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태변 착색된 임신에서 태아 심박자궁수축 곡선의 양상과 제대혈액 가스값의 변화
선한규(HK Sun),신종철(JC Shin),김진흥(JH Kim),이종건(CK Lee),김수평(SP Kim),김승조(SJ Kim),이헌영(HY Lee) 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.8
During the past decase, there has been significant improvement in the obstetrician`s ability to achieve anternatal surveillance. Nevertheless, hypoxia is still a serious danger to the fetus before and during labor even in non high risk groups. And it is wellknown fact that meconium appeared in amniotic fluid under the circumstaces of chronic and acute fetal hypoxic state. Then, cardiotocography alone is insufficient to differentiate whether fetal hypoxia is present or not. This study was performed by retrospective analysis of cardiotocogram, cord arterial blood gas parameters and neonate outcomes in meconium stained 218 cases among 1,749 deliveries which were admitted in St. Mary`s Hospital from July 1,1989 to June 31,1990 The result obtained was as follows; 1. The overall incidence of meconium staining was 12.5% with no sexual difference. 2. The incidence of severe meconium stained case was 46.3%. 3. The severity of meconium staining also increased as the duration of labor. The more incidence rate of meconium staining was noted in primiparous women than multiparous women. 4. The mean value of fetal umbilical arterial pH was shown gradually lower in following order of gestational weeks, 38 weeks(7.37), 39 weeks(7.33), 40 weeks(7.27), 42 weeks(7.24) and 43 weeks (7.23). 5. The incidence of IUGR was 16% in the meconium stained cases, they have lower pH,PO and high PCO2 than in the cases of adequate for gestational age. 6. The acidosis and preacidosis was more ferquently occurred in the cases of over 41 weeks. 7. The incidence of abnormal F.H.R. pattern was 38.5% among the meconium stained cases and abnormal F.H.R. pattern group has lowere Apgar score. 8. The most common mode of delivery in meconium stained group was vaccum extraction(59.7%) to shorten the 2nd stage of labor. 9. Perinatal morbidity rate was 14.6% the most frequent complication was neonatal jaundice. The meconium aspiration pneumonia were 6 cases.
일개 농촌지역의 주민 이병 실태에 관한 조사 : 1981년도 경기도 남양주군 수동면 Su-Dong Myun, Nam Yang-Ju Gun, Kyung-Gi Do
김태경,선한규,이정규,정인영 이화여자대학교 의과대학 1982 梨花醫學誌 Vol.- No.14
A study on the morbidity status of a rural community ; Su-Dong Myun, Nam Yang Ju Gun, Kyung Gi Do was carried out from January 5, to 25, 1982 through analyzing the medical records of Su-Dong Health Subcenter during the period of September, 1980 to August, 1981 and following results was obtained. 1) The number of new patients during a year was 3,651 composed of 49.8% male and 50.2% female, and the cumulated visiting number of the out patients was 5,481. 2) The order of five major diseases which were classified the International Classitication of Diseases(I. C. D.) was Diseases of the Respiratory System(33.2%), Diseases of the Digestive System (21.3%), Diseases of the Skin and Subcutaneous Tissue (17.0%), AccidentsㆍPoisoningsㆍViolence (9.4%), and Diseases of the Nervous System and Sense Organs (8.4%). 3) Annual morbidity rate was 700.6 per 1,000 population and 699.6 for male and 710.6 for female. 4) The highest age specific morbidity rate per 1,000 population was 2,408.1 in the age group of 0 ∼ 4 and the lowest was 272.9 in the age group of 15 19. 5) The average clinic visiting times per out patient was 1. 6. 6) Medical fee of patients visited to Health Subcenter was covered from 3 different sources as follows ; 81.2% of total patients was paid by patient self, 9.5% by government as medical program, and 9.3% by medical insurance. 7) Average medical fee per first visiting was 1,970 ± 1,320(Won) and average medical fee per case was 2,990 ± 2,590(Won). 8) The annual utility rate of Health Subcenter of the community was 710.0 per 1,000 population, and the highest rate (1,350.4) was shown in the people of Ribsouk 2 Rie and the lowest(381.0) in Cidoon Rie.