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      • KCI등재

        분만환자의 산과적 분석고찰

        박주현(JH Park),임헌정(HJ lm) 대한산부인과학회 1975 Obstetrics & Gynecology Science Vol.18 No.2

        1. The most frequent delivery season was winter(28.6%) 2. The most frequent age group was 26 to 30 years of age and second most frequent age group was 20 to 25 years of age. The youngest mother was 18 years old and eldest mother was 47 years old. 3. There were 584 primiparas (41.7%) and 816 multiparas (58.3%). 4. The frequency of previous abortion in primipara was 24.8% and 46.9% in multipara. 5. Incidence of various presentations were as follows; 6. The incidence of twin delivery was 1.21% (1:82.4) and the most common presentation was both vertex(47.0%) 7. Vacuum extraction was the most common type of delivery in primipara(62.7%) and normal spontaneous vaginal delivery was the most common in multipara (66.0%) 8. Cesarean section rate was 3.7% (52cases) and the most common indication was cephalopelvic disproportion (59.7%) 9. The incidence of antenatal care was 34.7%. 10. Delivery during daytime (58.2%) was slightly more than nighttime. 11. Mean hemoglobine was 11.8 gm%, 9.8% of the patients had a hemoglobine level below 10.0 gm%. 12. Rh factor was positive in all patients (1,108 cases).

      • KCI등재

        대음순에 발생한 점액종의 1예

        윤강섭(KS Youn),박주현(JH Park),임현정(HJ Im),문상배(SB Moon),윤강혁(KH Yoon) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.7

        저자 등은 47세의 부인의 대음순에서 발생한 850 gm의 점액종 1예를 치험하였기에 문헌 고찰과 함께 보고한다. Myxoma is a rejatively rare benign neoplasm,which usually develops in the superficial subcutaneous tissue and occasionally in other parts of the body,such as heart,skin,fascia,muscle and bone,etc. We had a case of myxoma in the labia major of a 47 year old woman, which measured 13*16*4cm in size and weighed 850 gm. Histologically, these tumors are characterized by a proliferation of loosely scattered stellate and spindle shaped cells set in a myxomatous stroma which is composed of acid mucopolysaccharide.

      • KCI등재

        경관임신의 1예

        임동원(DW Lim),김병열(BY Kim),박주현(JH Park),박의호(EH Park) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.2

        본증례는 41세 경산부가 모의원에서 불완전유산이란 진단하에 소파술을 하려고 했으나 대출 혈 때문에 하지 못하고 본병원에 입원하여 임상적으로 경관임신 혹은 융모상피종이란 진단 하에 자궁전척출술을 하여 병리 및 조직학적으로 자궁경관임신임이 확인되어 문헌과 함께 보고하며 발생원인 중 인공임신중절을 위한 소파술이 성행하고 있는 국내에서는 자궁경관임 신을 일차 고려해야 된다고 본다. A case of cervical pregnancy which is in 41 years old para 7 house-wife is presented with a brief review of literature.

      • KCI등재

        자궁파열 16예

        황규위(KW Hwang),전현권(HK Jun),박주현(JH Park),림헌정(HJ Im) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.8

        The clinical data presented is based on 16 uterine rupture during labor among 9,926 deliveries at the Kwangju Christian Hospital over 6 year period. 1. The incidence of uterine rupture was 0.16% or 1 : 620 deliveries, tending to increase year by year for the 6 year period. Uterine rupture occurred in 4 women after admission. In 12 women, rupture occurred prior to admission. 2. The age distribution was from 24 to 40 years and the highest age group were 25-30 and 35-40. 3. Incidence was most common among para 5 or more but there was one case in a primigravida. 4. Classifying the type of rupture, 9 cases were spontaneous, 5 cases were traumatic and 4 cases were rupture of a previous cesarean section scar. 6. On admission, mean Hgb. was 10.5gm%, and there were 5 cases in which systolic blood pressure was below 90mmHg. 7. The site of uterine rupture: lower segment 11 cases, corpus and fundus 2 cases, and both sites 3 cases. 8. Route of delivery: Transabdominal delivery 15 cases and vaginal delivery 1 case. 9. In the management of uterine rupture, total hysterectomy was performed in 12 patients, simple closure in 3 patients and subtotal hysterectomy in 1 patient. 10. Complications occurred in 6 patients. There were 2 cases of retroperitoneal hematoma, 1 case of bladder rupture, 1 case of pyelonephritis, 1 case of bladder wall hematoma and 1 case of pseudomonas sepsis. 11. Maternal motality rate was 12.5%(2 cases) and fetal motality rate was 81.3%(13 cases).

