정상산모및 제대혈청 중 Na, K 및 Cl 함량에 관하여

이규하(KH Lee),이동경(TK Lee),송용덕(YD Song) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.11

1) Sodium, potassium and chloride ion concentrations were determined in 37 cases of maternal blood and cord blood of normal full-term paturients. 2) No significant difference of sodium ion concentration was noticed between the maternal blood (151.31 +/- 7.00 mEq./L.) and the cord blood(152.58 +/- 13.93 mEq./L.). Postassium ion concentration was lower in the maternal blood(4.74 mEq./L.) than in the cord blood (8.99 +/- 4.13 mEq./L.). No significant difference of chloride ion was noticed between the maternal (122.86 +/- 7.58 mEq./L.) and the cord blood(124.00 +/- 12.90 mEq./L.). 3) Sodium ion concentration of the amniotie fluid(137.52 +/- 10.74 mEq./L.) was the lowest than those of the maternal blood and the cord blood. Potassium ion concentration of amniotic fluid(5.17 +/- 0.84 mEq./L.) was higher than that of the maternal blood and lower than that of the cord blood.

한국부인 X - 선 골반계측에 관하여

이규하(KH Lee),송용덕(YD Song),이동경(TK Lee) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.11

The antero-posterior diameters of the various pelvic planes in 63 Korean women were measured through the Hodge-Dippel method of X ray pelvimetry. The results obtained were as following. 1) The average length of anatomical true conjugate was 11.77 +/- 0.11 cm. 2) The average length of obstertrical true conjugate was 11.05 +/- 0.12 cm. 3) The average length of diagonal conjugate was 12.41 +/- 0.14 cm. 4) The average length of A-P diameter of the wide pelvic plane was 12.18 +/- 0.12 cm. 5) The average length of A-P diameter of the outlet was 11.65 +/- 0.14 cm. 6) The average length of external conjugate of the inlet was 17.81 +/- 0.13 cm.

자궁경관분비액의 주기적 변화에 관한연구

이규하(KH Lee) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.11

In views of the fact that the cervical mucus is now being revealed to have a cyclic change as well as the endometrium under the control of ovarian hormone i.e. estrogen, progesterone, which in effect opens a way to be utilized in estimating the ovulation time, or as a mean of supplementary diagnosis for the anovulatory cycle, early pregnancy or ovarian and placental insufficiency etc, it is becoming to be subjected to one of the great concern in the field of gynecology. From the observation of cyclical changes of the crystal pattern of the cervical mucus from the sample of 527 women, author attampted to classify the crystal pattern, and divided the cycle in 5 periods. From the sample of 410 women which comprises normal, pregnant. and lactation, author has made a study on total amount of cervical mucus, water content, dry weight, and organic and inorganic compound by means of microbalance, and the amount of sodium and potassium by means of flame photometer. In addition the relationship between the content of cervical mucus and the crystal picture was also being observed. The following were the main results of the findings obtained through this study. 1) The crystallization of the cervical mucus was divided into 9 patterns as(-), (SC+),(SC++),(SC+++),(SC+++)K, (DC+++), (DC++)(CE+), (DC+)(CE++), (CE+++), etc. 2) The menstrual cycle was classified into five periods according to the menstrual cycle day and crystallization of the cervical mucus. (post menstrual, preovulatory, ovulatory, postovulatory and premenstrual period). 3) In pregnant women, the apperance of the crystallization rated 40.5% in the 1st trimester, 27.4% in the 2nd trimester, 4.4% in the 3rd trimester and 20.9% among the total of pregent women. This indicates that crystallization is most likely occur in the earlies stage of pregnancy. 4) Crystallization appeared in two months after the delivery in case of lactating women. 5) The total amount of cervical mucus, water content, dry substance, organic and inorganic compound were observed to have a cyclic change in paraell to the menstrual cycle. 6) The total amount of mucus, water content, dry substance, inorganic compound, sodium and potassium have been observed to have a trend of beginning to increase at estrogen phase reaching to the maximmum in ovulation period and then substantially decrease in progesterone phase. From the pregnant women, however, no particular trend such as indicated above could be observed. Variation in amount was practically more remarkable in case of lactating women. 7) It was revealed that the organic compound had tendency to reach the minimum at ovulations period, while on the contrary it increased at pregesterone phase. As for the cases of pregnant women, the amount of organic compound was obserbed to increase to 3 to 4 times(about 10 times in concentration) as much as that of menstrual cycle. 8) Amount of dry substance reached to the maximum in the ovulation period, and this was belived due to the increase in amount of inorganic compound. It increased twice as much in pregnant women as in case of menstrual cycle, and again this was belived due to the increase of amount of organic compound. 9) An observation also revealed that the proportion of amount of organic and inorganic compounds plays a doninant role in crystallization, being supported by the fact that crystallization less likely occur as organic compound increases in amount. 10) Estrogen and progesterone suggested to have a close relation-ship with the crystal formation, as the former gives rise to the increase in total amount of cervical mucucus, water content, inorganic compound, sodium and potassium while the latter does to the increased in amount organic compound.

