임신성고혈압 질환의 혈액응고계 변화

임재영(JY Lim),이영진(YJ Lee),한혁동(HD Han),한상원(SW Han),김대현(TH Kim) 대한산부인과학회 1989 Obstetrics & Gynecology Science Vol.32 No.8

V 1. 헤마토크리트치 자간증군에서 대조군에 비해 통계학적으로 의의있게 증가됨을 보였다. 2. 혈소판수 자간전증 중증군에서 대조군에 비해 통계학적으로 의의잇게 감소됨을 보였다. 3. 프로트롬빈 시간 조사군과 대조군의 차이가 미약하게 보였으나 통계학적 의의는 없었다. 4. 활성부분 트롬보플라스틴 시간 조사군에서 모두 상한치가 높아 넓은 분포를 나타내고 평균치에 잇어서 자간증에서만 매우 의의있게 지연됨을 나타내었다. 5. 섬유소원 분해산물 자간전증 중증 및 자간증에서 모두 높은 평균치를 보엿으며 통계학적으로 매우 의의있는 것 으로 나타났다. 6. 섬유소원 대조군에 비해 자간전증 중증 및 자간증에서 통계학적으로 의의잇게 낮아져있다. 1. Preeclapsia severe form Levels of plasma fibrinogen and platelet count were significantly lower and the level of plasma F.D.P was significantly higher than control in women with preeclampsia. 2. Eclampsia significantly , A.P.T.T was prolonged and level of plasma fibrinogen was decreased . Th level of plasma F.D.P was significantly increaed and hematocrit was weakly increaed in women with ecalmpsia. Based on the above analysis changes of coagulation factors were more prominent as P.I.H was more severe, considerably level of plasma F.D.P was higher and the level of plasma fibrinogen was lower and platelet count decreased but statistically was no significantly As a result it is very important to check the levels of plasma F.D.P fibrinogen and A.P.T.T indicators of treatment and prognosis of P.I.H

임신중 고혈압성 질환의 역학

권장연(JY Kwon),이영진(YJ Lee),차동수(DS Cha),황영규(YK Hwang),김대현(TH Kim) 대한산부인과학회 1989 Obstetrics & Gynecology Science Vol.32 No.1

연세대학교 원주의과대학 원주기독병원에서 1982년 3월부터 1986년 2월까지 만 4년간 입원 한 임신중 고혈압성 질환환자 891예중 기록이 충실하였던 647명을 대상으로 임상적 및 통계 학적으로 조사 분석하여 다음과 같은 결론은 얻었다. 1. 총분만수에 대한 임신중 고혈압성 질환의 발생은 8.7%였다. 2. 분류에 의하면 경자간전증이 38.16%(340예), 자간이 16.56%(103예), 중독증이 동반된 만성 고혈압성 혈관 질환이 0.5%(5예) 중독증을 동반하지 않은 만성 고혈압성 혈관 질환이 1.4%(13예) 미분류군이 1.0%(9예)였다. 3. 연령별 발생빈도는 24-29세군에서 52.9%로 가장 높았으며 young age or old age에서 정 상산모보다 높았다. 4. 경산 회수별 발생빈도는 초산부에서 현저히 높았다. 5. 계절별 발생빈도는 춘계에서 높은 빈도를 보였다. 6. 모체혈핵형별로 발생빈도는 A형에서 36.6%로 가장 많았다. 7. 동반된 질환은 빈혈이 54.2%로 제일 많았다. 이상과 같은 임신중 고혈압성 질환에 영향을 미칠수 있다고 생각되는 역학적 제인자를 앎으 로써 임신중 고혈압성 질환발생을 감소시킬 수 있을 것으로 사료된다. An epidemiologic study was undertaken on 647 cases associated with hypertensive disorders in pregnancy, who were admitted to Department of Obsterics and Gyunecology, Yonsei University between March 1982 and February 1986. The results were as follows; 1. The incindence of hypertensive disorder in pregnancy was 8.7% of total delivery. 2. Using the classification of American Committee on Maternal Welfare in the incindence of hypertensive disorders in pregnancy was as follows; preeclampsia, mild ; 47.25%. preeclampsia, severe; 38.16%. Eclampsia ; 11.56% chronic hypertensive vascular disease with preeclampsia ; 0.5% chronic hypertensive vascular disease without preeclampsia ; 1.4% Unclassified ; 10 %, respectively 3. 52.9% of the patients were in the age 25-29 which was most prevalent childbirth group . 4. According to parity, 56.9% of the patients were primigravidas. 5. Among four seasons, 34.5% of the patients occured in winter which was followed by spring autumn, summer in order. 6. Among four blood type 36.6% of the patients occured in blood type A which was followed by blood type O,B, AB in orders. 7. Among the associated diseases with hypertensive disorder in pregnancy the incindence of anemia was the highest.

