http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
박영세,문태식,정승관,노정석,박준혁,우영주 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.1
The incidence of perianal endometriosis is quite rare. We have experienced two cases of perianal endometriosis. The typical clinical history and local findings enable us to make the correct diagnosis. The treatment of choice is complets surgical excision of the lesion and the surgical excision usually obtains permanent cure. The possible pthogenesis of the perianal endometriosis and various modalities of treatment.
양화윤,박철,이경훈,문태식,정승관,노정석,박준혁 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.3
Postpartum cardiomyopathy is defined as a syndrome of cardiac failure occurring in the latter part of pregnancy or in the puerperium, without obvous cause and without prior evidence of heart disease. It is important to recognize the association of cardiac failure and pregnancy as a separate syndrome so that, once identified, peripartum cardiomyopathy can be treated promptly and aggressively. We have experienced one case of dilated cardiomyopathy in preterm twin delivery at 36th gestational weeks, which are presented with a brief review of the literature.
주명식,양화윤,문용호,박철,이재민,정승관 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.10
1986년 1월 1일부터 1993년 12월 31일까지 만 8년동안 아산재단 해성병운 산부인과에 자궁외임신으로 입원한 환자 305명중 난소임신으로 입원 수술한 환자 20명을 대상으로 임상적 특징을 분석 고찰하여 다음과 같은 결론을 얻었다. 1. 분만건수에 대한 자궁외임신의 빈도는 1:48.5명(305례/14,797명)이었으며, 자궁외임신에 대한 난소임신의 빈도는 1:15.2례(20례/305례)이고, 총 분만건수에 대한 난소임신의 빈도는 1:739.9명(20례/14,797명)이었다. 2. 평균 발생연령은 27세로 연령분포는 21세에서 33세이었다. 3. 분만회수는 2회분만이상이 65%, 1회분만 25% 등 경산부에서 90%발생하였으며, 미산부에서는 10%이었고, 75%에서 임신중절의 경험이 있었는데, 이중 5례(25%)에서 3회이상의 임신중절 경험이 있었다. 4. 기왕력은 2례에서 충수돌기 제거술, 2례에서 제왕제거술, 그리고 1례에서 자궁외임신 및 난관불임술, 1례에서 복강경하 난관불임술이 있었다. 5. 피임방법으로는 자궁내피임장치가 3례(15%)로 가장 많았고, 경구용 피임약의 사용과 난관불임술이 각각 2례(10%)이었다. 6. 임상증상은 복부동통이 100%, 비정상적 질출혈이 70%, 오심 구토 등 위장관증상이 40%, 임상적 쇼크가 30%로 나타났다. 7. 수술적 진단으로 자궁외임신이 15례(75%), 난소낭종파열이 4례(20%), 난소임신이 1례이었다. 8. 진단방법중 뇨임신반응검사 양성이 89.5%이었으며, 더글라스와 천자 양성이 시행환자중 1례ㄹㄹ 제외한 94%에서 나타났다. 9. 수술시 육안적인 골반내 염증성 질환이 소견이 4례(20%)에서 발견되었다. 10. 수술방법은 환측 난소 쐐기형절제술이 50%이었고, 난소난관절제술이 나머지 50%이었다. 11. 복강내출혈량은 100 ml에서 2,500 ml까지였으며, 500 ml이하는 35%, 2,000 ml이상은 25%이었고 평균 1,135 ml이었다. 12. 1986년 1월 1일부터 1993년 12월 31일까지 만 8년간 발생한 난소임신 20례중 수술후 사망자는 없었으며, 2례에서 이후 정상임신이 되어 분만을 하였다. Primary ovarian pregnancy is a rare form of ectopic pregnayc and occurs usually with the rupture of the ovary and a massive hemoperitoneum. It is frequently misdiagnosed as a ruptured corpus luteum and the differentiation an be made only by microscopic examination of tissue specimens. This study was undertaken to investigate 20 cases of ovarian pregnancy indentified by retrospective analysis of 14,797 deliveries at Hae Sung General Hospital between 1986 and 1993. The prevalence rate is 1:740 deliveries and comprises of 6.5% of all extrauterine pregnancies. Risk factors include a history of pelvic inflammatory disease, prior pelvic surgery, and use of an intrauterine contraceptive devices. Clinical characteristics are similar to those of tubal pregnancies. The early diagnosis of ovarian pregnancy is important and concervative treatment is of importance too because these patients are usually young, healthy, and fertile.
최근 강원도 지역 군부대내 진드기 종분류 및 SFTS 바이러스 분포도 조사
박창보 ( Park Changbo ),정무영 ( Jung Muyoung ),김정윤 ( Jeongyun Kim ),김창연 ( Kim Chang Yeon ),정승관 ( Seunggwan-jeong ),황경율 ( Kyung-ryul Hwang ),구세훈 ( Sh Gu ) 국군의무사령부 2020 대한군진의학학술지 Vol.51 No.1
Objectives; The purpose of this study was to investigate and characterize the distribution of Severe fever with thrombocytopenia syndrome virus(SFTSV) in ROK military bases. Methods; To investigate the distribution, ticks were collected from 55 military bases within the operational area in Gangwon province. The SFTSV was detected by real time reverse transcription PCR and RT nested PCR. The nucleotide sequences and the phylogenetic tree were used in order to confirm and analyze SFTSV. Results; 5,959 ticks were collected from 55 military bases. 5,771 ticks(adult and nymph ticks) were Haemaphysalis longicornis(96.9%), 174 were Haemaphysalis flava(2.9%), and 9 were Ixodes nipponensis(0.15%). SFTSV was confirmed in eight military bases. Genetic and phylogenetic analyses of these sequences revealed that the tick-derived Korean SFTSV strain clustered into the genotype A and B. Conclusions; This findings suggest to build management system from tick collection and classification to SFTSV detection and preventive measures in preventive medicine unit and veterinary team(Division). Based on the collection of the information, the Army and the Armed Forces Medical Command are need to establish a plan of pest control and prevention of disease.