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선택적 자궁동맥색전술을 이용한 감입태반의 보존적 치료 2예
채희숙 ( Hee Suk Chae ),임은지 ( Eun Ji Lim ),이동현 ( Dong Hyun Lee ),최원구 ( Won Ku Choi ),정영주 ( Young Ju Jeong ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.6
Placenta increta is a condition characterized by abnormal adherence of the placenta owing to entire or partial absence of the decidua basalis. It is generally recognized during difficult placental removal at the time of delivery. It is a life-threatening complication of pregnancy due to massive hemorrhage, uterine perforation, and infection and thus often a hysterectomy is required. We review two cases of placenta increta conservative managed successfully by selective uterine artery embolization.
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채희숙 ( Hee Suk Chae ) 호남사학회(구 전남사학회) 2013 역사학연구 Vol.50 No.-
성종이 경종의 양위를 받아 즉위할 수 있었던 것은 최지몽과 최승로 등 유학자 관료들의 지원과 황보씨 계열의 세력을 견제하고자 했던 경종의 의지가 작용한 결과였다. 이러한 사실들은 최지몽의 공신책봉과 경종묘정 배향, 성종 즉위 후 최지몽과 최승로 등의 정치적 활동 등을 통해 짐작할 수 있다. 성종의 즉위에 기여했던 최지몽과 최승로 등 유학자 관료들은 성종 전반기의 정치를 주도하였다. 이것은 이 시기에 정치적 활동이 두드러지게 나타나는 최량, 왕융, 이몽유, 유언유, 노혁, 서희, 정겸유, 설신우, 이겸의 등을 통해서도 알 수 있다. 이겸의와 정겸유, 설신우를 제외하고는 모두 유학자 출신 관료라는 면에서 공통적이었다. 유학자 출신 관료들은 유교적 소양을 갖춘 성종을 추대함으로써 자신들의 입지를 강화할 수 있는 정치체제를 구축하고자 했던 것으로 보인다. 이는 최승로의 시무책을 통해 확인할 수 있다. 최승로는 상서문을 올려 성종대의 정치에 많은 영향을 미친 것으로 이해되어 왔다. 하지만 그의 시무책 22조 가운데 8개 조항만이 성종대의 정치에 영향을 주었고, 최승로가 바라던 대로 실현된 것도 아니었다. 성종이 수용한 시무책들을 살펴보면, 왕권강화에 도움이 되는 것들이거나 아주 의례적인 조항들이었기 때문이다. 한편 성종대 후반기에는 최승로 계열의 세력이 약화된 것으로 이해되었는데, 최량과 서희 등은 이 시기에도 활발한 정치적 활동을 펼치고 있었다. 최지몽과 최승로 등이 고려 초부터 관직에 진출했던 것과 달리 최량과 서희 등은 광종대 급제자였다. 최승로의 시무책을 보면 국초부터 관직에 등용되어 정치적 입지를 다져왔던 최승로 계열은 국왕보다는 자신들의 권익을 중심으로 하는 정치체제를 구축하려고 하였다. 반면 과거를 통해 관직에 등용된 최량과 서희 등은 자신들의 정치적 입지를 강화하기 위해 국왕의 도움을 필요로 하였다. 따라서 이들은 성종과 긴밀한 관계를 맺고 있었으며, 그것을 바탕으로 성종대 전시기에 걸쳐 활발한 정치적 활동을 할 수 있었던 것으로 보인다. 이것은 성종대 급제자였던 김심언이 성종 9년에 올린 봉사에서 신하의 도리를 강조한 것으로도 확인할 수 있다. 최승로가 유교적 정치이념을 내세워 국왕의 역할을 강조한 것과는 대조적이었다. 이와 같이 광종대 급제자들을 비롯해 과거를 통해 관직에 진출한 이들은 성종과 긴밀한 관계를 맺고 있었으며, 그것을 바탕으로 성종대 전시기에 걸쳐 활발한 정치적 활동을 전개하였다. 반면 고려 초 가문을 배경으로 관직에 등용되었던 최지몽과 최승로 등은 자신들의 정치적 입지를 굳히고, 이것을 지키기 위해 성종과 갈등을 빚기도 하였다. The crucial drive for Seongjong`s coronation was support from the Officials as confucian scholars such as Jimong Choi and Seungro Choi. Undoubtedly Gyeonjong took part with an intention to hold the Hwangbo clan in check. In other words, Seonjong`s coronation was a collaboration of the Officials as confucian scholars and Gyeongjong to seek political conversion by reappointment of Jimong Choi at the end of Gyeongjong regime. The fact that Seongjong was born of Hwangbo family, which makes Seongjong acceptable as the Crown Prince also needs to be taken into consideration. The contribution of the Officials as confucian scholars such Jimong Choi and Seungro Choi gave way to their political initiation over the early reign of Seongjong. This also can be understood by Ryang Choi, Yung Wang, Mongyoo Lee, Eonyou Yoo, Hyeok Roh, Heui Seo, Gyemyoo Jeong, Shinoo Seol, Gyeomeui Lee who all were politically very active through the reign. Those officials were Confucian scholars except Gyeomeui Lee and Gyeomyoo Jeong and Shinoo Seol. It is understood that Seungro Choi has a great influence on the politics of Seongjong regime with the twenty-eight point policy memorial to the King. But the politics of Seongjong regime were not realized as Seungro Choi desired. The policies that Seongjong accepted were in fact the ones that are helpful to reinforce the royal authority or very customary. This was resulted in because Seungro Choi from the beginning tried to limit royal authority with Ideal image of king while Seongjong intended to strengthen his power and authority