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산부인과영역에 있어서의 신정맥마취제 Propanidid 임상적 평가
김홍택(HT Kim) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.8
A new intravenous anesthetic, Propanidid, a eugenol derivative was clinically evaluated on 30 gynecological outpatients and 55 parturients. The first dose was graded in each three groups varying 5 to 10mg/kg and adding further dose when necessary. Although, with the increment of the dosage, respiratory changes were observed more frequentlu associated with prolongation in the duration of anesthesia, occurence of side effects and the time needed for recovery were the same. The depth of anesthesia was satisfactory for minor gyneclolgical procedures but operative delivery had to be performed in most of the parturients due to diminished hterine contractions and bearning-down power. The intravenous administration of the agent yielded hyperventilation in many cases floolwed by hypoventilation or appnea of shorter duration in some cases. However, gradual and spont- aneous disappearance of this change was a rule. During and after he use of this agent there were minor untoward reactions such as involuntary movements, dizziness, headache, nausea, vomiting and shivering.
김홍택(HT Kim),이현식(HS Lee),김명자(MJ Kim),장윤석(YS Chang) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.4
Situs inversus per se is a relatively eaew and harmless condition. The reported incidences of this abnormality vary greatly from 1:2,000 to 1:40,000. No more than 25 cases have been reported in Korea, since the first case was described by Ho Sup Shim in 1923. Because of great compatibility of this condition with apparently normal life, many individuals are doomed to be undiagnosed or overlooked even in such instances a being complicated by other conditions. One case of a 34-year-old Korea housewife was presented. She had been left undiagnosed until her third pregnancy resulted in the repeat cesarean section.
김홍택(HT Kim) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.6
원발성무월경을 보인 환자에서 5예에서는 이상핵형을 보여 신체적 이상 및 ATD angle을 관찰하여 비교조사하였다. Department of Obstetrics and Gynecology, Seoul National University Among the cases of primary amenorrhea, who were selected to undertake chromosome analyses by the peripheral leukocyte culture technique, sixteen cases produced sufficient number and favourable quality of metaphases for the analyses. Five cases were found to have abnormal karyotypes with negative sex chromatin patterns. Two had typical Turner`s featrue with karyotype of 45,X in 90.4 percent, and 74.0 percent, respectively, of the cells observed, while other three cases had mosaic patterns of karyotype which consisted of 45,X/46,XX, and 45,X/46,XY. With the clinical findings of five cases with abnormal karyotypes, cases with Turner`s syndrome and its variants presented in the previous cytogenetic studies were reviewed.
김홍택(HT Kim),강조자(JJ Kang),이중희(CH Lee),장윤석(YS Chang) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.7
Interstital pregnancy following homolateral salpingectomy is a rare but well-documented entity. As a second case in Korea a 33-year-old Korean housewife was presented. She had had a left salpingectomy for a ruprured rubal pregnancy two years before this incidence. Pregnancy had been uneventful until seventeenth week of estation when it was spontaneously terminated through cavum uteri resulting in "Tubeneckenplazenta". Immediate hysterectomy with blood replacement was neccessary to save the patient.
김명자(MJ Kim),송태섭(TS Song),김홍택(HT Kim) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.11
10회의 정상분만을 경험한 Rh 부적합부부의 증례를 보고하는 바이다. The Rh-negative blood type is extermely rare among Koreans. Its occurrence is 0.15% according to Dr. Won. An Rh-negative woman(50 years of age, para:10-0-1-7, pheno-and geno-type of Rh-subgroups: CcdEe, Cde/cde, respectively, titration of anti-D: negative, gynecological diagnosis: carcinoma in situ of the cervix) is presented with a brief case history and a revies of literatures on it.
유장희(CH Yu),김홍택(HT Kim),신경자(KJ Shin),조석신(SS Cho),안경환(KH Ahn),지제근(JG Chi) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.10
Rupture of the gravid uterus has been recognized as a serious and often tragic obstetric emergency posing a great threat to mother and child. We experienced two cases of uterine rupture of the gravid uterus. one is the spontaneous rupture during second stage of labor due to neglected cephalopelvic disproportion. The patient had adnutted to the hospital already i difficulty resulting in death of mother and child. Postmortem examination recealed a hematona within the left broad ligament and a transverse linear laceration at the left uterine wall 1 cm above the isthmus. The others occured during the second stage of labor due to unappropriate use of uterotonics in cephalopelvic disprotion. At laparatomy, a dead male fetus weighing 4.3kg and an entire placenta escaped from the uterus with displacing the already invooluted uterus left-posteriorly. A fresh longitudinal lacera- tion 10cm in lenght were found left lower anterior anterior surface of the uterine corpus. Total hystrec- tomy with blood replacement was necessary to save the patient. The patient was discharged with good condition on postoperative seventh day.
두 제대가 상호염전을 일으킨 ( 1 ) 일양막성 쌍태임신
원대은(DE Won),서상준(SJ Suh),김홍택(HT Kim) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.2
쌍태임신중에서도 일양막성 쌍태임신은 매우 드물고, 또 태아사망율이 높아서 주의를 요하며, 분만주으이 바른 진단과 신속한 분만을 필요로 한다. 저자들은 두개의 제대가 서로 염전을 일으켜 한 태아의 자궁내 사망을 초래하고 분만지연과 다른 다른 태아의 인유증으로 제왕절개술을 시행한 일양막성 쌍태임신 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Monoamniotic twin pregnancy is a condition where both twins share a common amniotic sac. Not infrequently, their umbilical cords entwine, resulting in a death of one or both peers. A case with such complications is presented with a review of English literature.
이효표(HP Lee),양충열(CY Yang),김홍택(HT Kim),최락성(RS Choi),이교웅(KW Lee) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.9
A case of struma ovarii(1.3Kg, 17x15x14cm) originated from the left ovary of a Korean house-wife(34 years of age, Para:4-0-1-4) was reported. The tissue fragments of the tumor were taken for histological study. Eight out of ten tissue Fragments were made up of thyroid tissue in predominant amounts, two had dermoid cyst elements(hair follicles, sebaceous glands and epidermis of the skin) The patient sischarged from the hospital on the 12th hospital day. Postoperative BMR 3 weeks after discharge was +5%.