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RISS 인기검색어
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- 저자 : 박영찬 ( Yeoung Chan Park ) (검색결과 3 건)
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박영찬(Yeoung Chan Park),고선희(Sun Hee Ko),이태인(Tae In Lee),마재남(Jae Nam Ma),정강우(kang Woo Jung),원종천(Jong Cheon Weon),김용필(Yong Pil Kim) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9
목적 : 최근 쌍태임신의 임상양상적 특징과 그 결과를 알아보고자 함. 방법 : 1990년부터 1999년까지 포항성모병원 산부인과에 입원하여 분만된 18,333예중 쌍태분만 149예 산모의 임상기록부를 관찰, 분석하였다. 결과 : 쌍태분만의 발생빈도는 1:123이었다. 총 쌍태임신에 대한 보조생식술에의한 쌍태임신의 비율은 1990년부터 1994년까지 5.3%에서 1995년부터 1999년까지 25.4%로 증가하였다. 임산부 연령은 26-30세군이 41.6%로 가장 많았고 이들의 평균 연령은 27.5±4.1세였다. 또한 초산부가 전체의 71.8%였다. 임신주수는 37-38주군이 43.6%로 가장 많았고 평균 임신주수는 35주 5일 이었다. 태위로는 두위-두위군이 42.3%로 가장 많았다. 분만방법에서는 제왕절개분만이 전체의 77.2%였고 이들의 가장 많은 적응증은 선택적 제왕절개분만이었다. 신생아의 평균체중은 2,315±610g 이었다. 신생아 Apgar점수는 제1아에서가 제2아 보다 성적이 좋았다. 태반의 형태는 이중양막 및 단일융모막이 54.4%로 가장 많았다. 성별에서는 둘다 남성인 예가 44.9%로 가장 많았다. 산모합병증에서는 빈혈이 41.6%로 가장 많았다. 주산기 사망율은 1,000명당 97명이었으며 이의 가장 많은 원인은 조산(64.0%)이었다. 쌍태분만으로 인한 모체사망은 없었다.결론 : 최근 쌍태임신의 빈도는 증가하고 있지만 쌍태임신은 단태임신보다 많은 산과적 합병증과 높은 주산기 사망율을 나타내고 있다. 따라서 이를 줄이기 위한 더 많은 연구가 필요하다. Objective : To evaluate the clinical aspects of twin pregnancy and its results Methods : We reviewed the medical records of the 149 cases of twin births among 18,333 deliveries, from Jan. 1, 1990 to Dec. 31, 1999 at Pohang St. Mary's Hospital. Results : The incidence of twin births was one in 123 births. The rate of twin pregnancies by assisted reproduction technique was increased from 5.3% between 1990 and 1994 to 25.4% between 1995 and 1999. The predominant age group was 26-30(41.6%) and mean age was 27.5±4.1 years old. According to parity, nullipara(71.8%) was the most frequent. The predominant gestational age of twin births was 37-38 weeks(43.6%) and mean gestational weeks of twin births was 35 weeks and 5 days. The cephalic-cephalic combination(42.3%) was predominant presentation. The most common mode of twin delivery was cesarean section(77.2%) and its main indication was elective. The mean birth weights of twins was 2,315±610 grams. Low one minute Apgar scores occured more often in second twins than in first ones. The most common type of placental membrane was diamniotic-monochorionic(54.4%). Both male group(44.9%) was predominant. The most frequent maternal complication during pregnancy was anemia(41.6%). The perinatal mortality rate was 97 per 1000 newborns and its main cause was prematurity(64.0%). Maternal deaths were not encountered. Conclusion : Recently, although the incidence of twin pregnancy has been increased, it has greater risks of obstetrical complications and higher perinatal mortality than singleton pregnancy. Therefore, further studies are needed for effective management of twin pregnancy.
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이인수(In Soo Lee),마재남(Jae Nam Ma),박영찬(Yeoung Chan Park),이경원(Kyung Weon Lee),원종천(Jong Cheon Weon),김용필(Yong Pil Kim) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.3
Peripartum cardiomyopathy is defined as a syndrome of cardiac failure occurring in tbe latter part of pregnancy or in the puerperium, without obvious cause and without prior evidence of heart disease. Despite its infrequency, this clinical problem may have devastating consequences upon maternal and fetal outcome. It is important to recognize the association of cardiac failure and pregnancy as a separate syndrome so that, once identified, peripartum cardiomyopathy can be treated promptly and aggressively. We experienced two cases of peripartum cardiomyopathy, and report these cases with a brief review of the literatures.
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이상문 ( Sang Moon Lee ),조재현 ( Jae Hyun Jo ),이인수 ( In Soo Lee ),이경원 ( Kyoung Won Lee ),박영찬 ( Yeoung Chan Park ),서군석 ( Kun Seog Seo ),이홍주 ( Hong Ju Lee ) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.12
Primary ovarian pregnancy is a rare form of ectopic pregnancy. Ovarian pregnancy occun in the corpus luteum, and is usually accompanied with the rupture of the ovary and massivehemoperitoneum. We have experienced two cases of ovarian pregnancies, which are presented with a brief review of the literature.
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