거대첨규`콘디롬`의 1례

최명학(MH Choi),홍창수(CS Hong),정구윤(KY Chung),유명렬(MY Yoo) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.8

For the condyloma accuminatum, much informations has been decumented by many reportors but the huge size of condyloma accuminatum which we are going to report is uncommon. We reviewed literatures on the condyloma accuminatum.

Meperidine 점적주입의 진통완화 효과

전정일(CI Chun),최명학(MH Choi),문재민(JM Moon),진성대(SD Jin) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.10

진통완화의 목적으로 초산부와 경산부 각각 20예에서 meperidine을 점적주사하여 다음과 같은 결론을 얻었다. 1) 진통완화를 지속시킬 수 있는 이상적인 평균용량 1.29mg/kg/hr를 산출할 수 있었다. 2) 진통완화 효과는 90%에서 양호 7.5%에서 중등도였으며 2.5%에서 불량으로 나타났다. 3) Meperidine 점적주사는 전체분만소요시간에는 영향을 주지 않았다. 4) 자궁진통기록계상 수축빈도는 다소 감소하는 양상을 보였으나 진폭과 지속시간에는 영향이 없 었고 이상파의 출현도 없었다. 5) 태아의 상태는 양호하였으며 1분 Apgar score는 95%에서 7-10이었고 5분 Apgar score는 전 예에서 7-10이었다. 6) 산후실혈량, 자궁수축 그리고 자궁복귀에는 영향을 주지 않았다. Obstetric analgesia and anesthesia have much been developed since 1847 when Dr. Simpson had first started obstetric anesthesia in his practice. However, there are still many problems to bo solved. Meperidine, one of the well known analgesic has long been used as a single dose of intramuscular or intravenous route with being accompained by some difficulties for controlling dosage. Intravenous infusion of meperidine was used and it was accompained by an excellent analgesic affect with constant level in the blood. Intravenous infusion of meperidine was used to 20 primigravidas and 20 multiparas and it`s results were as follow; 1. The mean dosage of meperidine for maintaining ideal analgesic effect was 1.29 mg/kg/hr. 2. The incidence of good, moderate and poor analgesic effects were 90%, 7.5% and 2.5% respectively. 3. Intravenous infusion of meperidine did not affect the duration of labor. 4. The frequency of uterine contraction seems to be decreased but it did not affect the intensity and duration of uterine contraction. 5. The condition of newborns were excellent and 95% of newborns had an apgar score of 7-10 at one minute and all newborns had 7-10 at 5 minutes. 6. Intravenous infusion of meperidine did not affect uterine contraction, involution and bleeding in postpartum.

속발성 복강임신의 1예

남궁성은(SE Namkoog),강성원(SW Kang),최명학(MH Choi),오원섭(WS O) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.3

저자들은 카톨릭의대 부속 성빈센트병원 산부인과에서 경험한 난관임신중 난관파열로 인한 복강임신을 일으킨 임신 4개월 크기의 속발성복강임신 1예를 보고 하고 본증에 대한 문헌적 고찰을 하였다. Abdominal pregnancy is one of the rare but extremely hazardous complication of pregnancy. We experienced a case of abdominal pregnancy as diagnosed at Dept. of Ob. & Gy., St. Vincent Hospital, Catholic Medical Center. It was 4 nomth of gestation and contained a dead male fetus which measured 11.6 cm in length, 50 gram in weight, without any deformity and was considered to be secondary to ruptured early tubal pregnancy. We have reviewed abdominal pregnancy and presented the surgical findings and clinical course.

내장탈출아 2예

정병래(BL Chung),변지홍(JH Byun),최명학(MH Choi),오원섭(WS O) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.10

Omphalocele is a rare congenital malformation, and immediate surgical repair has been considered to be eseential for survival of the malformed newborn infant before infection has taken place and before the tissue have been damaged or the sac has ruptured. Two cases of omphalocele experienced at St. Vincent Hospital in June and Oct. 1972, are described. One was a severe case, an eventration of abdominal viscera associated with short cord and absence of lower extremities. The other who was 1.9kg female with good Apgar score at birth expired 3 days later without any surgical repair because of prematurity and already ruputred sac. Authors reviewed some of literatures.

