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임신 말기 본위변동이 모체혈청 Renin황성도에 미치는 영향 (I) 정상임신
김영철(YC Kim),서준(J Suh),현유범(YB Hyun),최영희(YH Choi),오세량(SR Oh) 대한산부인과학회 1988 Obstetrics & Gynecology Science Vol.31 No.1
임신말기에서 측와위 자세를 앙와위 자세로 변동할 때 PRA와 혈압의 변화사항을 측정하였 다. 앙와위인 경우 PRA가 12.68+-4.9ng/ml이였고 측와위인 경우 10.65+-3.98 ng/ml/hour로서 앙와위인 경우 PRA가 상당히 증가하였다. 혈압은 앙와위의 경우 수축기에서나 확장기에서 나 모두 상당히 상승하였으나 20mmHg이내의 변동치였다. It has been known that late in pregnancy the renal function decreases significantly in supine position than in lateral recumbent position of pregnant women. To assess the effect of the position of the pregnant women on the plasma renin activity and blood pressure, 10 pregnant subjects were studied at 38 to 40 weeks of gestation. The plasma renin activity was highter in the supine position(12.68+-4.9ng/ml) that in the lateral recumbent position(10.65+-3.98 ng/ml/hour) and blood pressure decreased in lateral recumbency, compared in supine postion It concluded that late in pregnancy the plasma renin activity increases in the supine position probably due to impaired venous return, resulting from the compression on the inferior vena cava by the enlarged gravid uterus and the decreased renal blood flow when compared to lateral recumbency. Thus the position of the pregnant women should be considered in the study of plasma renin activity and blood pressure.
김영철(YC Kim),김득구(DK Kim),장윤석(YS Chang),신면우(MW Shin) 대한산부인과학회 1963 Obstetrics & Gynecology Science Vol.6 No.6
A case of puerperal inversion of the uterus was presented which was caused by mismanagement in the 3rd stage of labor. And a brief review of literature on the puerperal inversion of the uterus was made.
Estrogen이 난소에 미치는 직접작용에 관한 실험적 연구
김영철(YC Kim) 대한산부인과학회 1966 Obstetrics & Gynecology Science Vol.9 No.3
The ovarian response to estrogen and to exogenous gonadotrophin was studied using immature female rats. The rats were grouped as intact, hypophysectomized, chlorpromazine and phenobarbital administered, and p-hydroxypropiophenone administeed groups. They were injectswith 17-beta-estradiol or diethylstilbestrol in daily dose of 1mg. for two days or the estrogen (0.5-1.0mg.) was applied to the left ovary of the immature rts leaving the right ovary untreated. From two days later FSH(0.2-2.0mg.) or CG(20 I.U.) was injected daily in the three divided dose to the rats subcutaneously for three days. 1) The estrogen caused an increase in ovarian weight and follicular growth. And it resulted in many medium sized growing follicles in the hkpophysectomized rats. In the intact and the other two groups, the corpora lutea were formed, having increased the responsiveness to the pituitary gonadotrophin. 2) The ovarian responsiveness to exogenous gonadotrophins, FSH and CG, was augmented in the estrogen-primed ovaries, compared to controls. 3) Diethylstilbestrol stimulated the ovaries to a greater extent than estradiol. The local application of estrogen was more effective than subcutaneous injection of estrogen. 4) These experiments show that estrogen acts directly on the ovary.
김영철(YC Kim),안방주(BC Ahn),김동균(TK Kim) 대한산부인과학회 1963 Obstetrics & Gynecology Science Vol.6 No.9
A case of severe edema of the vulva in a patient with congestive heart failure due to mitral valvular disease who was at term of pregnancy is presented. Insertion of multiple needles for a several hours proved effective in alleviating the vulvar edema.
김영철(YC Kim),이경지(KJ Lee) 대한산부인과학회 1963 Obstetrics & Gynecology Science Vol.6 No.8
Two cases of femoral nerve palsy subsequent to Wertheim`s panhysterectomy are presented. And the literatures on the femoral nerve palsy are reviewed. Pressure on the femoral nerve of the self- retaining retractor used during the operation is thought to be the cause of the complication.
