한국인 산부혈청 Transaminase에 대하여

박성관(SK Park) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.11

The serum transaminase determinations were taken by Sigma-Frankel method in 20 healthy non-pregnant women, 22 normal full-term paturients and 22 acute toxemia patients. Following are the results. 1. Non-Pregnant healthy women. (1) SGO-T. Mean 17.07 +/- 9.37 U/ml. Range 3-35 U/ml. (2) SGP-T. Mean 16.15 +/- 13.11 U/ml. Range 4-33 U/ml. Over 30 U/ml in the 2 cases (Table 2). 2. Normal full-term paturients. (1) SGO-T. Mean 20.65 +/- 9.05 U/ml. Range 6.5-43 U/ml. Over 40 U/ml in the one case. (2) SGP-T. Mean 19.06 +/- 6.77 U/ml. Range 11-40 U/ml. Over 30 U/ml in the one case(Table 4). 3. Acute toxemias. (1) SGO-T. Mean 36.09 +/- 16.11 U/ml. Range 15.5-90 U/ml. Over 40 U/ml in the 7 cases(32%). (2) SGP-T. Mean 24.43 +/- 10.23 U/ml. Range 6-43 U/ml. Over 30 U/ml in the 5 cases(23%)(Table 6). According to the results of present investigation, it is considered that determination of the serum transaminase activity is significant to study the degree of liver damage in toxemias, Otherwise, I am not sure but it may be little contributive to diagnose acute toxemias.

단태 둔위분만에 관한 임상적 고찰

서수형(SK Park),김복인(BI Kim),박성관(SK Park) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.8

Breech presentatiion is the most frequent abnormal presentation And excessive perinatal loss is asdsociated with brecch presentation and in large measure this loss in accounted for by prematurity congenital anomalies and birth traums In the endeavor to exert an effect on two of these problems cesarean section has been resorted to increasingly This study was analyzed the 375 singleton breech rpesentations among the total 9,267 deliveries retrospectively by the review of the charts which occrued during the period from January 1979 to December 1983 at In Je Medical College Pail Hospital in Seoul Department of Obstetrics and Gynecology and discussed the various aspects and diffculties in their managements This paper obtained the following results: 1. The incidence of the breech presentation was 4.05%(1:25) 2. The age distribution was mostly concentrated between the age of 26 and 30 (52.5%). 3. Incidence of the breech delivery by parity was 4.68% in primpara and 3.07 % in multipara. 4. As to gestational weeks, the frequency was mostly concentrated between 37 and 39 weeks (56.3%), and 31.7% between 40 and 42 weeks, 3.5% between 34 and 36 weeks, and less than 29 weeks, 2.9% between 29 and 33 weeks, and 2.1% in more than 42 weeks in orders. 5. the frank breech incidence was 33.3%, incomplete breech incidence was 28.8%, and complete breech incidence was 22.4%. 6. yearly cesarean section rate was from 55.1% to 75.4, and the mean was 67.5%. 7. Incidence of cesarean section by parity was 74.6% in primipara, 50.7% in first multipara, 45.8% in second multipara, and 37.5% in third multipara. 8. As to the birth weight, the frequency of cesarean section was mostly concentrated between 3,000 and 3,500gm(78.6), and 71.4% between 3,500 and 4,000gm 63.2% in more than 4,000gm, 67.0% between 2,500 and 3,000gm, and 56.3% between 2,000 and 2,500gm in orders, but none of the group less than 2,000gm. 9. As to the prognosis of the infants estimated by Apgar score, the depression rate of the infants by vaginal delivery was 6 times more higher than that of cesarean section delivery if the birth weight was over 2,000gm. 10. The perinatal mortality was 117.3/1,000, and the cause of death was prematurity, congenital anomalies, intracranial hemorrhage, entrapped aftercoming head, and cord prolapse in orders.

난관임산경과후 동측에 반복된 난관문질부임신

오덕겸(DK Oh),박성관(SK Park),조석신(SS Cho),한정철(JC Hahn) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.8

An extremly rare case, " Interstitial Pregnancy after Homolateral Salpingectomy", presented and it`s causes, incidence, various methods of diagnosis and treatments are briefly discussed with a review of the literature.

