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禹福姬 梨花女子大學校 韓國生活科學硏究院 1978 韓國生活科學硏究院 論叢 Vol.21 No.-
姙娠中 梅毒의 子宮內 感染으로 인하여 發生되는 先天性 梅毒의 初期症候로는 發疹, 鼻炎(Rhinitis), 貧血, 肝脾臟腫大, 黃疸, 骨軟骨炎에 의한 僞似痲痺(Pseudiparalysis)를 招來하게 된다. 그리고 T.pallidum에 의해 胎兒에게 感染이 일어난 후에는 VDRL 陽性反應을 일으키며, 特殊 FTA-ABS 檢査 梁性反應을 일으키는데 成人에 있어서 1차 感染에서는 VDRL抗體가 檢出되기 전에 FTA-ABS 抗體가 나타날 수 있다. 著者의 경우 (1) FTA-ABS 檢査에서 總患者 6718例中 25例 즉 0.37%에서 陽性反應을 나타내었다. (2) 産前看護에서 發見된 姙娠婦梅毒은 總姙娠婦 梅毒患者 25例中 6例(24%)에 不過했다. (3) 姙娠婦 梅毒患者에서 全體 胎兒 死亡은 48%나 있었다. (4) 2例의 先天性 梅毒兒를 經驗하였다. 그러므로 梅毒의 感染으로 인하여 姙娠婦에게 招來되는 모든 合倂症을 豫防하기 위하여서는 姙娠婦 梅毒을 早期 診斷하기 위하여 VDRL 또는 FTA-ABS檢査를 適用하여 早期診斷 및 早期治療에 이바지하여야 할 것이다. The fluorescent treponemal antibody absorption (FTA-ABS) test has gained wide ac-ceptance as the standard by which the diagnosis of syphilis is confirmed, and a probable false-positive reaction to the FTA-ABS test was observed in a patient during pregnancy. Up to 80 percent of infants born to untreated syphilitic mothers in an early stage of the disease will be infected prior to delivery. Of these, approximately 25 percent will die in the uterus, and a high percentage of those infants born alive will be delivered prior to term. Therefore a serologic test for syphilis before delivery must be checked early and late in the course of pregnancy. From January 1974 to December 1977, 6718 Gravida women were screened using the initial V D R L test, and the next step was confirmed by the FTA-ABS test at Ewha Womans University Hospital. Among them positive V D R L test was 0.53 percent, and positive FTA-ABS test was 0.37 percent. Flase positive V D R L test was 0.07 percent. Only 24 percent of those syphilitic pati-ents were found in the course of prenatal care. In this study, 12 percent of the infants died after birth, stillbirth was 32 percent, and 12 percent of 25 syphilitic patients delivered prior to term.
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우복희,이용주 梨花女子大學校 醫科大學 醫科學硏究所 1980 EMJ (Ewha medical journal) Vol.3 No.4
Choriocarcinoma arises sometimes after hydatidiform mole, occasionally after abortion, and rarely after normal term pregnancy and ectopic pregnancy. Recently we had the opportunity to observe 26-year-old female patient who had choriocarcinoma following term pregnancy. In this paper, we report a case of choriscarcinoma following term pregnancy with a brief review of related literature.
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