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        중복기형아 1례

        강재화(JH Kang),오원섭(WS O),진성대(SD Jin),김윤호(YH Kim) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.8

        중복기형아 1례를 보고하는 바이다. A case of double monsters delivered by cesarean section is presented. And a review of literature on double monsters in made briefly.

      • KCI등재

        병합임신 1예

        이주석(JS Lee),홍창수(CS Hong),서우갑(UG Suh),진성대(SD Jin) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.6

        저자들은 우측 난관 임신을 중절후 병합임신으로 진단되어 자궁내 임신이 9개월 후까지 지속한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. A case of combined pregnancy which was relatively rare condition, was presented with brief review of literatures. A 29 years old woman, para 3, whose last menstrual period had occurred 9 weeks ago, was admitted complaining of the low abdominal pain, nausea and vomitting. The right salpingectomy was performed under the diagnosis of ectopic pregnancy. The accumulated blood in the abdominal cavity was about 1,000cc, and the uterus was enlarged, early three months gestation size. The Gravindex showed no agglutination on postoperative 7th day. The histologic findings revealed right tubal pregnancy. The uterus enlarged progressively, so it was slight smaller than man`s fist size on postoperative 2 weeks. The height of fundus was 17cm, and fetal heart sound was detected on right low abdomen with cephalic presentation on 11 weeks after operation. Aboue five hundred cases of combined pregnancy were reported until 1961. It has been estimated that combined pregnancy occurs in every 30,000 gestations. It must coexist in a live state at the same time, resulting from one fertilization or two separate fertilizations within a relatively short period of time. It must be therefore assumed that all combined pregnancy are the result of the fertilization of two ova.

      • KCI등재

        Meperidine 점적주입의 진통완화 효과

        전정일(CI Chun),최명학(MH Choi),문재민(JM Moon),진성대(SD Jin) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.10

        진통완화의 목적으로 초산부와 경산부 각각 20예에서 meperidine을 점적주사하여 다음과 같은 결론을 얻었다. 1) 진통완화를 지속시킬 수 있는 이상적인 평균용량 1.29mg/kg/hr를 산출할 수 있었다. 2) 진통완화 효과는 90%에서 양호 7.5%에서 중등도였으며 2.5%에서 불량으로 나타났다. 3) Meperidine 점적주사는 전체분만소요시간에는 영향을 주지 않았다. 4) 자궁진통기록계상 수축빈도는 다소 감소하는 양상을 보였으나 진폭과 지속시간에는 영향이 없 었고 이상파의 출현도 없었다. 5) 태아의 상태는 양호하였으며 1분 Apgar score는 95%에서 7-10이었고 5분 Apgar score는 전 예에서 7-10이었다. 6) 산후실혈량, 자궁수축 그리고 자궁복귀에는 영향을 주지 않았다. Obstetric analgesia and anesthesia have much been developed since 1847 when Dr. Simpson had first started obstetric anesthesia in his practice. However, there are still many problems to bo solved. Meperidine, one of the well known analgesic has long been used as a single dose of intramuscular or intravenous route with being accompained by some difficulties for controlling dosage. Intravenous infusion of meperidine was used and it was accompained by an excellent analgesic affect with constant level in the blood. Intravenous infusion of meperidine was used to 20 primigravidas and 20 multiparas and it`s results were as follow; 1. The mean dosage of meperidine for maintaining ideal analgesic effect was 1.29 mg/kg/hr. 2. The incidence of good, moderate and poor analgesic effects were 90%, 7.5% and 2.5% respectively. 3. Intravenous infusion of meperidine did not affect the duration of labor. 4. The frequency of uterine contraction seems to be decreased but it did not affect the intensity and duration of uterine contraction. 5. The condition of newborns were excellent and 95% of newborns had an apgar score of 7-10 at one minute and all newborns had 7-10 at 5 minutes. 6. Intravenous infusion of meperidine did not affect uterine contraction, involution and bleeding in postpartum.

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