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      • KCI등재

        거대자궁경부근종의 1예

        최영달(YD Choi),허동은(DE Hur),박상빈(SB Park),이태호(TH Lee) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.9

        저자들은 최근 본원산부인과에서 치험한 정상크기의 자궁체를 포함하여 3,450gm에 달하는 거대한 자궁경부근종 1예를 약간의 문헌고찰과 더불어 보고한다. A giant cervical myoma with its weight of 3,450gm, which includes normal sized corpus is presented with a brief review of literature.

      • KCI등재

        분만 및 유산에 합병된 패혈증에 대한 임상적 고찰

        최영달(YD Choi),권병일(BI Kwon) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.3

        In recent Literature, several authors reported increased tendency of sepsis complicated by various types of abortion and delivery. In spite of well-developed antibiotics, the main problems are increased incidence of antibiotic resistant bacteria and gram-negative bacilli infection. In addition, there are many illegal abortions and home deliveries, which are very suspeptible to bacterial infection. The author reviewed the clinical symptoms and laboratory findings of 36 septic patients complicated by abortions and deliveries, which were admitted to Dept. of Obst. & Gynec. in Kyungpook National University Hospital during last 3 years. Analysis of sepsis showed as follows; 1. In all admitted cases, the incidence of septic patients was 2.8% 2. The septic patients were 2% of all admitted cases in 1964, whereas the incidence was 4% in 1966. 3. Preceding causes of sepsis were delivery (30.5%) and abortion (69.4%) 4. On the view point of management, 23 cases were helped by doctors, 1 case by midwife and the remaining 12 cases by layman. 5. Frequent symptoms were high fever, tachycardia, chillness, and bloody leucorrhea. 6. Subjective symptoms developed within 10days in all cases and frequently developed within 5 days. 7. In all blood culture 20 cases revealed bacterial growth. In vaginal discharge culture of 16 cases, bacterial growth was noted in 9 cases. 8. Frequent complications were anemia, septic pneumonia and shock. 9. In prognosis of treatment, the mortality was 14 cases (38.8%)

      • KCI등재

        자궁적출술애 대한 고찰

        권승일(SI Kwon),최영달(YD Choi),유성하(SH Ryu),이재철(JC Lee) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.8

        Various statistical studies have apperaed in the literature dealing with the relative merits of the three methods of hysterectomy (total abdominal, subtotal abdominal and vaginal). In recent years the trend has been toward complete rather than partial removal of uterus. This report covered 516 cases of hysterectomy which were done at Kyungpook National University Hospital in last five years, and analyses were made as follows: 1) Abdominal total hysterectomy consistently reperesented 81%, abdominal subtotal hysterectomy was 12%, ad vaginal hysterectomy was 7% of all hysterectomy. 2) Prolapse of all degree serced as the primary indication in the vast majority of vaginal hysterecto- mies. This operation was seen as an accompanying precedure in 30 vaginal platic repairs. 3) Prime indication of hysterectomy was uterine fibroid and consisted of 34% of all operation. 4) Uterine malignancies (Cervical ca, Endometrial ca and choiriocarcinoma) were 29% (150 cases) of all cases. 5) Operative Complication were naoted in 4.6% of all procedures. These complications were composed with shock, hemorrhage, and ureter injury. 6) Vaginal procedure showed higher incidence of postoperative complications compare to abdominal precedure. Wound infection and urinary tract infection were leading complications. 7) Spinal anesthesia was done in 74.4% and general anesthesia was 24.8% of all procedures. 8) In comparing the morbidity of the three types of hysterectomies, subtotal and vaginal hysterecomy showed higher morbidity. 9) Duration of hospitalization showed no difference among the three type of hysterectomy and average duration was 12.5 days. 10) 4 cases of death occured among 516 case of hysterectomy.

      • KCI등재

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