姙娠中毒症 新生兒의 Apgar Score에 關한 臨床統計學的 觀察

羅重烈 고려대학교 의과대학 1973 고려대 의대 잡지 Vol.10 No.1

The toxemia of pregnancy is till the most important problem in obstetrical field. The statistical analysis of the Apgar score of the babies in toxemia of pregnancy of 305 cases among 4717 deliveries was made. The results obtained were as follows; 1. The incidence of toxemia of pregnancy was 6.5%. 2. The incidence of toxemic delivery in primipara was 55.7% and 44.3% in multipara. 3. The-eclamptic delivery was 188 (61.6%), eclamptic 39 (12.8%), chronic hypertensive vascular disease 31 (10%), chronic hypertension superimposed with toxemia 28 (9.3%), and 19 (6.3%) of unclassified cases. 4. The Apgar score in the toxemic baby has revealed neonatal depression in 29.2%, while the non-toxemic has 15.8%. 5. The spontaneous vertex vaginal deliveries of the toxemia were 183 (60.0%), vacuum extraction 49 (16.1%), Cesarean section 28 (9.1%), twin delivery 12 (3.9%), breech delivery 20 (6.6%) and miscellaneous 13 (4.3%) cases. In the toxemic group, the obstetrical interventions were required 16.9% more than in the non-toxemics. 6. The distribution of the neonatal depression was more prevalent; in the order, named eclampsia, chronic hypertension super-imposed with toxemia, severe pre-eclampsia, chronic hypertension, and mild pre-eclampsia. Namely, in eclampsia and chronic hypertension superimposed with toxemia, the neonatal depression was most conspicuous. 7. In the low birth weight baby, there were 17.7% of neonatal depression in the toxemic delivery as compared with 4.5% in the non-toxemic cases, while, in normal birth weight group, 11.5% showed neonatal depression in the toxemic babies and 11.3% in the non-toxemics. 8. There were 20.0% of the neonatal depression in the group A (only hypotensives and diuretics are used)., 26.6% in the group B (the sedatives are used in combination with the group A), 58.6% in the group C (the anti-convulsants are used with the group B). 9. The perinatal mortality of the the toxemic babies was 10.1%, as compared with 5.4% in the nontoxemic babies. ?

姙娠中毒症 新生兒의 Apgar Score에 關한 臨床統計學的 觀察

羅重烈 고려대학교 의과대학 1973 고려대학교 의과대학 잡지 Vol.10 No.1

성적 기능과 폐경

라중열 ( JY Ra ) 대한산부인과학회 1991 Obstetrics & Gynecology Science Vol.34 No.8

의사는 나이든 사람의 성적활동의 중요성을 인식하여, 환자와 성적인 문제점을 토의하는데 주저해서는 안된다. 특히 생식기관과 관련된 부위의 수술을 시행할 때에는 수술후의 성적기능에 관해 충분히 상의하여야 하며, 신체적인 장애가 발생하는 경우는 성적활동에 편안한 자세 등에 관해서도 충고와 상담을 하여야 한다. 의사의 역할은 정서적인 지원, 성적 상대와의 대화를 용이하게 하도록 도와주고, 성적 문제를 취급하는 정보와 생리에 관한 사항을 공급하는것 뿐아니라 심도있는 치료를 위해서는 환자를 refer해 주는 것 등이다. 환자에게 가장 좋은 방법은 계속적인 성행위에 의해서 만족을 얻는 것이다. 환경요소나 질병에 의해 이 조건이 변화되면, 의사는 치료를 제시해야 되는데, 이는 약물치료, 기계적인 치료, 대화를 통한 치료 등이다. 만약 이들 치료가 만족스럽지 못하면 환자를 refer해야 된다. 약물치료의 방법으로는 윤활제의 사용, 홀몬대치요법으로 estrogen이나 progesterone의 사용 또는 우울증 환자에 대해서는 향정신성 약제의 사용등이 시도된다. 기계적인 치료법으로는 질의 근육의 불수의적인 수축이 있을때는 근육이완에 대한 교육을 통하여 수의 조절을 배우도록 지도해야 한다. 관절의 통증이 성적활동에 장애가 되는 경우는 체위의 변화를 시도하도록 지도해야 한다. 항상 대화를 통하여 문제를 해결하도록 노력할 것이고, 보다 전문적인 치료가 필요할 때에는 적절한 기관에 추천하여 보내야 한다.

