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직장으로 투여한 Misoprostol 에 의해 조절된 산후 출혈 2 예
한성태(Seong Tae Han),정석희(Seok Hee Jung),나연화(Yeon Hwa La),서정래(Jung Lae Seo),정우철(Woo Chuel Jung),이성원(Sung Won Lee),조용(Yong Cho),노의선(Eu Sun Ro) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.4
Obstetrical hemorrhage is one of the deadly triad, along with hypertensive disorder in pregnancy and infection. Postpartum hemorrhage is the major cause of obstetrical hemorrhage. Uterine atony is the most common cause of postpartum hemorrhage, and resulted from poor uterine contraction after delivery of the fetus and placenta. Initial management to control postpartum uterine atonic bleeding is based on the use of uterotonics such as well known oxytocin and ergot preparations together with uterine massage. Prostaglandin E2 analogue, sulprostone can be used next when these agents are failed to produce uterine contraction. The woman unresponsive to non-surgical managements requires surgical interventions including emergency hysterectomy. Recently prostaglandin E1 analogue, misoprostol, has been known to elicit potent uterine contraction and cervical ripening after oral, vaginal or rectal administration. We have experienced two cases of postpartum uterine atonic bleedings which were unresponsive to oxytocin, ergot, or prostaglandin E2, but were successfully controlled by rectal administration of misoprostols.
부정자궁출혈 환자에서 자궁내막소파술을 위한 Misoprostol 의 질내투여와 라미나리아 삽입의 비교
이동욱(Dong Ook Lee),금형용(Hyung Yong Keum),김종철(Jong Chul Kim),이윤혁(Yoon Hyuk Lee),정우철(Woo Chuel Jung),이성원(Sung Won Lee),조용(Yong Cho),노의선(Eu Sun Ro) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.8
Objective : To compare cervical dilatation efficacy and safety of intravaginal misoprostol with that of cervical laminaria tent insertion in endometrial curettage due to abnormal uterine bleeding Method : Patients requesting endometrial curettage due to abnormal uterine bleeding were randomized into two group. In group I (n=53), 100 μg tablet of misoprostol was placed in the posterior vaginal fornix at midnight. In Group Ⅱ (n=54), laminaria tent number 5 was inserted in cervical canal at midnight. Endometrial curettage was performed on the next morning. The degrees of cervical dilatation were measured by Hegar dilator just before endometrial curettage. Both groups were compared about cervical dilatation efficacy and side effect. Result : The degrees of cervical dilatation were 8.8±1.1 mm in group I and 9.3±1.9 mm in group Ⅱ. There was no significant statistical difference. (P=0.134) The mean intervals from the use of misoprostol or laminaria to endometrial curettage were 704±140 minutes in group I and 829±156 in group Ⅱ. In group I, mild fever (less than 38℃) was observed in four women and one complained mild abdominal pain. In group Ⅱ, five women revealed mild fever and fifty women complained abdominal discomfort. All didn't need any medication or special therapy. Conclusion : Intravaginal misoprostol was appeared as efficacious as laminaria tent in cervical dilatatory effect before endometrial curettage in abnormal uterine bleeding patients. It was considered more convenient, safer and more cost effective method compared than cervical laminaria tent in cervical preparation before endometrial curettage.
나연화(Yeon Hwa La),신병식(Byoung Shick Shin),박영하(Young Hwa Park),금형용(Hyung Yong Keum),김종철(Zong Chul Kim),이동욱(Dong Ook Lee),정우철(Woo Chuel Jung),이성원(Sung Won Lee),조용(Yong Cho),노의선(Eu Sun Ro) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.11
Trisomy 18, called Edward syndrome, occurs in about 3500-8000 births. It is much more common at conception, with about 95% of cases resulting in spontaneous abortion or stillbirth. Postnatal survival is poor, with the majority of patients dying in early infancy. Characteristic findings include cardiac malformations, mental retardation, growth retardation, a prominent occiput, micrognathia, clenched hands, and rocker-bottom feet, omphalocele. The prenatal sonographic findings of our case include delayed growth, omphalocele, wrist joint fixation, choroid plexus cyst, hydramnios and postnatal gross findings include growth retardation, omphalocele, wirst joint fixation, absence of radius, syndactyly, focal absence of phalanges and flexion deformities of fingers and toes. We report a case of prenatally diagnosed Edward syndrome, which is confirmed by chromosome analysis, with brief review of related literatures.