from the very beginning of his regime. While the power of Seungro Choi party who was dominant through the early period was weakened at the later period, Rang Choi and Heui Seo were still very active. The formers broke into the politics early Goryo wherease the latters passed the civil service examination at Gwangjong regime. Seungro Choi party who has set their stage from the very beginning of Goryo dynasty and the Gwageo passers had different political standpoints. The former tried to build up around their political interests, whereas the latter, or the rookies from Gwageo exam needed King`s help to establish their career in politics. Therefore the Gwageo passers of Gwangjong era had close relation with Seongjong which gave them powers to be politically active through whole Seongjong regime. This political alliance between Kingship and Gwageo passers who newly get into the office can be identified by the public service of Simeon Kim, a Gwageo passer in Seongjong era. Kim`s policies are contrasted with those of Seungro Choi who in his Policies of Resumption stressed that the King(Seongjong) should always be modest and humble and show courtesy to the public servants. Furthermore, Choi insisted the King set model by saying that if the King is polite with the servants, the servants will be loyal to the King. As it is stated above, the Gwageo passers, the existing ones from Gwangjong era and new ones, were closely related ti Seongjong, which in turn gave them ground to be active in politics throughout the whole reign. In contrast, Jimong Choi and Seungro Choi who debuted in the public office on the basis their family in early Goryo tried to fortify their political standpoint and thus had conflicts with Seongjong. Therefore it is identified that though they are the same Officials as confucian scholars, their political standpoints vary depending on their political background.
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임신 중 급성 충수돌기염으로 오인된 대장게실염의 보존적 치료
김선영 ( Sun Young Kim ),정영주 ( Young Ju Jeong ),류철희 ( Chul Hee Rheu ),송윤경 ( Yun Kyung Song ),채희숙 ( Hee Suk Chae ),최원구 ( Won Ku Choi ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.12
A 24-year-old pregnant woman was referred for further evaluation and treatment of the right lower quadrant pain at 19+1 weeks gestational age. The patient was diagnosed to be acute appendicitis and underwent laparoscopic surgery. However, an inflamed solitary cecal diverticulum was found during surgery. After a routine appendectomy, cecal diverticulitis was conservatively treated with postoperative antibiotics without signs of peritonitis. To date, most of the non-pregnant women with cecal diverticulitis have been managed surgically. Our case indicates that a pregnant patient with cecal diverticulitis could be managed medically during pregnancy.
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임은지 ( Eun Ji Lim ),이동현 ( Dong Hyun Lee ),최원구 ( Won Ku Choi ),김종현 ( Jong Hyeon Kim ),류철희 ( Churl Hee Rheu ),채희숙 ( Hee Suk Chae ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.5
Transverse vaginal septum is a rare congenital anomaly of the vagina. A case of microperforated transverse vaginal septum in the upper third of the vagina and its management are presented. By the help of diagnostic tools, including saline infusion sonohysterography, magnetic resonance imaging hysteroscopy, laparoscopy, the precise location of septum was identifi ed. Simple septectomy through vaginal route was performed. We report the excision of transverse vaginal septum in a 23-year-old unmarried female, presented with severe dysmenorrhea, was followed by a return of normal menstruation.
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