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김현미 ( Hyun Mi Kim ),박운호 ( Un Ho Park ),이호 ( Ho Lee ),이지영 ( Ji Young Lee ),박지현 ( Jee Hyun Park ),황성욱 ( Sung Ook Hwang ),고승권 ( Seung Kwon Koh ),임문환 ( Moon Whan Im ),이병익 ( Byong Ick Lee ),이우영 ( Woo Young 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.12
동결절편법은 부인과 종양 수술 중 가장 필요한 진단적 절차로 임상의사가 수술 방법이나 수술 범위를 결정하는데 중요한 역할을 한다. 이에 동결졀편법의 정확성을 알아보고자 1996년 1월부터 2001년 8월까지 본원 부인과 종양 수술 중 동결절편을 의뢰한 459예를 대상으로 동결절편과 최종진단을 비교하였다. 459예 중 390예는 난소종양이였으며, 동결절편과 최종진단의 일치율은 94.9%이었으며, 불일치율은 5.1%이었다. 그리고, 난소종양을 제외한 부인과 Objective : Frozen section evaluation of gynecologic tumors can be used to establish a histopathologic diagnosis and guide the surgeon to perform the appropriate surgical procedure. A retrospective study was conducted to determine the accuracy of frozen s
임신한 당뇨환자에서 인슐린 lispro 투여로 저혈당을 예방한 2 예 보고
임문환(Moon Whan Im),박운호(Un Ho Park),이정은(Jung Eun Lee),고선환(Sun Hwan Koh),임수빈(Soo Bin Im),이정례(Jeong Rye Lee),이지영(Ji Young Lee),황성욱(Sung Ook Hwang),이우영(Woo Young Lee) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.7
Insulin therapy is indicated in the treatment of gestational diabetic women and overt diabetic pregnant women for hyperglycemia after failure to respond to the diets and exercise regimens. The insulin is administered to mimic normal pancreatic function. The normal pancreas secretes 50% of the total daily insulin as mealtime boluses. This delivery may be mimicked by four-injection-per-day of combination of NPH and regular insulin (RI). Hypoglycemia is a well-recognized complication of intensive insulin therapy in patients with Type Ⅱ diabetes. Recently, it has been reported that insulin-lispro, an analogue of regular human insulin with a peak insulin action achieved with a 1 hour after injection improves postprandial glucose concentration in non-pregnant diabetic patients. Treatment of gestational or diabetic pregnant women with NPH and insulin-lispro has significantly lower postprandial glucose levels without an increase in hypoglycemic events. Here, we report 2 cases of hyperglycemic control with four times daily administration of NPH & insulin-lispro on diabetes in pregnancy, with brief reviews.