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- 저자 : 강경화(KH Kang) (검색결과 5 건)
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강경화(KH Kang),박숙현(SH Park),홍수명(SM Hong),양석기(SK Yang),민보은(BE Min) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.10
Cervical pregnancy is a rare from of ectopic pregnancy in which the fertilized ovum implants within the cervix. There is no distinctive presenting symptom as the chief complaint is painless vag inal bleeding which can also occur in other diseases. Cervical pregnancy carries a high mortality rate due to this heavy bleeding. During 10 year period from January 1, 1972 to December 31, 1981, 16 patients with cervical pregnancy were treated and a clinical review of these cases is presented. The results were as follows; 1) The incidence of cervical pregnancy was 1 in 3656 deliveries and 1 in 78 ectopic pregnancies. 2) Women over 30 years of age comprised 81.25% of the group compared to 20.28% for the same age group in the normal obstetric population. 3) Cervical pregnancy never occnrred in the first pregnancy and 75% of the women had had one or more induced abortions. 4) Gestation at termination of pregnancy ranged from 4 to 24 weeks with a mean 9.75 weeks. 5) The major presenting symptom was heavy vaginal bleeding in 11 cases, persistent spotting in 4 cases and epigastric pain, with vomiting, weight loss in 1 case. 6) The diagnosis at admission was cervical pregnancy (31.25%), incomplete abortion (31.25%), choricarcinoma(18.75%), inevitable abortion (12.5%) cervical myoma (6.25%). 7) Blood trsnsfusion was necessary in all patients ranging from 400cc to 3200cc with an average of 1600cc. 8) The majority of patients were treated by immediate hysterectomy in 6 cases but in 7 cases hysterectomy was only done after failure of conservative management. In 3 cases conservative management of dilatation and curettage and gauze packing was successful.
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이우영(WY Lee),강경화(KH Kang),박둘임(Dl Park),민보은(BE Min),신경숙(KS Shin) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.1
저자들은 1979년 12월 1일부터 1980년 2월 10일까지 일신부인병원 산과에 내원 분만한 임산부 1002명을 대상으로 임신말기의 혈색소량을 측정하고 얻은 결론은 다음과 같다. 1. 임산부의 임신말기 평균혈색소치는 11.5gm/dl인데 반하여 정상 비임부의 평균혈색소치는 12.8 gm/dl이었다. 2. 임산부의 임신말기 평균혈색소치 11.0 gm/dl이하는 41.8%이었고 이 중 8.0 gm/dl이하는 1.6%이었다. 3. 임산부에 있어서 빈혈의 발생빈도는 합병성질환 특히 자간증 및 전자간증 폐경핵등의 만성소모성 질환을 가진자, 다산 그리고 고령산모에서 높아다. 4. 임신중 주기적인 산전 진찰을 혈색소량의 증가를 가져오고 빈혈의 발생빈도를 저하시킬 수 있었다. Anemia of pregnancy is a common complication in patients from poor socio-economic conditions and is important because it is associated with increased maternal and perinatal morbidity and mortality. A study on Hb levels in pregnancy was done on 1002 patients whose pregnancies were over 26 weeks gestation delivered at Il Sin Womens Hospital between 1st.Dec. 1979 and 10th Feb. 1980. In 694 women pregnancies were uncomplicated but 308 pregnancies were complicated by eclampsia, preeclampsia and other toxemias, syphilis, renal disease, pulmonary Tbc, diabetes and heart disease. Few large studies of Hb levels of pregnant women in Korea are available. The study results are as follow; 1. The mean hemoglobin level in the third trimester of pregnancy were 11.5 gm/dl compaired to a mean level of 12.8gm/dl in a comparable group of non pregnant women. 2. The Hb was below 11.0 gm/dl in 41.8% of the study group, including 1.6% whose Hb was below 8.0gm/dl. 3. A high incidence of anemia in the third trimester of pregnancy was present in patients with preeclamsia and eclampsia high pariety, pulm. Tbc. and with increasing age in complicated pregnancies. 4. The effect of antenatal care, on low hemoglobin level in complicated pregnancy and no regular antenatal care. The benefit of antenatal care in shown in the high incidence of low Hb and complications of pregnancy in those with only 1 or 2 antenatal visits before delivery compaired to those with regular antenatal care.
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박숙현(SH Park),오주엽(JY Oh),강경화(KH Kang),이수자(SJ Lee) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.6
Pseudomyxoma peritonei is a rare condition in which the peritoneal cavity is filled to varying degree with gelatinous mucin resulting from a ruptured mucinproducing lesion of any origin such as ovarian cyst, appendiceal mucocele or adenocarcinoma of the bowel. A case of pseudomyxoma peritonei originating from a mucinous cystadenoma of the ovary of borderline malignancy is reported with a brief review of the relevant literature.
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장애숙(AS Chang),송혜섭(HS Song),강경화(KH Kang),양석기(SK Yang),김영선(YS Kim) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.7
저자들은 본원에서 경험한 testicular feminization syndrome 1예를 보고하고 이에 대한 문헌적 고찰을 하였다. This paper describes a patient, thought to be female, who presented at age 20 for investigation of primary amenorrhea. She was found to be gentically male, with inguinal testes, but femine external genitalia. A diagnosis of male hermaphroditism with feminization was made. The relevent literature is reviewed.
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Dandy Walker Syndrome과 동반된 Trisomy 9의 산전진단 1 례
송진희(JH Song),김성희(SH Kim),신지원(JW Shin),문정주(JJ Moon),박숙자(SJ Park),강경화(KH Kang),홍희선(HS Hong) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.8
Complete trisomy 9 is a rare chromosomal aneuploidy in live born infants. The majority of cases of trisomy 9 end in spontaneous abortion in the first trimester. Clinical finding of co-mplete trisomy 9 demonstrate multiple organ abnormalities in the craniofacial, cardiovascular, skeletal, genitouronary systems. We report a fetus with Dandy Walker syndrome which was diagnosed prenatally and was subsequently found to have a complete trisomy 9.
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