자궁파열 25례

배병주(BJ Bai),박성관(SK Park),이춘식(CS Lee),임종명(JM Lim) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.5

자궁파열 25례에 관한 임상적 고찰을 시행하였다. This report is consisted of 25 cases of the uterine rupture from Oct. 1958 to MRA. 1963 and from Apr. 1968 to Sep. 1971 in Seoul Red Cross Hospital. The results are summarized as follows. 1. The incidence was 1:115 deliveries 2. The age distribution was from 23 to 44 years of age and mostly in 4th decade. According to the parity, 14 of these 25 cases were over 4. 3. On the classification of uterine rupture, 13 cases were spontaneous during labor, 8 cases were traumatic durig labor, 4 cases were rupture of previous cesarean section scar during pregnancy and labor. 4. The mean gestational duration was 39.0 weeks and most of all cases were ruptured at full term period. 5. Duration of labor of rupture during labor were average 13.0 hrs. and the interval p0eriod from rupture to laparotomy were ranged from 2 hrs. to 3 months. 6. The most important symptoms were lower abdominal pain, shock and vaginal bleeding. Among the 15 cases in 2nd. period 12 cases revealed that the Hb. level was ranged from 7.0 gm% to 10 gm% and the mean amount of transfusion was 6.7 pints. 7. According to the site of rupture, the lower uterine segment was involved in 20 cases and the corpus was in 5 cases. Intreatment, subterectomy was performed in 17 cases, total hysterec- tomy was in 7 cases, others in 2 cases. 8. The maternal death was 5 cases (20%) and perinatal death was 100%.

자궁천공에 의한것으로 사료되는 속발성 복강임신의 1예

김승욱(SW Kim),박성관(SK Park),이경지(KJ Lee),신면우(MW Shin) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.4

The authors presented a case of rare secondary abdominal pregnancy, recently admitted to the Dept. of Obst. & Gynec. Seoul National University Hospital, due most probably to the antecedent uterine perforation during the course of criminal abortion in the early stage of her pregnancy along with the review of pertinent literatures. The fetus, 6 th month`s size, was dead at the time of laparotomy as was also evident preoperatively. The operative procedure was concluded with the placeta left in situ. The postoperative course of the mother was uneventful.

양수단백과 모체 및 태아 혈청 단백의 여지 전기영동상에 대하여

신면우(MW Shin),박성기(SK Park),백운송(US Paik),박성관(SK Park) 대한산부인과학회 1963 Obstetrics & Gynecology Science Vol.6 No.9

1) Amniotic fluid from fourteen cases of pregnant women was fractionated for proteins by paper elctrophoresis and the resulting patterns were compared with those of maternal and fetal serum proteins. 2) A/G ratio was highest in amniotic fluid. Alpha-2 and gamma globulin concentration in amniotic fluid was significantly lower than in maternal serum protein, suggesting the possiple role of iotic fluid was significantly lower than in maternal serum protein, suggesting the possiple role of serum molecular weight in traversing fetal membrane. 3) The relative concentration of amniotic fluid proteins was similar to maternal serum protein pattern. Furthermore, the patterns showed a closer similarity to those of the dilysate of maternal through fetal membrane against normal saline solution. 4) No Particularly remarkable changes in amniotic fluid protein patterns were observed in two respective cases og hydramnios and mild pre-eclampsia. 5) Trans-addominal amniocentesis in eight cases proved to be a satisfactory method of obtaining good samples of amniotic fluid with little danger. 6) Brief review of literatures was made in regard to the origin of amnioitic fluid protein and its nutritional value to the fetus.

임신과 동반된 Krukenberg종양에 의한 남성화 1 례

송재헌(JH Song),김용봉(YB Kim),박성관(SK Park) 대한산부인과학회 1986 Obstetrics & Gynecology Science Vol.29 No.3

임신과 동반된 Krukenberg종양에 의한 남성화 Krukenberg tumor of the ovary associated with hormonal activity are rare, especially during pregnancy. In recent years, we have experienced 1 case of bilateral Krukenberg tumor of the ovary causing virilization during pregnancy and its primary site, of course, is stomach. And so, the literatures on Krukenberg tumor of the ovary causing masculinization during pregnancy are reviewed briefly, in addition to reporting this case.

자궁내구기능부전증에 관하여

신면우(MW Shin),고덕영(DY Ko),박성관(SK Park),김선원(SO Gim) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.11

From October 1962 to Agusut 1967, thirty two cases of incompetent internal os of the cervix were treated at the Department of the Obstetrics and Gynecology, College of Medicine, Seoul National University. Shirodkar operation was performed in 27 cases during the second trimester of pregnancy and resul- ted in viable term delivery in 21 cases, three premature delivery, with a success rate of 77.8% & 1 1.0% respectively. McDonald Technique was carried out in four cases and resulted in three te- rm delivery and one premature delivery, with a success rate of 75%. In one case Wurm procedure was carried out and resulted in dremature deivery. We reviewed these cases, with a brief review of the literature.