자궁내장치 사용과 동반된 골반방사선균증 1 예

조진호(JH Cho),이영진(YJ Lee),김대현(TH Kim) 대한산부인과학회 1986 Obstetrics & Gynecology Science Vol.29 No.7

저자들은 연세대학교 원주의과대학 부속 원주기독병원 산부인과에서 1983년 2월 자궁내장치와 동반된 골반방성균증 1예를 1982년에 이어 추가로 치험하였기에 문헌고찰과 함께 보고하는 바이다 Pelvic infection with Actinomyces species classified between the true bacteria and the complete fungi is considered to be one of the rarer disease confronting the gynecologist Since Henderson (1973) reported the first case of pelvic actionomycosis associated with the modern style of intrauterine contraceptive device (IUD), an increasing number of studies have been reported A recent review of the world literature by Keebler et al (1983) revealed 398 cases of pelvic actinomycosis associated with an IUD Authors have experienced a case of pelvic actinomycosis associated with an IUD and reported with a review of literatures

급속 충전 시스템을 위한 DC-bias Pulse 충전 방식의 특성 연구

반충환(Choong Hwan Ban),이영진(YJ Lee),권완성(WS Kwon),한동화(DH Han),변병주(BJ Byen),은종목(JM Eun),최규하(Gyu-Ha Choe) 전력전자학회 2011 전력전자학술대회 논문집 Vol.2011 No.7

In this paper Li-polyer batteries, which are in use of EV recently, are used. The Li-polymer batteries have high density of energy and invulnerability of the fluids and explosion. It is confirmed that the DC-bias pulse mode/cc mode characteristics on charge by designing Fast-charging system designed in three phase PWM and full-bridge converter.

배전계통에서 연료전지시스템의 연계성능 연구

최중묵(Jung Muk Choi),한동화(DH Han),이영진(YJ Lee),정병환(BH Jung),최규하(Gyu Ha Choe) 전력전자학회 2010 전력전자학술대회 논문집 Vol.2010 No.7

본 논문은 연료전지용 PCS를 계통에 연계하는 과정을 보다 심도있게 진행하기위하여 배전계통을 모의 시뮬레이터로 구현 하였다. 제작된 시뮬레이터를 바탕으로 각배전반의 전력품질과 다수 PCS와 계통과의 전력분배를 실험한다.

질벽에서 발생한 섬유종증 1 례

최성덕(SD Choi),김영민(YM Kim),이영진(YJ Lee),차동수(DS Cha),한혁동(HD Han),김대현(TH Kim) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.1

