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      • KCI등재

        자궁내 태아사망의 임상적 고찰

        이명희(MH Lee),오혜숙(HS Oh),김영선(YS Kim),김두호(DH Kim) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.2

        Intrauterine fetal death is the death of a fetus after 20 weeks gestation or attainment of 500gm body weight prior to the complete expulsion from its mother. This is a clinical study of 159 cases of fetal death in uterus among 7650 deliveries at Incheon Gil Hospital during 4 years from January, 1980 to December, 1983. The results of this study are as follows: 1. The incidence of intrauterine fetal death was 2.07%. 2. Age distribution of mothers with intrauterine fetal death was between 18 to 41 years and was highest in the 26 to 30 years range(40.9%). 3. The parity of mother in intrauterine fetal death was most highest in nulliparous groups(54.7%) and next group is para-1. 4. There were 4 cases(2.5%) with previous history of intrauterine fetal death and 29 cases(18.2%) with previous history of spontaneous abortion. 5. The most common gestational weeks when intrauterine fetal death was detected was 37 to 40 weeks gestational period(21.4%) and the common presentation was cephlic(80.5%). The sex ratio of male vs female fetus was 1.01:1 and 69.2% of intrauterine fetal death weighing less than 2500gm. 6. The mode of delivery for intrauterine fetal death, spontaneous delivery was most common(40.8%), induction of labor was 33.5% and laparotomy was performed in 25.7% of intrauterine fetal death. 7. The etiologic factors of intrauterine fetal death, the unexplained cases were 37.8%, pre-eclampsia 19.5%, abruptio placenta 15.1%, congenital anomaly 6.3%, placenta previa 6.3%, syphilis 4.4%, chorioamnionitis 3.8%, cord prolapse 2.4%, maternal illness 1.8%, transverse lie 1.3%, trauma 1.3%. 8. There were 84 cases(53.8%) of maternal complication. The most common was hemorrhage(63.1%), and the others were intrapartum and postpartum fever (19%), cystitis(8.3%), wound infection(6%), uterine rupture(2.4%), sepsis(1.2%). 9. 77.9% of the cases had not received any prenatal care, 10.6% of cases had received care only 1 or 2 times and 3.3% had received 3 or 4 times, 8.2% had received more than 5 times.

      • KCI등재

        자간을 동반한 자궁내번증 1 ( A Case of Uterine Inversion Associated with an Eclampsia 례 )

        이승희(SH Lee),이남경(NK Lee),이명희(MH Lee),호삼수(SS Hoh) 대한산부인과학회 1984 Obstetrics & Gynecology Science Vol.27 No.14

        저자들은 최근 21세의 미혼모로서 자간증을 동반한 자궁내번증 1례를 경험하였기에 간단한 문헌 고찰과 함께 보고하는 바이다. Uterine inversion is very rare obstetric emergency and complication. We present a case of acute puerperal uterine inversion associated an eclampsia with the brief review of literatures.

      • KCI등재

        Holoprosencephaly를 동반한 Prune-Belly Syndrome 1 례

        주인명,김수자,이강우,이명희,오현애,윤대두,김선자,고영균 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.7

        저자들은 다발성 선천기형 및 태아 곤란증의 의진하에 반복 제왕술을 통하여 분만되어 5분만에 사망한 신생아의 부검소견상 뇌의 심한 분화 및 형성부전을 보이는 Holoprosencephaly, 폐형성부전, 생식기 및 항문의 무형성, 비장, 췌장의 무형성을 동반한 요로기형과 복벽의 결손을 가진 prune-belly syndrome 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. The Prune-belly syndrome is the most common term for congenital absence, deficiency or hypoplasia of the abdominal musculature accompained by a large hypotonic bladder, dilated and tortuous ureters and bilateral cryptochidism. This full-blown syndrome, which was associated with alobar holosencephaly with hydrocephalus, hypoplasia of lung and libs, markedly dilated cyst with hypertrophied muscular layer, mild hydroureter, polycystic kidney, colon atresia, agenesis of pancreas, spleen and genital organ and equinovalgus and genuvalgus, has been carefully observed in accordance with review of references.

      • KCI등재

        임신을 동반한 난관염전 1 례

        주인명,김수자,이강우,이명희,김지수,윤재영,오현애 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.10

        본 증례의 원인적 요소로서는 다발성 난소낭종과 그리고 임신으로 인한 골반울혈, 자궁비대 및 급격한 체위변동으로 인하여 발생되었다고 생각되며 문헌적 고찰과 함께 보고하는 바이다. Acute pelvic pain is a common symptom encountered by the gynecologist. Torsion of the tube should always be considered in acute abdominal pain. Acute diagnosis and prompt treatment can prevent of complications, such as necrosis of the ovary and tube, peritonitis, shock, and rarely death. Torsion of the fallopian tube have been repotered not infrequently, this complication in pregnancy seems to be relatively rare. We experienced a case of torsion of the fallopian tube in pregnancy and report it with brief review of the literature.

      • KCI등재

        비면역성 태아수종 1 례

        주인명,김수자,이강우,이명희,박금민,오현애,윤대두,김선자 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.4

        저자들은 1990년 10월 28일 17세 초산부로부터 임신 44^+1주에 제왕절개술로 분만된 신생아에서 부검상 전신부종과 흉강, 심낭 및 복강내 삼출액 축적을 보였던 비면역성 태아수종 1에를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Nonimmune hydrops fetalis is defined as a pathologic and generalized abnormal accumulation of serous fluid in the entire body tissue and cavities unassociated with erythroblastosis. With the widespread introduction of immunoprophylaxis, there is a decline in rhesus isoimmunization and nonimmune hydrops fetalis (NIHF) becomes increasingly important. NIHF now accounts for 80% of all hydropic fetuses and its contribution to the perinatal mortality increased up to 3%. Now we report a case of NIFH with generalized edema, pericardial and pleural fluid accumulation and ascites found at autopsy. No other deformity was found.

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