donor's blood or shortly before the procedure.

In several published series renal biopsies from patients with the nephrotic syndrome, i.e., with hypoproteinaemia, proteinuria, oedema, and hypercholesterolaemia, were studied and grouped into various morphological entities according to the histological features of the kidney (Blainey, Brewer, Hardwicke, and Soothill, 1960;Mackay and Taft, 1961;McGovern, 1964). Among the morphological groups, membranous glomerulonephritis is well recognized. In the study of renal biopsies from 90 Chinese children with persistent proteinuria of whom a minority did not have the nephrotic syndrome, nine patients were found to have membranous glomerulonephritis. Renal tissue was obtained a second time in four of them. A tenth patient came to necropsy. These 10 children are the subject of the present investigation.When it is well established, membranous glomerulonephritis is readily distinguishable from other renal changes that are found in persistent proteinuria, because a diffuse thickening of the basement membrane of the glomerular capillaries can be seen by light microscopy, especially if periodic-acid-Schiff staining is used.Conventional histological techniques were supplemented by fluorescence antibody technique in the study of the renal biopsy material. Urinary protein clearance estimations based on an immunochemical method were carried out on six of the cases. The pathological findings are compared with the clinical features.

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