Fetal distress 에 대한 glucose 치료효과

김기진(KJ Kim),홍창수(CS Hong),최명학(MH Choi),유명렬(MY Yoo) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.10

It has been reported earlier that a certain relation exists between the glycogen content of the fetal heart and survival of the fetus under anoxia. The effests of maternal glucose loading on fetal distress were studies in 40 cases of full term pregnancy. One group of 20 cases server as controls without infusion of glucose, and the other study group of 20 cases was given an infusion of 50ml of 50% glucose solution intravenously 1-2 hours before delivery. Following the infusion of glucose solution, changes of fetal heart rates, plasma glucose levels, CO2 and O2 contents in the cord blood and amniotic fluid pH were determined & compared with those of control group. The results were as follows; 1) The umvilical arterial glucose content at birth was lower than that of umbilical venous blood and both arteral & venous glucose levels of the study group were found to be higer than those of control group. 2) In the cases of glucose loaded fetus, fetal heart activity was improved and stabilized. In the bradycardia group fetal heart rate was increased through whole labor course, but in the tachyc- ardua group the rate was reduced to normal range. (The difference between the control group and study group was highly significant:P<0,001) 3) Fetall amniotic pH, was found to be lower in the control group than in those of glucose laded group both in normal & distress fetus. In the glucose loaded cases the pH was lower in fetal distress group than those of normal group. 4) O2 contents of the corb blood,doth arterial and venous, were slightly higher in the study group than in the control group. 5) CO2 contents od the cord blood, both arterial and venous, were lower in the study group than in the control group. Statistical difference of the umbilical venous blood between the two group was highly significant. It is concluded that the infusion of glucose to the mother during late labor period is beneficial for the fetus to overcome possible distress during the birth.

반복무뇌아 1예

강성원(SW Kang),정병래(BL Chung),최명학(MH Choi),오원섭(WS O) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.1

3년전에 무뇌아를 임신 및 분만한 산모가 다시 무뇌아를 임신하여 42주만에 분만한 1예를 보고 한다. This report describes that a 32 years old woman who has an anencephalus-birth 3 years previously, was delivered of repeatedly a 2.65kg. of anencephalus-baby at the 42 weeks of pregnancy. Authors also reviewed some of literatures.

난소선암을 동반한 자궁경부선암 1예

서우갑(UG Suh),김윤호(YH Kim),최명학(MH Choi) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.4

저자들은 난소선암을 동반한 자궁경부선암 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Adenocarcinoma of the cervix combined with ovarian Adenocarcinoma is a rare case. Adenocarcinoma of the cervix arises from the columnar epithelium of the endocervix and constitues 4-5% of all cervical cancers. It usually arises in the endocervical canal and may be found localized to the isthmic region in an occasional hysterectomy specimen. The lesion may have a higher incidence of radioresistance and thus indicate surgery as primary treatment more often. Adenocarcinoma of the cervix is characterized by its gland architecture which may present various degrees of differentiation. If both ovary and endometrium are involved, it is impossible to know which is the primary tumor or if there is a multicentric malignant trend of uterine and ectopic endometrium. A case of cervical Adenocarcinoma combined with an ovarian Adenocarcinoma is presented with a brief review of literature available.

지상아를 동반한 쌍태임신의 1예

서우갑(UG Suh),김윤호(YH Kim),최명학(MH Choi),김승조(SJ Kim) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.2

본대학 산부인과에서 임신 제 37주의 지상아를 동반한 1난성쌍생아 분만을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Fetus papyraceus is a rare complication of multiple pregnancy. Recently we had a chance to study a case of fetus papyraceus in monochorial twin pregnancy at the obst. and gynec. Dept of Catholic medical college. A case of fetus papyraceus is presented with brief review of literature.