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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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