난소미분화배세포종의 1 례

문영규(YG Moon),최종현(JH Choi),김용봉(YB Kim),박성관(SK Park) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.10

저자들은 27세의 부인에서 우측난소에 발생된 미분화 배세포종 1례를 치험하였기에 문헌고찰과 함께 보고하는 바이다. A case of Dysgerminoma of the right Ovary in 27 year old married woman is presented, and its literature is briefly reviewed.

자궁내 태아사망의 임상적 관찰

김복린(BR Kim),나영호(YH Rha),전명권(MK Jeon),박성관(SK Park) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.8

1976년 1월 1일부터 1981년 4월 30일까지 만 5년 4개월간 인제의대부속 백병원에 입원한 8273예의 분만중 임신 20주 이후에 도는 태아출중이 500mg이상인 자궁내 태아사망 93예를 임상적으로 분석 연구하여 다음과 같은 결론을 얻었다. 1.자궁내 태아사망의 발생빈도는 1.13%이었다. 2.자궁내 태아사망이 있었던 산모의 연령분포는 18세에서 41세까지였으며, 그중 26~30세 사이에서 가장 많은 분모를 보였다. 3.출산력은 미산부(49.5%)에서 가장 많았고, 다음은 1회분만군(36.5%)이었다. 4.전체 93예중 3예(3.22%)에서 자궁내 태아사망의 기왕력이 있었다. 5.임신 33~36주 사이에서 자궁내 태아사망의 발견이 가장 많았으며, 남아대 여아의 비율은 1.2 : 1이었으며, 80.6%에서 태아체중이 2500mg미만이었다. 6.사망한 태아의 분만방식은 자연분만이 41.9%, 유도분만이 49.6%이었으며, 개복수술을 한 경우가 8.5%이었다. 개복수술을 한 경우의 원인은 태반조기박리, 전치태반, 기왕제왕절개분만, 임신중독증 등이었다. 7.자궁내 태아사망의 원인으로는 원인불명이 41.9%이었으며, 제대의 원인이 17.2%, 임신중독증이 9.7%, 태반조기박리 8.5%, 전치태반이 6.5%, 태아의 선천성 기형이 6.5%, 산모의 만성고혈압이 3.2%, trauma가 1.1%였다. 8.자궁내 태아사망의 모성합병증은 전체 93예중 17예(18.3%)에서 있었으며 산후출혈이 8예, 발열이 7예, 방광염이 2예 있었다. The Fetal Death in Utero is defined as intrauterine death of a fetus after 20 weeks` gestation or attainment of 500mg body weight prior to the complete expulsion or extraction from its mother. This is a clinical study of 93 cases of fetal death in utero among 8273 deliveries at Paik Hospital, In Je Medical College during 5 years and 4 months from January, 1976 to April, 1981. The results were as followings: 1)The incidence of fetal death in utero was 1.13%. 2)The age distribution of mother with fetal death in utero is 18 to 41 years range and the largest number of FDIU occurred in 26 to 30 year age group. 3)The parity of mother in FDIU was most highest in nulliparous group(49.5%) and the next group is para-1. 4)Only 3 cases among 93 cases of FDIU had previous history of fetal death in utero. 5)The largest incidences at the time of detection of FDIU was 33 to 36 weeks` gestaton, the sex ratio of male versus female fetus was 1.2 :1, and the 80.6% of dead fetus weighed less than 2500mg. 6)The mode of delivery for FDIU was that the spontaneous delivery was 41.9%, induced labor was 49.6% and laparotomy case was 8.5%. The etiologic factors for laparotomy were abruptio placenta, placenta previa, previous Cescrean section and severe pre-eclamsia. 7)In the etiologic factors of fetal death in utero, the unexplained cases were 41.9%, cord complications was 17.2% of the cases, pre-eclamsia was 9.7%, abruptio placenta was 8.5%, placenta previa was 6.5%, congenital anomaly of fetus was 6.5%,chronic hypertension of mother was 3.2% and the trauma caused 1.1%. 8)The 18.3% (17 cases) of 93 cases had maternal complication, which occured postpartum bleeding, fever and cystitis.