자궁외 임신의 임상통계적 관찰

김선원(SO Gim) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.12

From January 1962 to September 1965, two hundred and seventy three cases of ectopic pregnancies were treated at the Dept. of Obst. & Gynec. Seoul National University Hospital. 1) This series comprised of 250 tubal(99.6%), and one ovarian(0.4%) pregnancies. 2) During this same period, 3042 babies were delivered, giving a ratio of 1 to 11.14 live births(8.9%). 3) The occurrence was high in August(15.14%), low in October(1.95%), and the rate of summer season doubled that of autumn season. 4) The mean age was 31.75 years, and 63.50% of total were between 25 and 35 years of age. 5) Nulligravida was 14.74%, nullipara 34.26%, preimipara 14.3%, and mutipara 47.4% of total. 6) The last pregnancy ended in normal delivery in 47.41%, artificial abortion in 38.25% of total. 7) The duration of infertile period was 5 years and 5 months in nulligravida, 4 years and 5 months in nullipara, & 4 years and 11 months in primigravida, giving a mean duration of 4 years and one month; and 52.59% of total was within 3 years, and 9.96% over 10 years. 8) A history of previous abortion was noted in 50.2% of total including 76.19% of artificial abortion. Among them, 21.83% ended in ectopic pregnancies. 12.9% of total cases had previous abdominal surgery(53.85% for eccyesis, 33.33% for appendicitis). Tuberculosis was noted in 10.76%, and venereal diseases were detected in 9.96% of total cases. 9) Lower abdominal pain was found in 99.20%, abnormal uterine bleeding in 83.27%, nausea and vomiting in 33.47%, shock in 31.47%, bowel and urinary symptoms as tenesmus or rectal pain in 25.10%, subjective symptoms of pregnancy in 7.98%, and shoulder pain in 1.59% of total cases. 10) Adnexal mass, usually tender, was palpated in 76.89%, and lowerabdominal tenderness was noted in 75.70%; 59.36% of total cases complained of pain on motion of cervix, and 32.20% of total cases had a tender or bulged posterior fornix of cervix. Mass in the Cul-de-Sac was palpated in 6.7% of total cases. 11) Lower abdominal pain and abnormal uterine bleeding were present in 91.25% of total cases, and bleeding preceeded pain in 45% of the total, the reverse being 33.82%. The mean duration of the above symptoms from the begining of l.m.p. was 35.4 dsys, 33.82 days, and 40.69 days respectively. As a whole the duration was between 31-50 days in 46.62% of total. In the cases of rupture pain usually preceeded(41.18%), and aborted cases, bleeding preceeded(36.52%). 12) The initial diagnosis was correct in 89.4% of the total cases. Diagnosis was wrong in 4.56% of total preoperatively, and 5.62% of the total after operation. 13) Culdocentesis was accurate in 98.6% of the total trial. 14) 51.05% of the total gestations occured on the right side of the tube. The fimbrial portion was involved in 9.16%, ampullary portion in 72.11%, and the isthmic portion was involved in 14.7%, of the total gestations. The interstitial pregnancy was 3.60% of the total. Tubal Abortion was present in 45.92% of the total gestations, and rupture was noted in 54.18%. 15) Adnectomy was performed in 32.67%, conservative plastic operations in 7.17% of the total cases. 60.20% of the cases were treated with salpingectomy only. 16) Of 273 total cases, no death occurred.

쌍태난산에 관하여 - 증례를 중심으로

김선원(SO Gim),조석신(SS Cho),이원기(WK Lee),박양실(YS Park) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.8

Twin Dystocia is a extremly rare complication of multiple pregnancy, and a situation that affords real dystocia in the life time of a busy obstetrician, since no one has any extensive experience in handling this problem. Because of its rarity and seriousness, a case of locked twin with survival of both infants by C-section is presented, and the various methods of managing this grave obstetric complications are briefly discussed with a review of the literature.

임신을 합병한 자궁경암의 2예

김선원(SO Gim),조석신(SS Cho),최호용(HY Choi),김우섭(WS Kim) 대한산부인과학회 1966 Obstetrics & Gynecology Science Vol.9 No.11

Carcinoma of the uterine cervix associated with pregnancy is rare, but we recently experienced two cases at the Dept. of Obstetrics & Gynecology, Seoul National University Hospital. They are presented here with a brief review of the literature.

