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Intrapartum Electronic Fetal Heart Rate Monitoring의 임상경험
이춘화(CH Lee),정기성(KS Chung),신수재(SJ Shin),조성욱(SH Cho),안덕호(DH Ahn),황태식(TS Hwang) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.10
1981년 3월 16일부터 1982년 7월 31일까지 악 1년 5개월간 Electronic F.H.R. monitoring을 시행한 265예에 대한 임상적 관찰을 하여 얻은 주요한 것은 다음과 같다. 1. 265예중 고위험임신군이 157예 (59.25%), 정상임신군 108예 (40.75%) 였으며 고위험임신군은 10종류로 분류 되었는데 주요한 것은 임신성 고혈압, 과숙아 조기파막이였다. 2. Electronic F.H.R. monitoring의 abnormal record는 정상임신군에 17예(17:108 15.74%) 고위험임신 군에서 44예 (44:157=28.0%)로서 총 61예(61:265=23.0%) 였다. 3. 고위험임신군에서 Electronic F.H.R. monitoring의 abnormal record 44예증 late deceleration 13예, Variable deceleration 8예, prloonged deceleration 14예, otbers 9예 였다. 4. Abnormal F.H.R. monitoring이 나타난 61예를 Apgar score를 토대로 하여 분석 하였다. 5. pitocin induction 및 Augmentation을 한 96예와 자연진통군 l69예중 Hypertonic Uterine Contraction으로 인한 prolonged deceleration이 각각 7예(7:96=7.30%)와 4예(4:169=2.37%) 가 발생하였다. 상술한 예는 F.H.R. monitoring중 조기 발견되어 치료됨으로서 fetal distress을 예방할 수 있었다. 6. Electronic fetal heart rate monitoring 시행한 265예중 제왕절개를한 환자는 62예로서 23%의 빈도를 나타냈으며 그중 fatal distress로 제왕절개를한 환자는 23예로서 8.67%였다 7. 대부분의 예에서는 external fetal heart rate monitoring이 임상적으로 이용가치가 있음을 인정하였다. 그려나 앞으로는 internal 과 fetal scalp blood의 P.K 검사를 적극적으로 시행하여 더욱더 정확성을 기하도록 할 것이다. The continuous intrapartum electronic fetal heart rate monitoring has been performed as the primary means of fetal assessment for the improvement of neonata1 outcome. This retrospective study was composed of 265 patients intrapartum fetal heart rate monitorings, who were admitted for delivery at obstetrics and gynecologic department of Korea general hospital in Masan from 16th of march, 1981. to thirty first of july, 1982. The results were as follow; 1. This study was performed on 265 patients who were composed of 157 patients (59.25%) in high risk pregnancy and 108 patients (40.75%) in control group. High risk pregnancies were subdivided into 10 varieties, and 3 major varieties were pregnancy induced hypertension, post-term and premature rupture of membrane. 2. Abnormal records of F.H.R. monitoring were 61 cases (61 : 265=23.0%) which were composed of 17 cases (17 : 108=15.74%) in control group and 44cases (44 : 157 =28.0%) in high risk pregnancy. 3. 13 cases of late deceleration, 8 cases of variable deceleration, 14 cases of prolonged deceleration and 9 cases of others were seen in high risk pregnancy group. 4. 61 cases of abnormal fetal heart rate records were analysed according to Apgar score, birth weight, coiling of cord and type of delivery 5. Proloned decelerations caused by hypertonic uterine contraction were seen 7 cases (7.3%) out of 96 cases of pitocin induction or augumentation and 4 cases (2.37%) out of l69 cases of spontaneous labor. Those cases of hypertonic uterine contraction were detected early by using electronic fetal heart rate monitoring. 6. C/S rate was 23%, i.e. 62 cases in 265 cases of intrapatum electronic fetal heart rate monitoring were performed continuously, however 8.67%, i.e. 23 cases of C/S were performed because of fetal distress. 7. The external electronic fetal heart rate monitoring is proved to be valuable, however internal monitoring and fetal scalp blood P.H. will be carried out effectively to get further precise study.
약학박사 정 시련 교수 정년퇴임 기념호 : 연구논문(재록) ; 생명과학 : 마우스에서 2,3-dibromopropene의 glutathione 포합체 확인에 관한 연구
이상규 ( Sang Kyu Lee ),백서연 ( Seo Yeon Baik ),전태원 ( Tae Won Jeon ),전인혜 ( In Hye Jun ),김기환 ( Ghee Hwan Kim ),김춘화 ( Chun Hua Jin ),이동주 ( Dong Ju Lee ),김준규 ( Jun Kyou Kim ),염영나 ( Young Na Yum ),정태천 ( Tae Ch 영남대학교 약품개발연구소 2006 영남대학교 약품개발연구소 연구업적집 Vol.16 No.-
박창주(CJ Park),이진구(JK Lee),이춘화(CH Lee),안덕호(DH Ahn) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.3
We have experienced a case of conjoined twin(Cephalothoracoventropagus) which was deliveried by breech extraction on the 28 weeks of gestational age. We report this case with brief review of literature.