융모종양에 관하여 ( 예보 )

황태식(TS Hwang),노경병(KB No),김두호(DH Kim) 대한산부인과학회 1962 Obstetrics & Gynecology Science Vol.5 No.2

This article is a preliminary report of the Yonsei University College of Medicine, from June 1, 1959 to July 30. 1961. A total of 20 cases were seen with the following distribution; Hydatiform mole 12, chorioadenoma destruent 1, choriocarcinoma 7. The following features were noted among the patients with hydatiform mole. One case was under age 25 and one case over 40 with all rest between the ages of 25-30. In the majority of patients tehre was a lapse of three months from the L>M>P> till the mole was passed but the shortest was 25 days and the longest was 155 days. 75% of the patients had a fever and at least 50% had a chilly sensation. Half the cases when first seen had uterine enlargement greater than expected by dates while 33% were consistent with their dates and the rest weresmaller than their dates. Toxemia was seen in 33% of the patients. One third of the patients who were less than 4 months pregnant or whose uterus was below the umbilicus had toxemia. Of the tow cases who were more than 4 months pregnant or whose uterus was enlarged above the umbilicus, one of them developed texemia. 25% of the patients devloped theca leutein cysts. The patients were managed by either pitocin induction or stimulation followed by a D&C. In one patient over 40 a hysterectomy was carried out after passage of the mole. the remaining paticnts were followed according to the chart seen in fig. 9 of the main article. The patients with choriocarcinoma ranged in age from 23 to 52 with three patients over 48 years old. The vast majority were multiparas. Four of the patients had a previous history of passing a mole and in the others there had been a normal delivery. None of the patients had had an abortion. Among the patients who passed a mole the diagnosis of carcinoma was made in one patient within 25 days and in the remainder before 10 months. Among the three patients who had had a normal pregnancy there was a time interval of 3 years in one case and 9 years in two cases. Theca lutein cysts were found in 3 cases. The Friedman test was positive in 100%. Metastatic lesions were found in the inngs in 57%, the vagina in 57% and in the broad ligament in 14%. A total abdominal hysterectomy and bilateral salpingoophorectomy was done in 4 patients. A combination of external rediotherapy and chemotherapy was tried in one case and no therapy was given in 2 cases. At present 2 patients have died, 3 are alive and well, and 2 have been lost to follow up.

조기파막 ( S.P.R.M. )

황태식(TS Hwang),문영기(YK Moon),이동희(DH Lee) 대한산부인과학회 1963 Obstetrics & Gynecology Science Vol.6 No.5

Because of the importance of the subject of "Spontaneons premature rupture of membrane and the controversy about it`s frequency in total deliveries, dry labor and infection, a clinical study of spontaneous premature rupture of amembrane has been carried out. 198 cases of "Spontaneous premature rupture of membrane" was seen at Yonsei University Hospital between February, 1959 and July 1962. In these clinical observations, the author`s attention was especially directed to the incidence, lengths of labor, delivery method, and the effect on the mother and fetus. The result obtained are as follows. 1) Incidence in total delivering mature babies the rate among primipara(15.%) was relatively higher than multipara (10.8%). 2) Among those delivering mature babies the rate among primipara and multipara was 14.4% and 8.4% respectively. The higher incidence of "Spontaneous premature rupture of membrane" among term primipara may be related to an associated higher incidence of breech presentation in this group. 3) Among the mature group there was 2 hours reduction in the total lengths of labor compared with the control group. This reduction was noted mainly in the lst stage. 4) 80% of the total group began spontaneous labor within 48 hours of rupture of membranes. 5) There was no differenec between "Spontaneous premature rupture of membrane" and control group with reference to the mothod of delivery 6) Majority of perinatal death in "Spontaneous premature rupture of membrane" occured among the premature cases. 7) No effect of prophylactic antibiotics therapy was noted. 8) The routin method of management of "Spontaneous premature rupture of membrane" patients as practiced in Severance Hospital, is briefly summerized. .... SPRM...., PROM...