X선 조사가 백혈구 염색체에 미치는 영향에 관한 실험적 연구

김선원(SO Gim) 대한산부인과학회 1970 Obstetrics & Gynecology Science Vol.13 No.6

The present experiment was performed to investigate the types and frequencies of X-ray induced chromosome aberrations in human leukocyted in vitro. Blood samples were obtained from 10 nurses working at Seoul National University Hospital. Ten ml. of heparinized blood were irradiated in 50 mm. Pyrex Petri dish, using General Electric Maxitron Ⅲ-A, Which was operated at 250 KV and 10mA. Five samples were given doses of 25R, another five 50R. The culture method was that of Moorhead et al, with slight modification. Leukocytes were isolated, and placed in culture bottles containing culture medium consisting of 6ml. of TC 199, 1 ml. of homologous human serum, 1ml. of plasma containing leukocytes of 8-12×106/ml and 0.03ml. of phytohemagglutinin-P form(Difco) with 800 units and 0.8mg. respectively of penicilline G and streptomysin. The culture were incubated at 37℃ for 72 hours. Colchicine was added to the culture 3 hours before fixation to a final of 10-7M. The cell were fixed, mounted, and stained with Giemsa solution. The results were compared to two cases of non-irradiated contol group. Results 1. The frequency of modal number in control group was 96.6%, whereas 96.57 for 25 R irradiated group and 95.55 for 50R group. The aneuploid cells were found 3.40 in control group, whereas 3.42 for 25 R irradiated group and 4.45 for 50 R group. 2. The distribution of chromosomes in irradiated group was similar to that of control group with slight increased frequency of aneuploid cells. 3. Chromatied aberrations were found both in control group and X-ray irradiated group, but no increase of frequency was observed after X-irradiation. 4. In X-irradiated groups chromosome aberrations, such as dicentrics, rings and deletions were found with an increase according to the X-ray doses given.

태반조기박리에 동반된 저섬유소원증에 관하여 - 증례를 중심으로하여

김선원(SO Gim),조석신(SS Cho),이원기(WK Lee),박성관(SK Park) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.7

Hypofibrinogenemia in abruptio placentae is a rare complication of pregnancy, and a situation that affords real seriousness both to mother and baby. Because of it`s rareity and seriousness, a case is presented here with a brief review of the literature.

희유한 내장탈출증을 동반한 중복기형아 1예

김선원(SO Gim),조석신(SS Cho),이원기(WK Lee),김우섭(WS Kim),지제근(JG Chi),이상국(SK Lee) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.8

Conjoined twins are twins having some variety of anatomical nion. We recently had the opportunity to study a case of cephalothoracopagus Syncencephalus with omphalocele in double ovum triplet at the Department of Obstetrics & Gynecology, Seoul National University, A case of Conjoined twins is presented with review of the Literature.

이중 유출로를 가진 우심실

정좌구(JK Chung),지제근(JG Chi),김선원(SO Gim),조석신(SS Cho),이상국(SK Lee),김명자(MJ Kim) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.1

Double outlet right ventricle is a rare congenital anomaly of the heart. The malformation represents a furthter rotation of the aorta than that which occurs in the tetralogy of Fallot. Witham in 1957 reported the clinical and pathological findings of four cases of this anomaly and named the condition to be double outlet right ventricle. He discussed this anomaly as a partial transposition of great vessels. Recently we had a chance to examine a stillborn infant who was born from a 36 years old multiparous woman of preeclamptic condition. At autopsy the aorta is so far dextroposed that it arises entirely from the right ventricle. The pulmonary artery occupies its normal position and lies anterior to the aorta. (Vide figures). Aorta is not hypoplastic. A relatively large ventricular septal defect was found in the memtraneous portion of ventricular septum. Authors presume this case is the first autopsy-proven case of double outlet right ventircle published in Korean literature.

지상아를 동반한 쌍태임신

조석신(SS Cho),김명자(MJ Kim),김선원(SO Gim),김성심(SS Kim) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.8

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 Dept. of Obstetrics and Gynecology, Seoul National University Hospital. A Case of fetus papyraceus is presented with brief review of the literatures.

Rh혈형부적합으로 인하여 고빌리루빈 혈치를 동반한 쌍태아 및 막상제대부착태반

이원기(WK Lee),송용덕(YD Song),김선원(SO Gim),박양실(YS Park) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.7

A case of twin combined with hyperbilirubinenia due to Rh in compatibility, and velamentous insertion of cord are presented. The sex and the weight of these babies were as follows; 2.5kg (female), 2.9kg(male). These two babies were relatively well ellapsed without exchange transfusion during admission although the biliubin levels were high, and discharged uneventfully.

자궁내구기능부전증에 관하여

신면우(MW Shin),고덕영(DY Ko),박성관(SK Park),김선원(SO Gim) 대한산부인과학회 1967 Obstetrics & Gynecology Science Vol.10 No.11

From October 1962 to Agusut 1967, thirty two cases of incompetent internal os of the cervix were treated at the Department of the Obstetrics and Gynecology, College of Medicine, Seoul National University. Shirodkar operation was performed in 27 cases during the second trimester of pregnancy and resul- ted in viable term delivery in 21 cases, three premature delivery, with a success rate of 77.8% & 1 1.0% respectively. McDonald Technique was carried out in four cases and resulted in three te- rm delivery and one premature delivery, with a success rate of 75%. In one case Wurm procedure was carried out and resulted in dremature deivery. We reviewed these cases, with a brief review of the literature.