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한국인 임산부의 혈청Alkaline Phosphatase 활성도에 대하여
최호용(HY Choi) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.11
Alkaline phophatase is normally found in many parts of the body and high levels of serum alkaline phosphatase are encountered in various bone and liver diseases. In 1935, Cayla and Fabre first reported a progressive increase in serum alkaline phosphatase activity in pregnancy. Since that time many investigators have reported different levels of both maternal and fetal serum alkaline phosphatase in normal and complicated pregnancies and the newborn. Furthermore, recently some investigators have suggested the possible clinical use of maternal serum alkaline phosphatase levels as an aid in the assessment of placental function and fetal maturity. In this report, the results of our determinations of serum alkaline phosphatase in normal and complicated pregnancies and the newborn are presented and the values of maternal serum are compared with those of fetal serum. Serum alkaline phosphatase was determined by the Bodansky method. Determinations were performed on 20 apparently normal gravida in the first trimester, 26 in the second trimester, 28 in the trird trimester, 22 patients with toxemia, 6 patients of twin pregnancy, 21 mothers and newborn infants at delivery and 20 healthy non-pregnant women in reproductive period as controls. The results were summarized as follows 1) The maternal serum alkaline phosphatase (SAP) activity increased markedly in the third trimester, reaching a peak mean value during active labor. 2) Mean fetal SAP value immediately after birth was also elevated above the normal non-pregnant upper limit, but insignificantly lower than that of meternal serum at delivery. 3) There was no direct correlation between the individual maternal and fetal values. Both were not influenced by the maternal age or parity, the sex of the fetus or its weight. 4) In toxemia of pregnancy, the mean value of maternal SAP was higher than that of normal pregnancy at the same stage, but no consistent relationship between maternal SAP levels and severity of toxemia was noted. 5) In multiple pregnancy, the mean meternal SAP was higher than in normal or toxemic single pregnancy. 6) The origin of the increased SAP in pregnancy was discussed.
Testicular Feminixation Syndrome의 1예
송용덕(YD Song),최호용(HY Choi),남상익(SI Nam),장윤석(YS Chang) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.8
A case of Testicular Feminization Syndrome, who is an essentially normal-appearing woman, and have undescended testes instead of ovaries, is presented.
김선원(SO Gim),조석신(SS Cho),최호용(HY Choi),김우섭(WS Kim) 대한산부인과학회 1966 Obstetrics & Gynecology Science Vol.9 No.11
Carcinoma of the uterine cervix associated with pregnancy is rare, but we recently experienced two cases at the Dept. of Obstetrics & Gynecology, Seoul National University Hospital. They are presented here with a brief review of the literature.