http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Chang, Kylie Hae-Jin,Kim, Hyun-Joo,Yu, Hee Joon,Lee, Jeehun,Kim, Jung-Sun,Choi, Suk-Joo,Oh, Soo-young,Roh, Cheong-Rae,Kim, Jong-Hwa Informa UK (TaylorFrancis) 2017 The journal of maternal-fetal & neonatal medicine Vol.30 No.18
<P>Objectives: The objective of this study was to compare neonatal morbidity and neurologic outcome at 2 years between groups treated with antibiotics regimens consisting clarithromycin and erythromycin in preterm premature rupture of the membranes (pPROM) patients delivered before 32 weeks of gestation.Methods: This was a retrospective study comparing neonatal morbidity as primary outcome measures and the neurological outcome at 2 years as secondary outcome.Results: A total of 166 women were included: 80 treated with erythromycin and 86 treated with clarithromycin. The median gestational age at delivery was greater in clarithromycin group (p=0.005). There was no significant difference in latency (p=0.77). The incidence of histological chorioamnionitis was significantly lower in clarithromycin group (p=0.004). By multivariable analysis adjusting confounding variables, the incidence of bronchopulmonary dysplasia and intraventricular hemorrhage (Grade 3) was lower in clarithromycin group (BPD; OR 0.34, 95% CI [0.13-0.90]), IVH; OR 0.23, 95% CI [0.06-0.91], respectively). Other morbidities and neurologic outcome at 2 years' corrected age showed no statistically significant difference between two groups.Conclusion: We suggest that clarithromycin-based regimen may be worth considering as an alternative choice of erythromycin in pPROM patients.</P>
Clinical Significance of abnormal vaginal colonization in patients presented with bulging membranes
( Kylie Hae-jin Chang ),( Suk-joo Choi ),( Soo-young Oh ),( Cheong-rae Roh ),( Jong-hwa Kim ) 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-
목적: Bulging membranes in cervical incompetency can dispose pregnant women at risk of ascending infection, which is the most common pathway of intra-amniotic infection or inflammation. In this study, we aimed to determine clinical significance of abnormal vaginal colonization in patients presented with bulging membranes by comparing pregnancy outcome and neonatal outcome including early onset sepsis according to culture results. 방법: We compared delivery outcome as primary outcome measures and the neonatal outcome including early onset sepsis as secondary outcome. 결과: A total of 56 women admitted with bulging membranes were included. The vaginal culture was performed in 45 women, where culture growth was negative in 32 women and positive in 13 women. The median gestational age at delivery showed no difference (p=1.00). Also, the rate of emergent cerclage was similar between positive and negative vaginal culture group. However, positive vaginal culture in bulging membranes appeared to be associated with higher preterm delivery rate (p=0.08) and showed significant lower mean neonatal birth weight (p=0.013) compared to negative culture group. However, there was no difference in early-onset neonatal sepsis (EONS) rate (p=0.97) determined by neonatal blood culture, also showing low concordance of causative organism of EONS and maternal vaginal culture. 결론: The abnormal vaginal colonization in bulging membranes in cervical incompetency seemed to be associated with lower mean neonatal birth weight. Further study to determine the necessity of antibiotic use in bulging membranes may be required.
( Kylie Hae Jin Chang ),( Sung Ho Park ),( Young Han Park ),( Hong Bae Kim ),( Sung Taek Park ) 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-
Schwannoma is a benign, solitary, slow-growing tumor of the nerve sheath, arising most commonly in the head, neck, upper and lower extremities, posterior mediastinum and retroperitoneum. It rarely affects the female genital system, with less than 10 cases reported involving vulvar. We report a 37-year-old woman with a 3 cm sized painless tumor of the vulva. The tumor, located under the dermis and encapsulated, was excised for treatment and biopsy. A histological examination revealed spindle-shaped cells with ovoid or elongated nuclei. Also, a swirling pattern with some palisading pattern of nuclei in H.E. stains. Immunohistochemical studies showed the tumor to be positive for S-100 protein, findings compatible with diagnosis of Schwannoma.
( Kylie Hae Jin Chang ),( Jong Kyu Park ),( Sung Ho Park ),( Hong Bae Kim ),( Sung Taek Park ) 대한산부인과학회 2014 Obstetrics & Gynecology Science Vol.57 No.5
Uterine arteriovenous malformation (AVM) is a rare entity in gynecology with fewer than 100 cases reported in the literature. Due to abnormal connection between arteries and veins without an intervening capillary system, recurrent and profuse vaginal bleeding is the most common symptom which can be potentially life-threatening. Uterine AVM can be either congenital or acquired. Acquired AVM is reported as a consequence of previous uterine trauma such as curettage procedures, caesarean section or pelvic surgery. It is also associated with infection, retained product of conception, gestational trophoblastic disease, malignancy and exposure to diethlystilboestrol. We herein report a case of acquired uterine AVM located on the right lateral wall after intrauterine instrumentation for laparoscopic left salpingectomy due to left tubal pregnancy. The patient was successfully treated with embolization.
