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임신 16 주의 제 1 쌍태아 분만 후 적극적 치료에 의한 제 2 쌍태아 임신 기간 연장
김인현,김인현(In Hyun Kim),김정환(Jeong Hwan Kim),전혜선(Hye Sun Jun),계정웅(Jeong Woong Kay),윤태기(Tae Ki Yoon) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.3
Intentional delay of aftercoming siblings in multiple gestation is an infrequent occurrence in obstetrics. After delivery of an immature twin, conventional treatment calls for induction and delivery of the aftercoming sibling. However, several case reports have documented the feasibility of an expectant management. And also, as in our case, an aggressive treatment consisting of cerclage, tocolysis, and broad-spectrum antibiotics has been shown to prolong pregnancy. We experienced an unavoidable delivery of a nonviable first twin after premature rupture of membranes at 16 weeks' of gestation. The placenta was left undisturbed. Twin B was confirmed to be alive within the intact second sac. Tocolysis was started and cervical cerclage was done directly after delivery of twin A. Pregnancy was successfully prolonged, which enabled the second fetus to remain in utero and grow for another 145 days. To our knowledge, this was the longest interval between deliveries in a twin pregnancy reported in the literature. A healthy 3,050 gm male was delivered by cesarean section at 37 weeks' of gestation. Below we present this case in detail and discussed with respect to the aggressive approach undertaken to prolong gestation.
마취중 우측 쇄골하 및 내경 정맥압과 중심 정맥압과의 비교
김인현,김인규,신명근,송필오,손소인 대한마취과학회 1989 Korean Journal of Anesthesiology Vol.22 No.6
The internal jugular and subclavian veins are considered as satisfactory intravenous routes for rapid blood and fluid replacement. To determine whether these venous pressures can be used as reliable guides for central venous pressure monitoring, simultaneous measurements of the Rt. internal jugular venous pressure and central venous pressure (CVP), or Rt. subclavian venous pressure and CVP using long 14 gauge catheter were made in 20 patients undergoing cardiac anesthesia. The results were as follows: 1. Each mean value of the Rt. internal jugular venous pressure and CVP was 10.64±5.43 cm H₂O and 10.05±5.55cm H₂O (Mean±SD) respectively in first 10 patients. Pressure difference was 0.59±0.39cm H₂O (p$lt;0.005). 2. Each mean value of the Rt. subclavian venous pressure and VP was 7.77±3.37 cm H₂0 and 7.05±3.49cm H₂O (Mean±SD) respectively in second 10 patients. Pressure difference was 0.73±0.59cm H₂O (p$lt;0.005). 3. There were significant correlations between Rt. internal jugular venous pressure and CVP .005) as well as between Rt. subclavian venous pressure and CVP (r=0.98, p$lt;0.005). The results suggest that Rt. internal jugular or subclavian vein catheterized with short intravenous catheter during Anesthesia can be used as effective and reliable guides for CVP monitoring because pressure differences with CVP were small and consistant.
완도 지정항로에서 항법적용에 대한 소고 : 예인선 재원3호의 피예인부선 재원 12001호·어선 제809 만선호 충돌사건 (중해심 제2011-7호, 2011.3.8. 재결)
김인현 한국해사법학회 2013 해사법연구 Vol.25 No.3
한국정부는 완도부근에 특별히 항로를 지정하였다. 규정에 따르면 선박은 항로의 지정된 방향을 따라 항해하여야 한다. 한편, 본 완도지정항로에는 서로 횡단하는 두 개의 항로가 설정되어있다. 한국의 해양안전심판원은 선박충돌이 발생한 원인에 대한 판단을 하였다. 항로지정방식에 적용되는 항법이외에도 횡단항법이 추가로 적용되는지가 쟁점이 되었다. 지방해양안전심판원은 횡단항법을 우선적으로 적용하였지만, 중앙해양안전심판원은 항로지정방식의 항법을 우선 적용하였다. 이에 따라 양 기관에 의한 원인제공비율은 서로 달랐다. 필자는 본 논문에서 이에 대하여 연구하여 국제해상충돌예방규칙 제10조 제1항에 의거하여 항로지정방식이 우선 적용되고 횡단항법이 추가적으로 적용된다는 점을 밝히고 있다. Korean government established a specially designated traffic fairway in the vicinity of Wando Island. According to the Rules, the vessels should follow the designated direction in the fairway. The fairway has two traffic lanes which are crossing. The Korean Maritime Safety Tribunal made a decision on the reason why the collision occurred. Two vessels collided in a crossing situation. One vessel did not followed the designated traffic direction. Whether the crossing rule is applicable in line with the special rule or not was at issue. The author studies the Korean rules on fairways and concluded that the special rules and crossing rule should be applied together in accordance with Art. 10(1) of the COLREG.