다양한 응용에 사용 가능한 확장성 있는 딥러닝을 활용한 이미지 검색 시스템 설계

신광수(Kwangsoo Shin),정민수(Minsoo Jeong),사공락(Rock Sakong),낭종호(Jongho Nang) 한국정보과학회 2018 한국정보과학회 학술발표논문집 Vol.2018 No.12

IVAC Pump에 의한 미량의 Pitocim 주입시 Fetal Monitoring에서 조기 발견된 Hyperstimulation의 증례

정기성(KS Chung),이진구(JK Lee),황태식(TS Hwang) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.2

결론 Pictocin을 사용하여 진통을 유발시키는 것은 physiologic labor를 만들어 내야되는 것인데 pitocin의 physiologie dore내에서도 hypesfimulation을 시켜서 Fetus에 Stress를 줄 수 있다. 그러므로 pitocin으로 진통을 도울때 Fetal monitoring 및 Infusion pump를 사용하면 미량에서부터 정확히 pitocin을 주입시킬 수 있고, 태아에 영향을 주는 Abnormal Contraction을 조기에 발견할 수 있어 가장 효과적인 결과 즉 안전한 산과적 조치를 할 수 있는 것이다. We experienced 4 cases of tetanic contraetion detected by electionic fetal heart rate mornitoring, including ona cases of pitocin augumentation using I.V.A.C. pump conbined with external electronic fetal heart rate monitoring.

자궁내구 기능부전증

문영기(YK Moon),노경병(KB No),황태식(TS Hwang) 대한산부인과학회 1962 Obstetrics & Gynecology Science Vol.5 No.1

Because of the rarity of reports on the subject of the "Internal os of the cervix" in Korea and the controversy about it`s management, six patients with incompetent internal os have been reported. These were seen at Yonsei University Hospital between February, 1956 and September, 1961. A modified Shirodkar operation was performed on 2 cases during the second trimester of pregnancy and resulted in a viable term fetus for both. A Lash operation was carried out on 1 case during the non pregnant siate. In the remaining cases, the patients delivered before it was possible to perform surgical correction. After reviewing the literrature on this subject, and in accord with the cases reported, the tentative policy for the management of this condition in our department has been presented. This plan is basically that those cases which are found during the non pregnancy are to be corrected by a Shirodkar operation and those who are diagnosed during the non pregnant state are to be corrected by either a Lash operation or a Shirodkar operation during next pregnancy depending upon desirability of children, age, and possibility of cooperation of the patients. A significant history of previous criminal adortion was found in those patients and probably represents on etiological factor.

Intrapartum Electronic Fetal Heart Rate Monitoring의 임상경험

이춘화(CH Lee),정기성(KS Chung),신수재(SJ Shin),조성욱(SH Cho),안덕호(DH Ahn),황태식(TS Hwang) 대한산부인과학회 1983 Obstetrics & Gynecology Science Vol.26 No.10