Saline-Glucose Diagnostic Medium을 이용한 Trichomonas Vaginalis 및 Candida의 발견 빈도
김영철(YC Kim) 대한산부인과학회 1962 Obstetrics & Gynecology Science Vol.5 No.4
The incidences of Trichomonas vaginalis and Candida in the vaginal contents of the women were surveyed by using Saline-Glucose Diagnistic medium, which had been reported as a simplified method of culture analysis of vaginitis, especially of mixed infection by Alexander Varga. Cultures were obtained from 152 pregnant women and 108 non-pregnant women. The results were as follows: 1) Incidence of Trichomonas was average 20.8%(Pregnant women 17.8%, non-pregnant women 25.0 %) and that of Candida was 25.4%(pregnant women 35.5%, non-pregnant women 11.1%). 2) In relation to the duration of pregnancy, there was no significant difference from the average incidence of Trichomonas in the pregnant women, but in Candida, the incidence increased markedly as the duration of pregnancy increased. 3) In relation to the age of pregnant women, there was no significant difference from the average incidence of Trichomonas, but in non-pregnant women, majority of positive cases was found in the age groups of 20 to 49 years. In Candida, exept of the high incidence of 44.7% in the age group of 25 to 29 years, no significant difference could be stated in relation to age in pregnant and non-pregnant women. 4) Incidence of Trichomonas in the women with leucorrhea was 29.8%(pregnant women 23.2%, non-prognant women 37.5%) and that of Candida was 28.8%(42.9%, 12.5%). In the women with vulvar itching, incidence of Trichomonas was 29.5%(31.0%, 26.7%) and that of Candida was 45.4% (62.1%, 13.3%). 5) Of the women with Trichomonas, 53.7% complained leucorrhea and 25.9% complained vulvar inching. Leucorrhea was complained by 43.9% of the women with Candida and vulvar itching by 51.5%. 6) Saline-Glucose Diagnostic medium is a highly reliable medium for culture analysis of vaginitis, especially of mixed infection.
신면우(MW Shin),김득구(DK Kim),김영철(YC Kim),박재우(JU Park) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.12
Two cases of abdominal pregnancy are presented. Which we experienced in Nov. 1962, and Feb. 1963. It was uncertain that the 1st case was primary or secondary abdominal pregnancy or ovarian pregnancy. The 2nd one was a case of secondary abdominal pregnancy which was produced by perforation of uterine wall and evacuation of the conceptus into peritoneal cavity during D&C. It had been performed to interrupt the pregnancy at the 2nd month. The live female baby1, weighing 4.7kg was delivered abdominally. A brief review of the literature of abdominal prepnancy was done.
Dehydroepiandrosterone Sulfate 투여가 산욕기부인의 유즙분비에 미치는 영향
홍순묵(SM Hong),정종일(JI Jung),김영철(YC Kim),한세준(SJ Han),오세량(SR Oh) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.6
The effect of Dehydroepiandrosterone sulfate (DHEA-S) which is clinically used for the ripening of uteirne cervix during delivery, was given to the laboring women to determine the adverse effect on lactation during the 48 hours after delivery. The women who were given DHEA-S showed a significant decrease of lactation in comparisen with the women without it. So, the above result suggests that the administration of DHEA-S is useful to the ripening of the uterine cervix, however it is converted to estradiol and inhibits lactation at least for 48 hours after delivery.
이강보(KB Lee),유석권(SK Yoo),김영철(YC Kim),박인수(IS Park) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.6
저자는 임신자궁탈 1예를 경험하였기에 간략한 문헌고찰과 아울러 증례를 보고하였다. Authors experience a case of full term pregnancy in association with the total uterine prolapse which was performed vacumm extraction following pitocin induction. A review of literature on the prolapse of uterus complicating pregnancy was made briefly.
권영조(YJ Kwon),김성심(SS Kim),김영철(YC Kim),고근익(KI Koh) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.10
Full term pregnancy and delivery of double uterus are met extremely rarely on delivery floor, but we experienced 4 such cases during the period July, 1964-1965 at Seoul National University Hospital, which are, hereby, reported in details, with review of literatures on the female genital anomalies, including terminology, classification, incidence, complication, diagnosis and management. 1) Two cases of uterus didelphys and two cases of uterus bicornis unicollis were reported 2) Two cases of uterus didelphys were diagnosed prior to delivery, but the other two cases were recognized on the operation table. 3) Two cases were delivered by caesarian section because of mechanical obstruction of soft birth canal by nonpregnant semi-uterus(2 cases), and severe preeclampsia in breech presentation(1 case) 4) Presentations were: two cephalic and two breech.