박진영 ( Jin Young Park ),이경미 ( Kyoung Mi Lee ),공태욱 ( Tae Wook Kong ),장칼리혜진 ( Kylie Hae Jin Chang ),주희재 ( Hee Jae Joo ),장석준 ( Suk Joon Chang ),유희석 ( Hee Sug Ryu ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.8
Leiomyomatosis peritonealis disseminata (LPD) is rare, typically benign condition characterized by multiple smooth muscle, myofibroblasticand fibroblastic nodules arising in the pelvic and abdominal cavities in women. LPD is observed in reproductive age group especially and often mimics carcinomatosis grossly but has benign histologic feature and good prognosis. We report a case of leiomyomatosis peritonealis disseminata arising after laparoscopic myomectomy with review of literature.
신선혜,이현,최앵자,Kylie Hae-Jin Chang,서지영,정치량 대한중환자의학회 2016 Acute and Critical Care Vol.31 No.2
Although shock in sepsis is usually managed successfully by conventional medical treatment, a subset of cases do not respond and may require salvage therapies such as veno-arterial extracorporeal membrane oxygenation (VA ECMO) support as well as an attempt to remove endotoxins. However, there are limited reports of attempts to remove endotoxins in patients with septic shock on VA ECMO support. We recently experienced a case of septic shock with severe myocardial injury whose hemodynamic improvement was unsatisfactory despite extracorporeal membrane oxygenation (ECMO) support. Since the cause of sepsis was acute pyelonephritis and blood cultures grew gram-negative bacilli, we additionally applied polymyxin B direct hemoperfusion (PMX-DHP) to the ECMO circuit and were able to successfully taper off vasopressors and wean off ECMO support. To the best of our knowledge, this is the first adult case in which PMX-DHP in addition to ECMO support was successfully utilized in a patient with septic shock. This case indicates that additional PMX-DHP therapy may be beneficial and technically feasible in patients with septic shock with severe myocardial injury refractory to ECMO support.
Isolated non-compaction of the right ventricular myocardium in the fetus
( Hye-joo Lee ),( Kylie Hae-jin Chang ),( Suk-joo Choi ),( Cheong-rae Roh ),( Jong-hwa Kim ),( Soo-young Oh ) 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-
Fetal Isolated ventricular non-compaction (IVNC) of the myocardium is a very rare cardiomyopathy characterized by the persistence of prominent ventricular myocardial trabeculations and deep intertrabecular recesses with direct vascular supply by the ventricular cavities. Normally between the fetal 5th week and 8th week, intertrabecular spaces are obliterated and ventricular compaction occurs from the base towards the apex and from epicardium to endocardium, and an arrest in the progression of ventricular compaction results in non-compaction. IVNC is usually seen in left ventricle, but both ventricle and septum can be affected as well. Previously, right ventricular (RV) non-compaction has been described only in few cases. We report a case of isolated right ventricular (RV) non-compaction diagnosed at 33weeks’ gestation. The echocardiographic study demonstrated right ventricle dilatation with abnormal muscular hypertrophy, including ventricular papillary muscle. Doppler flow patterns were normal, with no tricuspid regurgitation or ventricular septal defect and normal flow in the venous duct. This male baby was born by spontaneous vaginal delivery at 40+1 weeks gestations with Apgar scores of 9 and 10 at 1 min and 5 mins, respectively. Postnatal Echocardiography showed mild RV dilatation and hyperechogenic endocardium. The baby remained asymptomatic until 5 months of age, followed by improvement of mild RV dysfunction.
Middle East Respiratory Syndrome infection during pregnancy
( Soo-young Jeong ),( Ji-hee Sung ),( Kylie Hae-jin Chang ),( Mi-na Kim ),( Jong-hwa Kim ) 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-
Middle East Respiratory Syndrome(MERS) is a lethal respiratory disease - caused by MERS-coronavirus (MERS-CoV) which was first identified in 2012. In May, 2015, this virus was transmitted and spread in South Korea because of a person who had visited Saudi Arabia. During this community outbreak, a pregnant woman was confirmed with positive result of MERS-CoV PCR test in our hospital. This report is the first case of MERS-CoV infection confirmed in pregnant woman with successful full-term delivery. A 39-year-old healthy pregnant woman (gravida2 para1) complained mild myalgia after a close contact with a MERS-confirmed patient - her mother. She was confirmed as MERS-CoV infection by MERS-CoV PCR test with sputum. After several days, she also complained dyspnea and chest discomfort. Chest radiograph also showed diffuse opacity in the left lower lung area. Our medical team checked daily non-stress test for fetal surveillance and the results were all reactive. Her condition was improved with a conservative treatment and she finally got a negative result of MERS-CoV PCR test. At 37 weeks and 6 days, the patient manifested abrupt vaginal bleeding with rupture of membrane. Under an impression of placenta abruptio, an emergent cesarean section was performed and a 3,140g healthy-male newborn was delivered. In previous three reports of pregnancy with MERS-CoV infection, there were poor outcomes of pregnant women (1 unknown, 1 alive, 1 death) and fetus (1 stillbirth and 2 preterm birth). This is worth being the first case of pregnant woman who was confirmed as MERS-CoV infection with good maternal outcome and who got full-term live birth in the world. However, there are limited data about clinical features of MERS-CoV infection during pregnancy, perinatal outcome and a possibility of vertical transmission of MERS-CoV. Further studies will help to understand pathophysiology, perinatal outcome of MERS during pregnancy and optimal mode of delivery.