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      • KCI등재

        혈당의 태반통과에 관한 임상적 고찰

        엄익부(IB Um) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.11

        Estimations of blood glucose were made by Somogyi-Nelson`s method on maternal and umbilical venous blood immediately after birth in 25 cases of normal full-term pregnancy and in 18 cases of preeclampsia, which were divided into two groups; the first group (15 cases of normal pregnancy & 10 cases of preeclampsia) without dextrose injection, the second group (10 cases of normal pregnancy & 8 cases of preeclampsia with injection of 50cc of 50% D/W 10-50 min. before delivery. the baby`s blood glucose at birth was found to be lower in cases of preeclampsia than in cases of normal pregnancy. (In cases of normal preg, mother; 102.2mg. fetus;89.7mg. In cases of preeclampsia, mother;98.5mg%, fetus;75.0mg%.) This supported the view that the placenta played a governing part in fetal carbohydrate metabolism and that the transfer of glucose was somewhat impaired through the placenta in preeclampsia cases. It was also shown that free and equal transfer of glucose through the placenta was obtained in cases of normal pregnancy and in cases of preeclampsia when maternal hyperglycemia was induced. (In cases of normal pregnancy, mother;196.0mg%, fetus;165.3mg%, In cases of preeclampsia, mother;200.5mg%, fetus;171.0mg%) This can`t be explained by the present therories of the transfer of glucose. But it is suggested that in pregnancies with impaired placental function, an adequate carbohydrate diet should be ensured; and hypoglycemia in the baby can be lessened by giving glucose intravenously to the mother during labor.

      • KCI등재

        임신제 10개월에 합병된 거대 Condylomata Acuminata의 1예 보고

        최낙성(NS Choi),엄익부(IB Um),정덕기(DK Chung),박행우(JW Park),박인서(IS Park) 대한산부인과학회 1966 Obstetrics & Gynecology Science Vol.9 No.8

        A 20 year old primigravida complicated with huge condylomata acuminata in the vulvar region at the 10 month of pregnancy was surgically cured by excision of tumor masses and terminated in spontaneous delivery of a male baby weighing 2.7kg and her hospital course was uneventful.

      • KCI등재

        산부인과 영역에 있어서의 Haemaccel ( 혈장증량제 ) 사용경험

        나건영(KY Na),이동경(TK Lee),임원일(WI Im),오덕겸(DK Oh),엄익부(IB Um),고근익(KI Koh) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.9

        Thirteen gynecelogical and obstetrical patients with massive bleeding caused by various reasons were treated by infusion of "HAEMACCEL". a new plasma volume expender, manufactured by Hoechst Pharmaceutical Company in Germany. Results of the follow-up observation were as follows; 1) Patients in shock state following more than 1000cc of bleeding could be reversed to conscious state within I hour after rapid infusion of 1000 cc to 1500 cc of "HAEMACCEL". Recovery from hypotension was also coincident. 2) On Patients with less than 500cc of bleeding, safty operations were carried out without any fall in blood pressure by infusion of "HAEMCCEL" alone as a measure of replacement of the lost blood volume. 3) No overloading signs were noted with infusion of 500 to 1000 cc of "HAEMACCEL" and same amount of whole blood. 4) The value of hemoglobin was not decreased as a result of hemodilution which was expected on infusion of "HAEMACCEL". 5) Leucocytosis, which was thought caused in response to foreign body reaction, diminished sligtly in general. No significant side reactions such as fever, urticaria, bleeding tendency, etc. were noticed. 6) No sequelae of "HAEMACCEL" infusion was present.

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