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산후출혈처치에 있어 Sengstaken-Blankemore 튜브의 효용성
남안나 ( An Na Nam ),김경진 ( Kyong Jin Kim ),장병우 ( Byoung Woo Jang ),허성은 ( Seung Eun Hur ),이성기 ( Seong Ki Lee ),길기현 ( Ki Hyun Kil ),안미진 ( Mi Jin Ahn ),이지영 ( Ji Young Lee ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.11
Objective: To evaluate the effectiveness and identify the role of interventional procedure of tamponade treatment with modified Sengstaken- Blankemore (S-B) tube on control of postpartum hemorrhage (PPH) unresponsive to conventional medical treatment. Methods: This study was performed retrospectively on the clinical records of 90 patients who had experienced PPH at the department of Obstetrics and Gynecology of OO University Hospital from February, 2000 to September, 2005. We have actively applied tamponade balloon since 2004. As a result, tamponade balloon were applied to 17 patients. Medical records were reviewed such as clinical status, cause of bleeding, volume of balloon, duration of balloon, complication, success rate and additional treatment. Results: We have overall success rate of tamponade balloon in 11 (64.7%) of 17 patients of PPH. The causes of bleeding were subinvolution of uterus (100%), uterine atony (80%) and abnormal placentation (20%) in order of success rate. There was no major complication related to the tamponade procedure. We had compared final treatment during two period (before tamponade use v.s after tamponade use). 15 (33.3%) received invasive procedure and 8 (17.8%) received hysterectomy before tamponade use. However 10 (22.2%) received invasive procedure and just 1 (2.2%) received hysterectomy after tamponade use. Conclusion: Tamponade with modified S-B tube is effective on PPH unresponsive to conventional medical treatment and cuts down additional invasive procedure when tamponade treatment failed.
자궁외임신에서 치료적 방법에 따른 평균 재원일수와 입원비용의 비교
한충희 ( Chung Hee Han ),안미진 ( Mi Jin Ahn ),남안나 ( An Na Nam ),이지영 ( Ji Young Lee ),정동기 ( Dong Ki Jeoung ),송동금 ( Dong Keum Song ),장병우 ( Byung Woo Jang ),김경진 ( Kyong Jin Kim ),이성기 ( Sung Ki Lee ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.8
Objective: The purpose of this study was to compare the hospital stay and cost-effectiveness between treatment modalities in ectopic pregnancy for proper management. Methods: In this study, the authors studied 121 cases retrospectively who had been admitt
안미진 ( Mi Jin Ahn ),김경진 ( Kyung Jin Kim ),허성은 ( Sung Eun Hur ),장병우 ( Byung Woo Jang ),이성기 ( Sung Ki Lee ),한혜정 ( Hye Jeong Han ),길기현 ( Ki Hyun Kil ),남안나 ( An Na Nam ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.10
Approximately 1% of ectopic pregnancies are abdominal pregnancies and these may cause life-threatening bleeding and complications. Because of it`s high maternal mortality and morbidity, early diagnosis and prompt decision making is important. But the clinical manifestation and physical examination is not specific, so early diagnosis and management is difficult. Presented here is a case of primary abdominal pregnancy. A 31-year-old woman presented with lower abdominal pain at 8 weeks of gestation. Diagnostic transvaginal ultrasound revealed large amount of peritoneal fluid, no intrauterine sac, and mass on left adnexa. Laparoscopy was performed and abdominal pregnancy on the rectal serosa was confirmed. We experienced a case of abdominal pregnancy which treated with laparoscopy without complications and present it with a review of the literature.