Prostaglandin E₂의 子宮內 投與가 家兎의 卵巢機能에 미치는 影響에 關한 實驗的 硏究

崔鏡淑,羅重烈,李壽鍾 고려대학교 의과대학 1983 고려대 의대 잡지 Vol.20 No.3

The effects of intra-uterine administration of Prostaglandin-E₂on the ovary and plasma steroid hormones were studied. Pseudopregnancy was induced in seven rabbits by the injection of 50㎍ of ethinyl estradiol and 100IU of hCG subcutaneously. And these seven pseudopregnant rabbits served as control group. In the prostaglandin-E₂ was implanted in uterus on Day seven under laparotomy and uterine incision with pentothal anesthesia. The plasma estrogen and progesterone level was determined by radioimmunoassay with three days interval in both control and prostaglandin=E₂ treated group. The uterus and ovaries were submitted to histologic study on Day 30. The following results were obtained; 1. Serum progesterone level in intra-uterine prostaglandin-E₂-implanted pseudopregnant rabbits was decreased at 14th day of pseudopregnancy, while the progesterone level of normal pseudopregnant rabbits was decreased from 15th day of pseudopregnancy and returned to normal values by 18th day. 2. Serum estrogen levels of pseudopregnant rabbit was higher than pretreatment state and returned to normal value by 30th day, while, in prostaglandin-E₂treated group, the serum estrogen values was decreased at 11th and 18th day below the level of pretreatment state and it was more decreased at 28th day. 3. The corpus luteum regresses from 15th day in control group, but in prostaglandin-E₂ Treated group, the corpus luteum was indistinct. The numbers of follicles in control group were 4-5 in number, while, in prostaglandin-E₂treated group, they were increased to 7-11 in number. The endometrium was papillary secretory patterns in control group, while, in prostaglandin-E₂ treated group, the endometrium was shown to have proliferative patterns.

子宮摘出이 家兎 卵巢의 機能에 미치는 影響에 關한 實驗的 硏究

金善行,羅重烈,李壽鍾 고려대학교 의과대학 1983 고려대 의대 잡지 Vol.20 No.3

To understand effects of hysterectomy on the retained ovarian function in the rabbits, pseudopregnancy was induced in seven rabbits, control group, by injection of 50㎍ of ethinyl estradiol and 100 IU of hCG subcutaneously. And a week after hysterectomy of another seven rabbits, hysterectomized group, pseudopregnancy was induced with 50㎍ of ethinyl estradiol and 100 IU of hCG. The serum levels of progesterone and estrogen were determined every 3 day by radioimmunoassay and microscopic examination of the ovaries was performed in each group. Both findings in each group was compared and obtained following results. 1. Luteal phase in hysterectomized group was prolonged about 6 days compared to control group. 2. Histologic examination of ovaries revealed functional corpora lutea in hysterectomized group up to 30 days of experiment. 3. Serum estradiol level and histological picture of the ovarian follicles showed no significant differences between two groups during experiment. 4. These findings show that experimental hysterectomy has inhibitory effect on regressive change of the corpora lutea but has no effect on ovarian follicle. These results suggest that PG is the luteolytic hormone in the rabbit. But, it was presumely concluded that the result in estrogen showed which PGF₂α or some other substances in the uterus might be related to the mechanism of folliculogenesis in ovary according to references.

질에 발생한 내배엽동 종양 1 례

이규완,라중열,정경호,이낙우,장기훈,이용호 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.9

질에 발생하는 내배엽동 종양은 주로 2세 이전에 발생하며 매우 드물고 치명적인 종양이고 성기능 및 생식기능 보존의 관점에서 복합 화학요법과 국소절제술이 최근 경향이며 AFP이 치료판정의 지침이 되고 있다. 본 저자들은 최근 적색 뇨를 주소로 내원한 15개월의 여아에서 질부에 돌출된 종괴의 조직 검사상 내배동엽동 종양으로 진단된 증례를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다. The extraovarian endodermal sinus tumor generally originates in the vagina or cervix of young girls. Until now, about 50 cases have been reported all younger than 3 years of age. The diagnosis of endodermal sinus tumor of vagina was based on the pathologic finding. We experinced one case of the endodermal sinus tumor of vaigna in 15 month old female, who had compliaint with frequent reddish urine. So we report the case and brief review of literatures.

자궁내막에 발생된 Actinomycosis 1례

지일운,박종찬,이희경,라중열 대한산부인과학회 1993 대한산부인과학회 학술대회 Vol.71 No.-

악성 혼합 상피성 난소종양에서 유래된 Meigs증후군

황인구,박농수,허준용,라중열 대한산부인과학회 1987 대한산부인과학회 학술대회 Vol.59 No.-

제 71 차 춘계학술대회 : 초록보고 ; 자궁내막에 발생된 Actinomycosis 1 예

지일운,박종찬,이희경,라중열 대한산부인과학회 1993 춘계학술대회 Vol.- No.-

질에 발생한 내배엽동 종양

이용호,정경효,이낙우,장기훈,이규완,라중열 대한산부인과학회 1994 대한산부인과학회 학술대회 Vol.74 No.-