양수의 결정현상과 전해질에 관하여

이규하(KH Lee),이동경(TK Lee),송용덕(YD Song) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.12

Electrolyte determinations and crystallization tests were done in the amniotic fluid of 26 normal parturients. The following results were obtained: 1) Mean amniotic fluid sodium ion concentration was 137.5 +/- 10.75 mEq. perliter. 2) Mean potassium ion concentration was 5.17 +/- 0.84 mEq. per liter. 3) Arborization phenomena were observed in the dry smears of all cases.

X선에 의한 한국부인 좌골간극경 및 골반입구 횡경 계측에 관하여

이규하(KH Lee) 대한산부인과학회 1959 Obstetrics & Gynecology Science Vol.2 No.1

X선에 의한 Hodges & Dippel 골반계측방법을 이용하여 20세부터 55세까지의 한국부인 65명에 대한 좌골극간경과 골반 입구횡경을 계측하여 다음과 같은 성적을 얻었다. 1. 좌골극간경은 평균 99.97±94mm이었다. 2. 골반입구횡경은 평균 123.50±0.92mm이었다. 3. 좌골극간경과 골반입구횡경은 상관계수 0.51±0.0925로서 순상관을 보였다. 4. 좌골극간경과 골반입구횡경의 차는 23.44±0.92mm로서 골반입구횡경이 컸다. 5. 좌골극형태는 예형, 중간형, 추두형, 둔형의 4형으로 나눌수 있었으며, 그중 중간형이 가장 많았다. The interspinous diameter and the transuerse diameter of the pelvic inlet of sixty-five Korean women aged from 20 to 50 were measured through the Hadges and Dippel`s method of Roentgen pelvimetry, and the following results were obtained. 1. The average length of interspinous diameter was 99.97±0.94mm. 2. The average length of transverse diameter of the pelvic inlet was 103.50±0.92mm. 3. The coefficient of correlation between the interspinous diameter and the transverse diameter of the pelvic inlet was 0.51±, and it show relatively high relationship. 4. Transverse diameter of the pelvic inlet was greater than interspinous diameter by 23.44±0.92mm. 5. The frequency of median type was greatest among the various type of ischial spire, sharp type, blunt type, median type and hammer type.

산도협착

이동경(TK Lee),이규하(KH Lee),고근익(KI Koh) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.10

1) A case of combined transverse inlet contration and contracted midplane, a case of elderly privipara causing dystocia due to stricture of soft birth canal, and a case of repeated C-section due to midplane and outlet contraction, who were admitted recently to the Department of Obstetrics and Gynecology, S.N.U.H., were reported with review of 55 cases of dystocia due to narrow birth canal among 2702 deliveries during last 3 years and 3 months. 2) Incidence of birth canal strictures was 2.03%(55 cases among 2702 deliveries). 3) Primipara was 67.3%, indicationg higher incidence of birth canal strictures among primipara, but in our cases even para 6 caused dystocia due to cephalopelvic disproportion; importance of detection of cephalopelvic disproportion rather than pelvimetry itself was stressed. 4) Incidence of C-section was 69%(39 cases), remarkably higher comparing with overallcases (3.1%) of our hospital. 5) Perinatal mortality (9%; 5 cases) among our cases was higher than among total deliveries(5%). 6) Blood loss was not increased in vaginal deliveries, but remarkably increased in C-section cases (229cc. vs. 464cc.). 7) Literatures were reviewed about causes, complications and diagnosis of pelvic contraction, availability of pelvimetry, and its radiation hazards.

전두위 ( Brow Presentation ) 의 1예

이동경(TK Lee),정좌구(JK Chung),이규하(KH Lee),고근익(KI Koh) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.12

A case of brow presentation in 22-year-old multipara is presented with review of references concerned.