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- 저자 : 송인철(I C Song) (검색결과 3 건)
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이기록(K . R . Lee),이재성(J . S . Lee),김만조(M . J . Kim),김진하(J . H . Kim),이명선(M . S . Lee),송인철(I . C . Song) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.11
N/A Objectives : This retrospective study was undertaken to evaluate for the clinical characterristics and to gain greater insight into the diagnosis and management of ectopic pregnancy. Material and Methods : This study was done 112 women with ectopic pregnancy who were admitted, operated, and confirmed by histopathological at the Department of Obstetrics and Gynecology, Pusan medical center from Jan. 1, 1995 to Dec. 31, 1999. Results : 1. The incidence of ectopic pregnancy was 2.9% (1 in 34.1pregnancy). 2. Age distribution of cases was showed the highest frequency between 25-29 years group. 3. According to past history of illness artificial abortion was 66%, laparoscopic tubal ligation was 14.3%, PID was 13.4%, previous c/s was 13.4%, appendectomy was 13.4%, previous ectopic pregnancy was 9.8%, pelvic Tuberculosis was 2.7%, tuboplasty was 2.7%, and IUD was 2.7%. 4. As to chief complaints of cases on admission, lower abdominal pain was 90.2%, vaginal spotting or bleeding was 45.5%. 5. Positive finding of culdocentesis was 80.3%, and that of urine hCG was 93.4%. 6. According ultrasonographic finding, adnexal mass was visible 50.7% among 73 cases. 7. On pelvic examination, pelvic tenderness was 90.2%, cervical motion tenderness was 77.2% among 92 cases. 8. Ectopic pregnancy was implanted on the fallopian tube 97.3%, cervix 1.8%, and ovary was 0.9% retrospectively. 9. Of total 112 cases, ipsilateral salpingectomy was 75.9%, ipsilateral salpingooophrectomy was 10.7%, total abdominal hysterectomy was 0.9%. Conclusions : Ectopic pregnancy is one of the leading causes of maternal mortality in the early pregnancy, subsequently may lead to infertility in reproductive age women. In order to minimize such problems, clinicians are particularly familiar with early diagnosis and appropriate diagnotic procedures on ectopic pregnancy.
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宋朝永,李金姬,宋寅哲 慶北大學校 醫科大學 1958 慶北醫大誌 Vol.1 No.1
The wide spread use of cortisone in ophthalmology promptly led to questions about the possible deleterious effects of this agent on the healing of wounds in the eye. The authors think that we have already reached the stage of conclusion about the influences of cortisone on the penetrating wounds, corneal vascularization and fibroblastic repair. Nevertheless, some conflicts are yet present about the influence on the regeneration of corneal epithelium. We present the results of our studies on the effects of cortisone on one standard experimental abrasions made in normal rabbits corneas. Cortisone was given by local instillation and subconjunctival injection, and examined the results by histologic study and by fluorescein staining method on the unhealed area. 1. Cortisone administered as drops in the conjunctival sac are innocous on the regeneration of corneal eqithelium in concertrations up to and including 25㎎/㏄. 2. In subconjunctival injection, the cortisone groups showed white subconjunctival areas thought to be cortisone deposits and severe congestion and markedly dilatated vessels. The control groups, showed no white subconjunctival deposits and generally the local reactions were slight. Some delayed wound healing was found in the non-diluted group (25㎎/㏄.). However, in the 1 : 4 diluted solution group, there were no delayed wound healings. 3. When cortisone is used subconjunctivally, one must be careful on the doses, times, and intervals. (Read before the 7th annual session of Korean Academy of ophthalmology. June, 1955, Soul.)
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송인철,김세환,김성돈,권현옥,홍일 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.6
1992년 2월 1일부터 1992년 7월 31일까지 지방공사 부산의료원 산부인과에서 입원한 산모 중 지속적 경막외마취하에서 무통분만을 시도한 임산부 66명(초산부 51명, 경산부 15명)과 경막외마취를 시행하지 않은 임산부 66명을 비교분석하여 다음과 같은 결론을 얻었다. 1. 분만 제1기의 시간은 경막외마취를 시행한 군과 시행하지 않은 군의 초산부, 경산부 모두에서 유사하였고, 분만 제2기의 시간은 초산부에서 경막외 마취를 시행한 군이 시행하지 않은 군에 비해 의미있게 지연되었으나 경산부에서는 두 군간에 유의한 차이가 없었다. 2. 신생아의 Apgar score와 체중은 경막외마취를 시행한 군과 시행하지 않은 군간에 유의한 차이가 없었다. 3. 분만시 기계적 분만은 경막외마취를 시행한 초산부에서 경막외마취를 시행치 않은 초산부 에 비해 의미있게 증가하였고 경산부에서도 경막외마취를 시행한 군이 경막외마취를 시행하 지 않은 군에 비해 증가하였다. 4. 경막외마취를 시행함에 있어서 나타난 합병증은 요통 6.1%, 전신권율 4.5%, 저혈압 3.1%, 오심 및 구토 3.1%로 나타났으나 대부분 경미했다. 5. 경막외마취를 시행함으로서 무통의 효과는 초산부와 경산부에서는 거의 대부분이 만족하였다. This study is a clinical analysis of 66 cases(primiparas 51 cases, multiparas 15 cases) of continuous epidural analgesia for labor and delivery at Department of Obstetrics and Gynecology, Pusan Medical center during 6 months from Feb. 1, 1992 to Jul. 31, 1992. According to our experiences we obtained the following results; 1. The duration of the first stage of labor was similar between the epidural group and the control group in primiparas and multiparas, and that of the second stage of labor was significantly longer in the primiparous epidural group than the primiparous control group (p$lt;0.05), but did not differ significantly between the epidural group and the control group in the multiparas. 2. The apgar score and birth weight of the newborns were similar between the epidural group and control group in the primiparas and multiparas. 3. The frequency of instrumental delivery was increased in the primiparous epidural group than in the primiparous control group and also increased in the multiparous epidural group than in the multiparous control group. 4. The frequency of complications of epidural analgesia was in order backache(6.1%), shivering (4.5%), nausea and vomiting (3.1%), hypotension(3.1%), respectively. 5. In view of satisfactory degree during labor after epidural analgesia, most of primiparas and multiparas were excellent and good (22.9% versus 33.4%, 58.3% versus 40.0%, respectively).
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