      • KCI등재

        흉복부유합 중복기형의 1예

        정행용(HY Chung),신승권(SK Shin),박주현(JH Park),박헌정(HJ Park) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.11

        임신 39주로 제왕절개술로 만출된 구진파열을 동반한 흉복부유합기형아 1예를 경험하였기에 해부학적 소견 및 문헌적 고찰을 보고하는 바이다. A case of 39th week of gestation thoracopagus, combined with cleft palate, delivered by cesarean section, is reported with a brief review of the related literatures.

      • KCI등재

        쌍태임신 146예

        전현권(HK Jun),신승권(SK Shin),윤광섭(KS Youn),박주현(JH Park),임헌정(HJ lm) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.3

        A clinical review of 145 twin pregnancy among 11490 women, who delivered in the seven year period from Jan 1972. to Dec. 1978 in the Kwang-Ju Christian Hospital . the results of study were as follows. 1. the incidence of twin birth was one in 78.7 births. 2. The youngest was 20 year old woman the oldest was 42 year old woman and average age was 28.2 year old in twin pregnancy 3. Multipara was 60.1percent of twin pregnant women. About 10.3% of twin pregnant women had familial history of twin pregnancy 4. The diagnosis was made by simple X-ray (47.2%) and clinical findings (34.2%) women who had been taken antenatal care were only 48.6% in twin pregnant women. 5. An incidence of 55.4% of twin were delivered between 37th. Week and 40th. Week of gestation. The average duration of twin pregnancy was 37.2 weeks of gestaion. 6. In presentation both cephalic combination was 39.1% cephalic-breech was 29.4% 7. The average duration of labor in primiparas was 10.6hours, and in multiparas, about 7.2 hours. An incidence of 54.1% of cases were within 5 minutes in time interval between first and second baby delivery. 8. The average birth weight of newborn infant was 2412gm(2476gm in 1st baby, 2392 gm in 2nd baby)

      • KCI등재

        둔위임신의 임상적고찰

        신승권(SK Shin),윤광섭(KS Youn),술종은(JE Sul),김희경(HK Kim),박주현(JH Park),임훈정(HJ Im) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.1

        Breech presentation is the most frequent abnormal one, and it causes severeal complication during labor such as prematurity, low birth weight, congenital anomaly, increased C-section rate and increased perinatal morbidity. We studied 411 cases of breech delivery, including 364 of single and 47 cases of multiple preg., at the Kwangju Christian Hospital during five and half years from January 1975 to June 1980. The results were as follows: 1. The incidence of breech delivery was 3.39%. 2. Most patients were between 25 and 29 yars old. The incidence was increased in women over 40, or whose parity was more than 5. 3. In 74.02% of patients delivery occurred between 38-42 weeks of gestation and 22.38% of the neonates weighed less than 2500 gm. 4. Regarding the type of breech, the most common was Frank (41.62%); and the others were incomplete(34.32%); unclassified (22.37%); and complete (1.69%). 5. The duration of labor averaged 10.69 hours in primipara and 6.42 hours in multipara, without significant difference among the types of breech pregentation. 6. The incidence of PROM was 16.79%(69 patients), and was lowest in incomplete breech presentation(14.89%). 7. The incidence of cord prolapse was 5.11%(21 patients), and in 85.7% (18 patients) it was incomplete. 8. The mode of delivery were PBE, (50.4%); (24.6%); TBE, (22.8%); and spontaneous, (2.2%). 9. The incidence of C/S for nullti-para increased slightly year by year except for 1980. 10. The incidence of congenital anomaly was 2.7%. 11. The perinatal mortality was 16.7% and the leading cause was prematurity. 12. Apgar score was 7.89 for vaginal delivery and 9.45 for C-section.

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