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신장이식을 받은 여성에서의 성공적인 임신 및 분만에 관한 보고
송찬호,박용원,조재성,연혜정,김유선,박기일 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.8
신장이식후의 임신은 산모와 태아에 여러 위험성을 안고있는 고위험인신군으로 high risk obstetric unit 에서 임신전 평가를 거쳐야 한다. 만성 신장질환 환자는 혈액투석중이나 신장이식후 수개월내에 임신이 될 수 있으므로 적어도 1년간 피임을 해야하며 barrier method(콘돔)가 가장 적합하다고 생각된다. 또한 감염의 위험이 많으므로 바이러스나 요로 감염을 적극적으로 감시하여야 하며, 정기적인 자궁경부의 세포진검사를 시행하여야 한다. 임신중에는 신장기능과 임신성고혈압의 발생, 빈혈 및 감염의 진단과 치료에 주의하되 산전방문은 임신 28주까지는 2주마다, 그후에는 1주마다 시행하며 이때 각 시기에 필요한 검사를 실시한다. 현재 사용중인 면역억제제는 태아와 산모 모두에게 비교적 안전하게 사용할 수 있으나 임신중의 약물대사, 이식신장의 예후 및 후손에 미치는 장기-단기적인 영향을 감시하고 위해 주의깊은 추적관찰이 필요하다고 하겠다. 저자들은 연세의료원에서 신장이식을 시행했던 가임여성중 5명에서 성공적인 분만예를 경험하였기에 문헌고찰과 함께 이를 보고하는 바이다. Transplant recipients who are pregnant are often faced with several kinds of medical problems, such as toxemia and infection, which may contribute to produce a high incidence of preterm labor. As yet many questions regarding the likelihood of successful pregnancy and birth in women after renal allograft and unanswered. In this report, we present our experience of 5 cases of successful pregnancy and birth after renal transplant under strict perinatal care protocol with short review of world literature to establish the proper guideline. There were neither serious complications during gestation in mothers nor problems in infants. But still unknown is the feature of these infants and their progency because of their intrauterine exposure to immunosuppressive drugs. In conclusion, renal allograft with chronic immunosuppression is not per sean obstacle for successful pregnancy and birth, if graft function is excellent and stable.
송용상,고창원,박교훈,김준권,장재원,오미혜 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.8
저자들은 서울대학교병원 산부인과학교실에서 수술후 병리조직학적으로 확진된 난소의 혼합종(악성 갑상선 유암+경계성 낭선종) 1예를 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다. A Case of mixed malignant strumal carcinoid with mucinous tumor of boderline malignancy of the ovary is described. The current case is unique since the tumor is composed with malignant strumal carcinoid and mucinous tumor of boderline malignancy. The clinical, histological, and immunohistochemical findings of the current case are discussed.
송용상,전혜원,이재훈,김재원,박창수,박노현,박충학,강순범,이효표 대한부인종양 콜포스코피학회 1994 Journal of Gynecologic Oncology Vol.5 No.2
Twenty two patients with primary invasive carcinoma of the vulva were treated at Seoul National University Hospital from 1980 to 1991 and their clinicopathological profiles were analyzed retrospectively. The median age of the patients was 50 years(32-81 years). The most frequent presenting symptom was a palpable lump or mass observed in 14 patients(63.6% ), followed by pruritis in 12 patients(54.5% ) and pain in 10 patients(45.5%). As a standard therapy, radical vulvectomy with bilateral inguinofemoral lymphadenectomy was performed in 17 patients and simple vulvectomy was done in one patient. Eight patients of them had reconstructive surgery with local cutaneous(5 patients) or myocutaneous(3 patients) flaps. Chemotherapy or radiotherapy was performed in 3 patients and one patient rejected the treatment. Nineteen patients(86.4%) had squamous cell carcinoma, 2(9.1%) had adenocarcinoma of the Bartholins gland, and one(4.5%) had melanama. of 18 surgically treated patients, 5 were stage I (27.8%), 7 were stage 11(38.8%), 2 were stage Ill(11.1%), 3 were stage Wa(16.7k) according to FOGO surgical staging, and one had melanoma of Clark's level IV. Two(11.1% ) of them had lymph node metastasis There was no caw of primary mortality but morbidity was observed in 16 patients(88.9%). The 5 year survival rate of 18 surgically treated patients was 65.3%(median follow--up 47 months). This experience suggests that more conservative surgery should be considered in the management of selected patients with primary invasive vulvar cancer.
2 형 현성 당뇨병 임산부에서 발생한 다발성 선천성기형아 1 예
송찬호,김세광,김인규,조재성,지용석,김형순,이현철,한지영,정우희 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.9
저자 등은 제 2형 현성 당뇨병(White 분류 class B)산모에서 출생한 완전전뇌증을 동반한 다발성 선천성기형 1예를 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다. The incidence of congenital anomalies in the general population is reported as being between 0.54-6.8% and two-to three-fold higher(6.6-11.4%)in diaberic pregnancy But the incidence of severely of severely malformed anomalies which is life-threatening or requires surgical intervention is seven-to ten-fold higher than in normal pregnancy. The incidence of holoprosencephaly was very rare, but in diabetic pregnancy it is reported much higher than nondiabetic pregnancy. We experienced acase of multiple congenital anomalies in pregnancy associated with type Ⅱ overt diabetes mellitus(White classification, class B)and therefore we present it with a brief review of literature.
장윤성(YS Chang),류사신(SS Yoo),송사헌(SH Song),김혜자(HJ Kim) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.4
만기경질분만후의 마비성장폐색증 2예를 보고하는 바이다. Two cases of the postpartum paralytic ileus after normal full term delivery are presented and its literatures are reviewed briefly.
박영선,송애진,김동석,이해양,김주오 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.12
Cyclopia is a rare congenital fetal ocular anomaly in which the eyes are fused together and located in a single orbit, which usually manifested various degree of doubling of intrinsic structure, located in the middle of the face normally occupied by the roof of the nose. It is the severest form of holotelenccephaly, which is failure of cleavage of the prosencephalon with a deficit in middle facial development. A case of cyclopia associated with hydramnios in a 29 years old, para 1-0-3-1 woman is presented with brief review of literatures.
송명곤(Song MK),오윤상(Oh YS),김동훈(Kim DH),주민석(Joo MS),노석균(Rho SK),이상진(Lee SJ),박정도(Park JD),정상기(Chung SG),정락교(Jeong RG),조홍식(Cho HS) 한국철도학회 2003 한국철도학회 학술발표대회논문집 Vol.- No.-
This paper presents the magnetic fields shielding properties of the light rail transit which are produced by the ripple-shaped currents in the power lines. To analyze these properties, the equivalent circuit model of the DC power supply system at the light rail transit system was induced by MATLAB-SIMULINK, and with the calculated results of the ripple-shaped currents, the magnetic fields shielding properties of the light rail transit were analyzed. The results are as follows. First The frequency of the ripple-shaped currents is 200[㎐] and its magnitude is 1.5[A] Second the magnetic fields produced by the ripple-shaped currents of the DC power supply systems are well shielded by the aluminum made body of the light rail transit.