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金聖心,李富順,李洙培 中央醫學社 1973 中央醫學 Vol.25 No.6
Clinical and statistical analysis of 45 cases of uterine rupture in National Medical Center from Jan. 1, 1959 to Dec. 31, 1972 were. captured out with the brief review of literatures. The results were as follows: 1. The incidence of uterine rupture was 1 in 354 deliveries. 2. According to etiological classification, in intact uterus there were 7 cases of spontaneous rupture it being 15. 6%, 20 cases of traumatic rupture, 44. 4% and 1 case of unknown cause, 2.2%, respectively. In scarred uterus there were 17 cases of uterine rupture all due to previous cesarean section, it being 37.8%. 3. There were 32 cases of uterine rupture in para 0-4 women group among 14, 539 deliveries, it being 0. 22%, and 13 cases of uterine rupture in para 5 or more women group among 1, 404 deliveries, it being 0. 93%. The incidence of uterine rupture in great multipara was about four times higher than that of para 0-4 women. 4. There were 30 cases of uterine rupture occurred in the 37th-40th week of pregnancy and 26 cases of fetus weighing 3, 000-3, 999gm. 5. There were 32 cases of fetal death, it being 71. 1% and 4 cases of maternal death, 8.9%.
한국인여자의 순환혈액량과 임신말기,분만및 분만시의 순환혈액량변동에 관한 연구
김성심(SS Kim) 대한산부인과학회 1964 Obstetrics & Gynecology Science Vol.7 No.10
한국인여자 44예를 대상으로 Cr51과 Evans blue를 동시에 사용하여 그 평균혈액량을 산출하여 사용물질 및 측정방법을 달리한 조건하에서의 혈액량을 비교검토하는 한편 Cr51 단독으로 임신말기의 임부 50예를 대상으로 하여 논의의 대상이 되고 있는 임신중의 혈액량 최대증가시기를 결정하고 분만 제1기에 규칙적인 진통이 있는 임부 40예와 또 다른 분만예 10명을 대상으로 분만중 및 분만 24시간후의 동일인에 있어서의 혈액량변동을 구명하여 아래와 같은 결론을 얻었다. 1) 한국인여자의 혈액량은 Cr51법으로 혈액량 70.1±2.2ml/kg, 적혈구량 25.5±0.8ml/kg, 혈장량 44.6±1.4ml/kg이었으며 Evans blue 법으로는 혈액량 68.4±1.5ml/kg, 적혈구량 24.7±0.7ml/kg, 혈장량 43.5±1.5ml/kg으로 이 두 방법사이에 유의의 차를 볼 수 없었다. 2) 임신말기의 혈액량은 점차 증가하여 그 최대증가시기는 임신 제 37~38주이었으며 이때의 혈액량 87.2±2.2ml/kg, 적혈구량 26.2±1.4ml/kg, 혈장량 61.0±2.1ml/kg로 그 후 혈액량은 임신말기까지 2~3주간 다시 감소되는 경향을 볼 수 있었으며 이는 혈장량의 감소에 인한 것이었다. 이러한 최대증가치는 정상치에 비하여 체중당 혈액량은 24%, 적혈구량은 3%, 혈장량은 37%가 증가된 것이며 따라서 임신말기의 혈액량증가는 주로 혈장량의 증가에 그 원인이 있음을 확인하였다. 3) 분만시의 순환혈액량은 혈액량 78.1±2.0ml/kg, 적혈구량 27.2±0.8ml/kg, 혈장량 50.9±1.4ml/kg이었으며 분만중과 산욕 24시간의 동일인에 있어서의 혈액량의 변동은 분만시의 혈액량 77.2±3.8ml/kg, 적혈구량 26.8±1.3ml/kg, 혈장량 50.3±3.0ml/kg이었고 분만후 24시간의 혈액량 75.8±3.8ml/kg, 적혈구량 25.9±1.4ml/kg, 혈장량 49.9±3.3ml/kg으로 임신만기에 비하여 분만, 산욕 24시간의 혈액량이 유의한 감소는 볼 수 없었으나 임신만기, 분만시 및 산욕 24시간이내에 그 혈액량감소를 볼 수 있었다. 이때 분만중의 혈액량감소는 주로 혈장량의 감소가, 또 산욕 24시간의 혈액량감소는 주로 적혈구량의 감소가 그 원인이었다. Radioactive chromium (Cr51) and Evans blue were simultaneously given to 44 normal Korean women to determine and compare the normal circulating blood volumes obtained with these two agents. Cr51 was also used to study the changes of the circulating blood volumes in late pregnancy, labor and puerperium. The materials were 50 cases in late pregnancy extending from the 31st week to the term of gestation, another 50 cases in labor, of whom 10 random cases were again selected to compare the circulating blood volume in labor and 24 hours of puerperium. Following were the results: 1) The circulating blood volumes of the normal Korean women were as follows; total blood volume, 70.1±2.2ml/kg, red cell volume, 25.5±0.8ml/kg, and plasma volume, 44.6±/1.4ml/kg by Cr51, and total blood volume, 68.4±1.5ml/kg, red cell volume, 24.7±0.7ml/kg, and plasma volume, 43.5±1.5ml/kg by Evans blue. The statistical difference between the circulating blood volumes obtained with these two methods was insignificant. 2) The circulating blood volumes in late pregnancy gradually increased until the 37-38th week of gestation, when the following increases were observed; 24% in the total blood volume, 3% in the red cell volume and 37% in the plasma volume. The circulating blood volumes then tended to decrease toward the term of pregnancy. The fact that the increase of the circulating blood volumes in late pregnancy is due mainly to the increase of the plasma volume was confirmed. The decrease of the circulating blood volume toward the term from the 37-38th week of pregnancy was due solely to the decrease of the plasma volume, which was statistically significant. 3) The circulating blood volume in labor showed a slight decrease due mainly to the decrease of the plasma volume, and that in 24 hours of puerperium showed a further decrease due mainly to the decrease of the red cell volume. These differences were statistically insignificant.