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RISS 인기검색어
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- 저자 : 김철영(CY Kim) (검색결과 3 건)
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김철영(CY Kim) 대한산부인과학회 1970 Obstetrics & Gynecology Science Vol.13 No.1
It has been known for long that the fetal glucose is related closely to that of mother during normal pregnancy, and the former is lower than the letter. The transport of blood glucose across the placenta is directly by maternal blood glucose level. The fetal blood glucose level is infruenced by endogenouse and exogenous factors of the mother, and the infant born with hypoglycemia is in an unfavorable condition during the neonatal period because glucose is only source of energy to feetus. The feral hypoglycemia is due to 1)the rapid utilization by the fetal tissue and 2)the placental extraction of glucose. Eastman et al(1936)described that metabolic acidosis during labor is caused by hypoxia with abnormal changes in electrolytes such as hyperkalemia, low blood PH and high PCO. Paterson (1967)reported that the administration of glucose with bicarbonate improved metabolic acidosis of the newborn. This experiment was carried out to learn the effect of 5% dextrose in water during labor on the mother and fetus. The blood glucose from the mother and fetus was evaluated in relation to the length of labor, presence of toxemia of pregnancy, protein-uria, gestation week and fetal weight. The blood glucose from the maternal vein and umbilical vein was measured by Folin-Wu`s method. The following results were obtained from the experiment: 1. Mean values of the fetal blood glucose in 106 patients were 124.9 and 92.3mg% respectively with significant difference.(P<0.001) 2. Blood glucose level of both the mother and fetus given glucose solution intravenously was significantly higher than in control group.(P<0.001, P<0.001) 3. The glucose level in the blood of the mother was not changed by the duration of labor, however, that of the fetus had a tendency to rise upto 20 hours and decreased after this time. 4. Blood glucose level of toxemic mothers and their fetuses who were given glucose were fairly higher than the mean values of nomal cases given glucose. Blood glucose level of mothers with proteinuria showed a tendency to be hogher, and also was related to the degree of proteinuria in the mother. The values being higher with increased proteinuria. 5. The maternal and fetal blood glucose level maintained a same values by the length of gestation and birth weight. The results suggest that the infusion of 5% dextrose in water during labor elevates the maternal blood glucose as well as fetal blood particularly in primigravid, and it can help to improve fetal condition particularly in prolonged labor.
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양인환(IW Yang),김철영(CY Kim) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.2
It is well known that syphilis in pregnancy is injurious to mother and fetus. The prevention of prenatal syphilis y treatment of the infected mother with penicilin during pregnancy is one of the major triumphs in modern medicine. Siphilis in pregnancy has decreased in almost all countries in the world. The trepoema pallidum, the causative agent, is very sensitive to penicillin and registant strains have not been found yet. Neverthless there is still a vast reservoir of infection and an alarming amount of undiscovered syphilis in the population. Recent information, obtained by the Medical Clinics of North America for the years 1960 to 1961 shows that the total number of reported cases of infective syphilis has risen three times in United States. In Korea, there is little documentary evidence of increase of syphilis since 1963. The diagnosis and treatment of syphilis in pregnancy are the same as for any syphilitic person, except that here werare not only concerned with curing the pregnant woman but also hope to avoid congenital syphilis in the baby. In some cases we may be pressed for time and forced to modify our general rules of diagnosis and treatment, in an effort to avoid the birth of a syphilitic infant. In order to know the current pattern of syphilis among pregnant women, 2838 women who delivered at Severance Hospital from 1962 to June, 1966, were analysed and the following retults were obtained. 1. During the 4½ years from Jan. 1962 to June. 1966, the rate of positive V.D.R.L. test`s was 5.2%. The rate of biological false positive test among the positie V.D.R.L. tests was 54%. 2. 51% of the gravidas reeived a V.D.R.L. test during or after delivery. Only 20% of the positive cases received the test prior the 7th month of gestation. 3. The majority of the patients with positive v.D.R.L. and R.P.C.F. test were primigravidas 25-30 years in age. 4. 92% of the syphilitic pregnnt women had latent syphilis. 5. Either a stillbirth or a premature delivery was noted in 48% of the positive R.P.c.F. untreated cases. 83% of the premature infants died during the neontal period. There were no deaths among the term infants. 6. Emphasis is placed upon the necessity of finding and treating all cases of syphilis during pregnancy. 7. In addition to general deucations about syphilis, it is reommented that pre-marital seroligic tests for syphilis be requird by law.
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Lyndiol 2.5 경구용피임제가 한국부인에게 미치는 영향에 관한 연구
곽현모(HM Kwak),고봉호(BH Koh),이용배(YB Lee),이연희(YH Lee),김철영(CY Kim) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.10
We are now conducting a clinical study of lyndiol 2.5 and this is to present our brief exerience of 254 clients registered at the family planning clinic in Yonsei University Hospital for a period of 19 minths or 1764 clients cycles. Summary: 1. 254 cases were given. oral cintraceptives lyndiol 2.5 involving 1764 menstrual cycles in Korea women. 2. Age; The selected cases range between the ages 23-43. 3. Bleeding: Of 1764 cycles incidences of 1.4% 4. Nausea: Total cycles incidence of 2.7% and amenorrhea 0.4% 5. Discintinuation: 12 cases (4.7%)did so because of side effects. 8 cases (3.14%) discont- inued as they changed menthord of contraception. There were 64 cases (25.35%) lost follow up of which 17 cases did so in thefifst month. 6. None of the cases who continued to take oral pills according to our instruction under our supervision became pregnant.
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