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        자궁외 임신의 임상적 진단에 대한 고찰

        김배근(BK Kim),재건(JK Kim),한순남(SN Han) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.6

        The diagnosis and its problems of 263 cases of ectopic pregnancy and 37 cases in whom the diagnosis was incorrect on admission during 5 years period have been reviewed. 1) The incidence of ectopic pregnancy was 6.8% of live births and recurrent condition in 12.5%. 2) The initial diagnosis was correct in only 86.9%. 3) Postpartum or postabortal endometritis, pelvic operations and other pelvic infections seemed to be the predisposing factors. 4) Culdocentesis is the single most important diagnostic procedure. 5) the failure of obtaining a positive culdocentesis couldn`t rule out the ectopic pregnancy. 6) Of all patients, there was only one death due to acute renal failure. 7) The diagnosis of ectopic pregnancy is depentent upon the clinician`s ability to perform a careful history taking, physical examinations, and to evaluate the results of laboratory findings, culdocentesis and pregnancy tests.

      • KCI등재

        초산부에서 Unengaged head의 추이

        원유관(YK Won),김배근(BK Kim),재건(JK Kim),이승철(SC Lee) 대한산부인과학회 1970 Obstetrics & Gynecology Science Vol.13 No.9

        Sixty-four cases of unengaged head were found by x-ray pelvimetry and cephalometry at the onset of labor in 746 primiparae with vertex presentation who were admitted since January 1968 till December 1969. In order to compare unengaged group with engaged group, sixty cases of normal vaginal delivery were selected. The result were as follows: 1. The incidence of unengaged head was nine percent. 2. The cesarean section rate was 8.4% in engaged group and 34% in unengaged group. 3. There was no relationship between unengaged head and elderly primipara. 4. There was no great difference in baby weight of newborn between engaged group and unengaged group. 5. The difference of the anteroposterior diameter and the average skull diameter which was the mean value of the largest and the shortest diameters of the anteroposteriorand lateral films, was greater in engaged group than in unengaged group. 6. There was little prolongation of duration of labor in unengaged group than in engaged group. 7. Complications of mother and newborn were higher in unengaged group than in engaged group. 8. Careful revaluation of the whole cephalopelvic interrelationship is always called for in all engaged heads in primiparae at the onset of labor.

      • KCI등재

        임신에 합병된 재생불량성 빈혈의 1례

        이상윤(SY Lee),김배근(BK Kim),이승철(SC Lee),한승혜(SH Han) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.8

        임신에 합병된 재생불량성 빈혈의 1례를 경험하였기에 보고하는 바이다. The case report concerns a case of complete bone marrow aplasia of unknown etiology affecting a women in the 20wks. of pregnancy. Induced labor at 27wks., with the aid of whole blood transfusion, resulted in a premature delivery. The literatures have been reviewed on this subject.

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