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김주철 ( Ju Cheol Kim ),도진우 ( Jin Woo Doh ),김영아 ( Young Ah Kim ),최석태 ( Seok Tae Choi ),전종관 ( Jong Kwan Jun ),윤보현 ( Bo Hyun Yoon ),신희철 ( Hee Cheol Shin ) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.12
Objective: To evaluate the course of pregnancy and the perinatal outcomes of fetal gastroschisis. Materials and Methods: The retrospective study was done by the review of medical records of 14 pregnancies with fetal gastroschisis diagnosed between January, 1987 and December, 1996. Results: The incidence of fetal gastroschisis was one in 1,411 birth(14/19,765) in this study. Associated anomalies except gastrointestinal anomalies were detected in 57.1%(8/14) of cases; cardiac(n=4), pulmonary hypoplasia(n=2), skeletal(n=2), cystic hygroma(n=2), cleft lip and pa1ate(n=1), central nervous system(n=l). Five fetuses were growth-restricted(62.5%, 5/8). Five were terminated before 20 weeks of gestation. Eight were liveborn. However, 50% (4/8) had low Apgar scores at 5 minutes(<7). Cesarean section was performed in 50% of cases (4/8). Three newborns died immediately after birth. Five newborns received corrective operation, and two of them survived. Perinatal mortality was 77.8%(7/9): one died in utero, and six during the neonatal period. 40%(2/5) of newborn who received corrective operation survived. Conclusion: The perinatal outcome of gastroschisis was dependent on associated anomaly. In conclusion, in the case of fetal gastroschsis, diagnostic work up for detection of associated anomaly should be undertaken.
조기양막파수 산모에서 조직학적 융모양막염의 유무, 중증도와 양수내 백혈구 수와의 상관관계
김주철(Ju Cheol Kim),윤보현(Bo Hyun Yoon) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.5
Objective: Acute inflammatory lesions in the placenta is one of the most common histopathologic lesions of women with preterm premature rupture of membrane. But there is a few scientific evidence to support the association between amniotic fluid white blood cell count and the presence and severity of acute placental inflammation in preterm premature rupture of membrane. To evaluate the relationship between amniotic fluid white blood cell count and the presence and severity of acute placental inflammatory lesions in preterm premature rupture of membrane. Methods: The relationship between amniotic fluid white blood cell count and placental histologic finding was examined in 89 consecutive patients who were admitted with the diagnosis of preterm premature rupture of membrane and who delivered singleton gestation within 3 days. Results: The prevalence of acute histologic chorioamnionitis was 68.5%(61/89) and that of positive amniotic fluid culture was 32.6%(29/89). The prevalence of positive amniotic fluid culture increased according to the higher severity of inflammation in each type of placental section(p<0.05 for each). The median amniotic fluid white blood cell count increased significantly according to the presence and higher severity of inflammation in each type of placental section(p<0.01 for each). The median amniotic fluid white blood cell count increased significantly according to the higher total grade of inflammation in placental histologic examination(p<0.01). Conclusion: Both the presence and higher severity of acute histologic chorioamnionitis are associated with an elevated amniotic fluid white blood cell count. The total grade of acute histologic chorioamnionitis is associated with an elevated amniotic fluid white blood cell count. Amniotic fluid white blood cell count is a reliable prenatal marker of histologic chorioamnionitis.
고경현,김주철,이충휘,Ko, Kyung-Hyun,Kim, Ju-Cheol,Yi, Chung-Hwi 대한물리치료과학회 1994 대한물리치료과학회지 Vol.1 No.1
The purpose of this study was to determine whether vasodilation occurs when interferential current is applied to the cervical sympathetic chain and peripheral sympathetic nerves. A digital thermometer was used to record skin temperature change. The protocols used for interferential stimulation were 90-100 Hz, applied for 20 minutes via two pairs of electrodes 1) to the throat and 2) to the forearm. Forty subjects were stimulated at each of the two sites. There was no significant correlation between inital skin temperature, sex or age and temperature change. Even though there was a statistically significant temperature increase with cervical sympathetic chain stimulation, this had no clinical vasodilatory effect. More research on interferential current stimulation is needed so that the potential benefits to normal subjects and patients is better understood.