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      • KCI등재

        지연임신의 분만경과 및 주산기 예후

        고만석(Man Suk Ko),정진국(Jin Kook Jung),이호형(Ho Hyung Lee),정병욱(Byoung Wook Jung),최호준(Ho Jun Choi),신승권(Seung Kwan Shin) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.8

        목적: 42주 이상의 지연임신를 만삭임신과 비교하여 분만경과 주산기 예후등를 분석함으로써 주산기 사망률및 이환율 감소에 도움이 되고자 본연구를 시행하였다. 연구방법: 1993년 1월 1일부터 1997년 12월 31일 까지 본원 산부인과에서 분만한 16,992예 중 지연임신 360예 대하여 분만대장 및 의무기록를 검토하여 분석하였으며, 38주에서 42주에 만삭분만한 16,143예를 대조군으로 하였다. 결과: 총 16,992예의 분만 중 지연임신 빈도는 2.13%이였고 26-30세 군에서 189예(52.50%)로 가장 많았다. 태아곤란증의 빈도는 대조군에서 2.20%임에 반하여 지연임신군에서 10.28%로 약 4.67배 증가 하였으며 거대아의 빈도는 대조군에서 6.95%, 지연임신군에서 10.83%로 나타났으며 주산기 사망률은 대조군에서 0.27%, 지연임신군에서 1.67%로 지연임신군에서 6.20배의 높은 빈도를 보였다. 결론: 지연임신에서 주산기 예후가 좋지않으며 임신주수가 증가 할수록 주산기 예후는 좋지 않다. 그러므로 적절한 산전진찰을 통해 정확한 분만날짜를 결정하는 것이 중요하다. Objective ; The purpose of this study was to evaluate of course of delivery & perinatal outcomes for postterm pregnancy compared with fullterm pregnancy. Methods ; This study included 360 cases of postterm pregnancy out of 16,992 cases delivered at Department of Obstetrics and Gynecology from January 1, 1993 to December 31, 1997. 16,143 cases of full term deliveries of 38 to 42 gestational weeks conducted in same period were used as the control group. Postterm pregnancy was defined as a pregnancy that it exceeds 295 days calculated from first day of the last menstrual period. Results ; The incidence of postterm pregnancy was 2.13% with the highest incidence occurring in the 26 ∼30 years age group. This study group was significantly different from the control group in the incidence of fetal distress (10.28% vs. 2.20%), large fetus (10.83% vs. 6.95%), perinatal death (1.67% vs. 0.27%). Conclusions ; Adverse perinatal outcomes were increased markedly as the gestational weeks to be prolonged. Therefore, careful prenatal care, accurate determination of delivery date is very important.

      • KCI등재

        양수과다증이 동반된 큰 태반혈관종 1 예

        이호형(Ho Hyoung Lee),김종대(Jong Dae Kim),장은철(Eun Cheol Jang),손은식(Eun Sik Sohn),임희택(Hee Taek Lim),이춘보(Chun Bo Lee),신승권(Seung Kwan Shin) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9

        Chorioangioma is the most common benign tumor of the placenta, which consists of a benign angioma arising from the primitive chorionic mesenchyme. The incidence is reported to be 1% in most large series where systemic section of placentas revealed small tumors. However, the incidence of large chorioangioma varies from 1 in 500 to 1 in 16,000 placentas examined.Most placental chorioangiomas have no clinical significance. However, the uncommon large tumors, particularly those greater than 5cm in diameter may be associated with maternal or fetal complications. For diagnosis of these lesions, the ultrasonography was used. If the chorioangioma is suspected, color doppler study is informative to confirm the presence of the vascular channels. We describe a recent case of chorioangioma and discuss the noxious effects of this benign tumor on the mother and the fetus.

      • 惡性 Brenner 腫瘍 一例

        辛承權 전북대학교 의과학연구소 1983 全北醫大論文集 Vol.7 No.1

        The great majority of Brenner tumor are benign, but only a few apeared being frankoy malignant. A cases of malignant Brenner tumor in 53-year old woman reported with a brief review of literature on malignant and proliferation Brenner tumor.

      • 전치태반의 임상적 고찰

        신승권 전북대학교 의과학연구소 1982 全北醫大論文集 Vol.6 No.1

        The data to be presented below are based on 51 cases of placenta previa seen among the 2,726 deliveries at Department of Obstetrics and Gynecology, Jeonbug University Hospital from Jan. 1976 to Oct. 1981. The summary of results are as follows ; 1. Incidence of placenta previa was one in 53 deliveries (1.9%) and the most frequent age incidence was between 25~29 years old(45.1%). The most common parity was between 1~2 and 3~4 and each of these consisted of 15 cases(29.4%). 2. 19 cases (37.3%) were total placenta previa and remainders were 17 cases of partial placenta previa (33.3%), 10 cases of low-lying placenta (19.6%) and 4 cases of marginal placenta(7.8%). 3. There was no significant difference in the average placental weight between normal placenta with above 37 weeks of gestational age and placenta previa with same age, 685.7gm and 699.2gm respectively. 4. As compared to the ratio of the sex in the placenta previa, we could not find a specific difference. 5. Placenta previa with vaginal bleeding was above 90% and 74% of them was painless. Abnormal presentation was 25.5%. 6. The most common hemoglobin level was 10.0~11.9gm% in 19 cases (37.3%) on arrival to our hospital. The average requirement of whole blood was 2.8 pints. The largest was 3.4pints in placenta previa totalis. 7. Vaginal delivery was 4 cases(7.8%), low segment transverse Cesarean section 37 cases(72.6%), classical Cesarean section 7 cases (13.7%) and Cesarean hysterectomy 3 cases(5.9%). 8. Perinatal mortality rate was 39.2%(20cases/51 cases) and 40% of that mortality showed intrauterine fetal death. Considering that 40% of mortality showed intrauterline fetal death we recommend a rapid transport system. 9. There was no maternal death.

      • McN-A-343의 家兎血壓 效果에 미치는 Anticholinesterase 및 Choline ester의 影響

        辛承權 전북대학교 의과학연구소 1984 全北醫大論文集 Vol.8 No.1

        1. McN-A-343 induced a hypotensive effect in urethane-anesthetized rabbits, but a hypertensive one in chlorisondamine-treated rabbits. 2. The hypotension by McN-A-343 was weakened following physostigmine injection and during methacholine infusion. 3. The hypertension by McN-A-343 was abolished or markedly weakened following injections of anticholinesterase-physostigmine, neostigmine, PX-72601-and during infusions of methacholine and urecholine. 4. It is interpreted that anticholinestrerases and choline esters antagonized the McN-A-343 by occupying the receptors which McN-A-343 would act.

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