섬유종증은 양성 섬유종양으로서, 섬유종과 섬유육종의 중간적 성질을 보이며, 주로 전복벽에서 여성에 많이 발생하나 재발을 잘하고, 질벽에서 원발적으로 발생한 보고가 거의 없는 바, 본 저자들은 최근 질벽에서 발생한 섬유종증 1례를 체험하였기에 문헌고찰과 함께 보고하는 바이다 Fibromatoses or desmoid tumors are benign fibrous tumors arising from muculoaponeurotic structure of the entire body and the majority of them occur in anterior abdominal wall, but not infrequently in other parts of the body, mesentry, head and neck, shoulder girdle, thigh, extremities, and rare in the pelvic floor which is possible that abodominal or mesentricibromatoses may encroach on the urinary bladder, vagina, or mesentricffibromatoses may encroach on the urinary bladder, vagina, or rectun, and causes hydronephrosis, and even may compress the illic vessels, especially extremely in case of primarily arising from vaginal wall They constitute about 3 5% of all the fibrous tissue tumors and 0 03% of all neoplasms, and predominantly in women They also have a predilection for occuring in women in their child bearing ages 20-40 years, that suggest which propensity for desmoid formation may be under sex hormonal influence, and frequently related to trauma They are intermediate in their clinical behavior and histologic findings It requires wide radical excision but followed by high recurrence Recently we experienced a case of fibromatoses arising in the vaginal wall, it is presented with a brief review of other reports and literature

혼합 배세포종 1 례

박혁(H Park),임경희(KH Rim),이영진(YJ Lee),김대현(TH Kim),김태승(TS Kim) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.11

난소에 발생한 혼합배자세포종은 현재 그 특성 및 치료방법등이 점차로 밝혀지고 있으나 희귀하여 아직 연구된 보고등이 적다. 점차 그 예후가 개선되고 있으며, 저자들은 연세대학교 원주의과대학 부속 원주기독병원 산부인과에서 경험한 예를 문헌고찰과 함께 보고하는 바이다. Mixed germ cell tumors are very rare. Therapeutic approaches and prognosis are becoming progress but not yet clear. Germ cell tumors of ovary are becomming in concern of gynecologist. Most of these neoplasms occur in young woman. Recent development in chemotherapy have changed the prognosis. We experienced a case of mixed germ cell tumor of ovary. So we report this case with review of the literature.

좌측 회음부에 발생한 악성 상피양 신경초종 1 예

구본건(BK Koo),임재영(JY Lim),이영진(YJ Lee),김대현(TH Kim) 대한산부인과학회 1989 Obstetrics & Gynecology Science Vol.32 No.9

본원 산부인과에서는 매우 희귀하게 좌측 대음순에 발생한 악성 신경초종 환자를 경험하였 기에 문헌적 고찰과 함께 보고하는 바이다. Malignant tumors of nerve sheath origin are uncommon and have evinced considerable interest among clinicans and pathologists because of their rarity and diagnostic difficulty at the light microscopical level. We report a case of a malignant schwannoma arising in the perineum with a brief reveiw of literatures.

독립형 10kW ESS의 레독스 플로우 배터리 초기 구동 전원 제어

최중묵(JM Choi),송용희(YH Song),최은석(ES Choi),은종목(JM Eun),이영진(YJ Lee),한동화(DH Han),조영훈(YH Cho),최규하(GH Choe) 전력전자학회 2013 전력전자학술대회 논문집 Vol.2013 No.7

갱년기증후군 환자의 Hormone Replacement Treatment에 대한 혈중지질의 변화

이영진,홍민 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.10

This is the clinical data that evaluate the clinical effect of estrogen replacement therapy in postmenopausal women especially on cardiovascular effect by change of serum lipid profiles. Estrogen replacement therapy is known to reduce the incidence of cardiovascular disease in postmenopausal women, and its beneficial effect is thought to be mediated in part by the favoable changes in serum lipid profile. We treated 360 cases of postmenopausal patient who visitied Wonju christian hospital during the 24 months of period from March 1993 to May 1995. The result were as follows; 1. Total cholesterol was significantly decreased(-3.46% - -8.64%) during all period. 2. HDL cholesterol was significantly increased(+5.16% - +6.73%) during all period. 3. Total cholesterol/HDL ratio was significanlty decreased(3.19-2.73) during all period. So we concluded that the estrogen replacement therapy was effective on the prevention of cardiovascular disease.