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RISS 인기검색어
- 검색키워드
- 저자 : 이규현(KH Lee) (검색결과 3 건)
- 무료
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이규현(KH Lee),김춘기(CK Kim),안정자(JJ Ahn),고은희(UH Koh),이경자(KZ Lee) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.8
주산기사망에 관한 연구를 통하여 산전관리의 경험이 있는 예는 29.1%에 불과하였다. A review was made of all perinatal deaths at Ewha Women`s University Hospital during the 8 year period from Jan. 1, 1963 to Dec. 31, 1970. There were 160 stillbirth and 112 neonatal deaths among 14074 cases of the total deliveries in which excluded fetus weighing under 999 gm or born before 20 weeks gestation. There results of the study were as follows: 1. The incidence of stillbirth rate was 11.4, and early neonatal death rate was 7.8. The perinatal mortality rate was 19.3. 2. In etiological factors of perinatal mortality about 40% of the cases was unknown causes, and the relatively common known causes were antepartum anxia (20.9%), intrapartum anoxia (18.6%), infections (13.9) and congenital anomalies (4.7%). 3. The most common cause of anoxia during antepartum and intrapartum was preeclampsia. 4. The congenital syphilis as a cause of perinatal mortality was 8.45%. Ther incidence of premature rupture of membrance was 5.51% in the perinatal death. 5. The most cases of perinatal death occured within 24 hours after birth (80.3%) and 92.8% of the neonatal death occured within third postpartum day in average. 6. The most common cause of neonatal death was prematurity (76.8%). 7. the mothers who had received antenatal care among perinatal deaths were only 29.1% of the cases even without adequacy in it`s quality.
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정연정(YJ Chung),이모혜(MH Lee),이규현(KH Lee),배정민(JM Pae),조태호(TH Cho) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.9
1966.1.부터 1970.12.31까지 5년간에 걸쳐 이화여자대학교 의과대학 산부인과에 입원한 총 9032명중 출생시 체중 400gm이상의 거대아 362명에 대한 임상기록을 통해산후출혈은 23.5%로 평균 산후출혈율율 5.0%에 비하면 거의 5배였다. 산모사망예는 없었다. Obstetric management of large fetus weighing 4000gm or more is considered to be a di- fficult problem and requires special experiences. The data presented are based on 362 cases of large fetus seen in Ewha Woman`s University Hospital, Seoul, Korea among 9302 cases of total deliveries for past 5 years duration begining Jan. 1966 to Dec. 1970. The summary was as follows; 1. The incidence of large fetus weighing 4kg. or more was 3.89% of the total deliveries, and the baby weighing 4500 gm or more was 0.51% of the total. 2. Approximately two third of 59.2% of the cases of large fetus were bory between 40 and 41 week of gestation, and another one third (31.8%) of the cases were born in 42 or more week of gestation. 3. The majority of large fetus were found to be born either in the mother aged 30-34 (43%), or in 25-29 (37%), buth the fetus born in the mother aged 35 or more were less (14%). 4. There noticed a definite tendency of large fetus predominantly born in multiparous. The incidence of large fetus born in multigravida with para 1-5 was more than twice the primigravida, and when the parity increased to 6 or more the incidence was greater than 7-10 times. 5. Most cases of large fetus(69.1%) were male fetus, whereas the female fetus were 30.9 % of the cases. A largest baby in this seriese was also male fetus with 5500 gm of body weight. 6. The incidence of abnormal early postpartum oral glucose tolerance test of the mother deliveried large fetus was significantly high (45%) in the 1 hour test which is most valua- ble one, high (28%) in the 2 hours although low or insignificant in the usual fasting blood sugar test. about one third or 32% of the casesof the pregnant woman subsequently delivered large fetus showed positive glucoseuria wheras only the 4.5% cases of the control group revealed it. 7. The incidence of maternal overt diabetes was 8 cases or 1.37%. 8. Large fetus weighing 4kg or more of body weight required Cesarean section for the dystocia in 26% of total cases in comparison with only 5.2% of the average Cesarean sec- tion rate. Any mother even had previous normal ranging deliverise it does not necessary immune to cephalopelvic disproportion and needed the Cesarean section not infrequently. 9. The frequency of immediate postpartum hemorrhage following delivery of large fetus was about 24% of the case of 5 times the average incidence. The routine oxytocin intravenous drip has been instituted effectively. 10. The perinatal loss in large fetus were 9 cases or 2.5% of 362 cases in which consist of 1.2% of the stillbirth and 0.6% of the neonatal death.
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전혜자(HJ Chun),김자혜(JH Kim),정여정(YC Chung),이규현(KH Lee) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.2
본이화의대산부인과에서 과거8년간 총분만 13942예중 자궁각임신파열은 첫예이었다. In the 8 year period from Jan. 1963 to May 1970, a single case of ruptured cornual pregnancy was experienced in a total of 13,942 deliveries at Ewha Womans University Hospital Seoul. The patient, gravida 3, para 2, 41 year of age, 20 wks pregnant woman was admitted into emergency room in may 24, 1970 with shock state followed by continuous lower abdominal pain with occasional vomiting for passed 3 days. The patient believed by herself that she has been pregnant for 5 months with last menstrual period started from Dec. 23, 1969, with 3 days duration. On the admission blood pressure was 60/30 mmHg, pulse 120/min, and the abdomen showed relatively flat and no appreciable tender or rigidity at that moment which is to be believed a usual clinical characteristics of cornual pregnancy after it`s rupture has been occured. We are suspected that was a definit acute abdomen either a ruptured malignant destructive mole or ruptured tubal pregnancy, and was operated immediatly. The operative finding showed that the right cornus of the uterus was completely ruptured and both the dead fetus with 20 wks gestation and completely separated placenta were escaped from the cornual into the abdominal cavity freely. Following total abdominal hysterectomy with bilateral salpingo-oophorectomy and 4 pints of blood transfusion given the patient was recovered well in 7 days hospitalization.
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