1981년 3월 16일부터 1982년 7월 31일까지 악 1년 5개월간 Electronic F.H.R. monitoring을 시행한 265예에 대한 임상적 관찰을 하여 얻은 주요한 것은 다음과 같다. 1. 265예중 고위험임신군이 157예 (59.25%), 정상임신군 108예 (40.75%) 였으며 고위험임신군은 10종류로 분류 되었는데 주요한 것은 임신성 고혈압, 과숙아 조기파막이였다. 2. Electronic F.H.R. monitoring의 abnormal record는 정상임신군에 17예(17:108 15.74%) 고위험임신 군에서 44예 (44:157=28.0%)로서 총 61예(61:265=23.0%) 였다. 3. 고위험임신군에서 Electronic F.H.R. monitoring의 abnormal record 44예증 late deceleration 13예, Variable deceleration 8예, prloonged deceleration 14예, otbers 9예 였다. 4. Abnormal F.H.R. monitoring이 나타난 61예를 Apgar score를 토대로 하여 분석 하였다. 5. pitocin induction 및 Augmentation을 한 96예와 자연진통군 l69예중 Hypertonic Uterine Contraction으로 인한 prolonged deceleration이 각각 7예(7:96=7.30%)와 4예(4:169=2.37%) 가 발생하였다. 상술한 예는 F.H.R. monitoring중 조기 발견되어 치료됨으로서 fetal distress을 예방할 수 있었다. 6. Electronic fetal heart rate monitoring 시행한 265예중 제왕절개를한 환자는 62예로서 23%의 빈도를 나타냈으며 그중 fatal distress로 제왕절개를한 환자는 23예로서 8.67%였다 7. 대부분의 예에서는 external fetal heart rate monitoring이 임상적으로 이용가치가 있음을 인정하였다. 그려나 앞으로는 internal 과 fetal scalp blood의 P.K 검사를 적극적으로 시행하여 더욱더 정확성을 기하도록 할 것이다. The continuous intrapartum electronic fetal heart rate monitoring has been performed as the primary means of fetal assessment for the improvement of neonata1 outcome. This retrospective study was composed of 265 patients intrapartum fetal heart rate monitorings, who were admitted for delivery at obstetrics and gynecologic department of Korea general hospital in Masan from 16th of march, 1981. to thirty first of july, 1982. The results were as follow; 1. This study was performed on 265 patients who were composed of 157 patients (59.25%) in high risk pregnancy and 108 patients (40.75%) in control group. High risk pregnancies were subdivided into 10 varieties, and 3 major varieties were pregnancy induced hypertension, post-term and premature rupture of membrane. 2. Abnormal records of F.H.R. monitoring were 61 cases (61 : 265=23.0%) which were composed of 17 cases (17 : 108=15.74%) in control group and 44cases (44 : 157 =28.0%) in high risk pregnancy. 3. 13 cases of late deceleration, 8 cases of variable deceleration, 14 cases of prolonged deceleration and 9 cases of others were seen in high risk pregnancy group. 4. 61 cases of abnormal fetal heart rate records were analysed according to Apgar score, birth weight, coiling of cord and type of delivery 5. Proloned decelerations caused by hypertonic uterine contraction were seen 7 cases (7.3%) out of 96 cases of pitocin induction or augumentation and 4 cases (2.37%) out of l69 cases of spontaneous labor. Those cases of hypertonic uterine contraction were detected early by using electronic fetal heart rate monitoring. 6. C/S rate was 23%, i.e. 62 cases in 265 cases of intrapatum electronic fetal heart rate monitoring were performed continuously, however 8.67%, i.e. 23 cases of C/S were performed because of fetal distress. 7. The external electronic fetal heart rate monitoring is proved to be valuable, however internal monitoring and fetal scalp blood P.H. will be carried out effectively to get further precise study.

태반조직 배양에서 β₂-Adrenergic Agonist가 Progesterone 분비에 미치는 영향

황태식,안재영,김성도,이숙환,김종민,양성우,엄수하 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.7

조기진통 억제제로 쓰이는 β₂-adrenergic agonist인 terbutaline이 progesterone 분비에 미치는 영향을 보기 위하여 임신 38주 이후에 분만된 태반을 조직배양하여 다음과 같은 결과를 얻었다. 1. 태반조직 배양에서 β₂-adrenergic agonist 는 progesterone 분비를 증가 시켰다. 2. 2-adrenergic agonist 의 농도가 높을수록 doserelate 하게 progesterone의 분비도 증가했다. 이상과 같으 β₂-adrenergic agonist는 태반에서 분비되는 progesterone 양을 증가시켜 자궁평활근에서 흥분한계치(excitation threshold)를 감소시키고 gap junction의 형성도 억제시켜 자극의 감소와 함께 자극이 전파되는 것을 막을 수 있는 효과를 기대할 수 있다. Using a placental monolayer preparation, we have examined the effects of β₂-adrenergic agonist on progesterone production. The results were as follows; 1. In human placenta, β₂-adrenergic agonists may enhance progesterone production. 2. The response to β₂-adrenergic agonist was dose relate; Increased placental progesterone production may decreased the excitation threshold in uterine smooth muscle and may inhibit the propagation of stimuli with the restriction of stimuli by blocking the gap juction formation.