• 제목/요약/키워드: Pregnancy disease

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임신 중 대량객혈로 발현된 원발성 폐고혈압 1예 (A Case of Primary Pulmonary Hypertension in Pregnancy Presented as Massive Hemoptysis)

  • 김명숙;김형두;김석찬;권순석;김영균;김관형;문화식;송정섭;박성학
    • Tuberculosis and Respiratory Diseases
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    • 제57권1호
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    • pp.66-71
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    • 2004
  • 저자들은 임신중기에 대량객혈로 내원하여 안정, 산소공급, 폐혈관확장제, 치료적 유산 그리고 항응고제 사용 등으로 치료하였으나 결국 우심부전으로 사망한 원발성 폐고혈압 환자 1예를 경험하였다. 본 증례는 폐관류 및 환기스캔, 폐혈관조영술 등의 검사와 사망후 부검은 시행하지 못하였으나 현재까지의 검사결과에 의거 시 임신 중 대량객혈로 발현된 일차성 폐고혈압으로 사료되어, 이에 문헌고찰과 함께 보고하는 바이다.

초음파검사에서 여성 골반내 질환별 발생빈도 조사연구 (A Survey Study on the Frequency of Occurrence of the Female Disease in the Pelvis using Sonography)

  • 한남숙;이만구;임청환;정홍량;조정근
    • 대한방사선기술학회지:방사선기술과학
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    • 제30권3호
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    • pp.219-225
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    • 2007
  • 본 연구는 초음파검사를 이용하여 여성 골반내 질환의 발생빈도를 조사하였으며, 기초자료를 제공하기 위한 목적으로 수행되었다. S시에 있는 산부인과 병원에서 1년간에 골반강 초음파검사를 받은 25세 이상 69세 미만의 전체 여성 수검자 604명을 대상으로 하였다. 여성 골반내 질환은 자궁의 혹, 자궁내막 질환, 난소의 혹 및 경부낭종 등 4개 군으로 구분 조사하였고, 연구한 결과는 다음과 같이 나타났다. 위험요인으로 연령, 체중, 임신 횟수의 세 가지를 설정하였다. 분석 및 결론은 다음과 같다. 1) 연령별 발생빈도는 출산 연령층($25{\sim}35$세)에서 10.8%, 출산이 끝난 후 연령층부터 폐경 전 연령층($35{\sim}54$세)까지에서 38.9%, 폐경 후 연령층($55{\sim}69$세)에서 35.8%로, 출산이 끝난 후 연령층에서 폐경 전 연령층과 폐경 후 연령층에서 출산 연령층보다 발생빈도가 높게 나타났다. 2) 여성 골반내 질환의 발생빈도는 체중과 임신 횟수가 증가함에 따라서 증가하였다.

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영아기 영양과 소아 알레르기질환의 예방 (Dietary Prevention of Allergic Diseases in Children)

  • 고재성
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제11권sup1호
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    • pp.1-6
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    • 2008
  • Previous infant feeding guidelines recommended a delayed introduction of solids to beyond 6 months of age to prevent atopic diseases. However, scientific evidence supporting a delayed introduction of solids for prevention of atopic diseases is scarce and inconsistent. Current evidence does not support a major role for maternal dietary restrictions during pregnancy or lactation in the prevention of atopic disease. In studies of infants at high risk of developing atopic disease, there is evidence that exclusive breastfeeding for at least 4 months compared with feeding intact cow milk protein decreases the incidence of atopic dermatitis, cow milk allergy, and wheezing in early childhood. For infants at high risk of developing atopic disease who are not breastfed exclusively for 4 to 6 months, there is modest evidence that atopic dermatitis may be delayed or prevented by the use of extensively or partially hydrolyzed formulas, compared with cow milk formula, in early childhood. There is no convincing evidence that a delayed introduction of solid foods beyond 4 to 6 months of age prevents the development of atopic disease. For infants after 4 to 6 months of age, there are insufficient data to support a protective effect of any dietary intervention for the development of atopic disease.

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고위험 선천성 심장질환 여성의 부모 전환 경험 : 외롭고 두려운 자기완성 (Experience of High Risk Women Who Have Congenital Heart Disease : Transition to Parenthood)

  • 최경숙;전명희;이흥재
    • 성인간호학회지
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    • 제17권4호
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    • pp.548-560
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    • 2005
  • Purpose: High risk women with congenital heart disease decide to get pregnancy is determined by not individual autonomous intention but complex interaction with their physical status and socio-psychological environments. This study tried to the answer to the question. : "What is experience high risk women who have congenital heart disease during transition to parenthood?". Method: A micro-ethnographic research method and oral historic research approach were done at the Grown-Up Congenital Heart Disease Clinic in one Korean metropolitan city from July 2002 to September 2003. Result: It was discovered that high risk women's experience of transitional parenthood is accounted as the process of lonely and fearful self-accomplishment. Their need for self-accomplishment creates them seek more opportunities to increase enduring abilities for their parenthood. Conclusion: We suggest that from the time of beginning of patient's making decisions about becoming pregnant, collaborative efforts must be considered that priority level of patient's needs be reviewed and find appropriate advices for their situation. Special counseling program should be provided to all the prospective parents with understanding their meaning of parenthood.

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임부의 구강상태에 관한 연구 (A study on Oral condition of Pregnant Woman)

  • 최상열;성백균
    • 대한치과의사협회지
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    • 제11권10호
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    • pp.643-647
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    • 1973
  • The auther has made the oral examination of 523 pregnant women-such as calculus, gingival disease, periodontal disease, and dental caries-who visit the dental department and obstetric department in National Medical Center in Seoul. After the above studies, results of the changes of the pregnant women's oral condition are following. 1. In creasing of calculus deposition due to the changes of saliva components. 2. Increasing of incidence of gingival and periodontal and pathological changes followed by calculus deposition. 3. Incidence of new cavities are not related to the pregnancy, but old cavities have become more progressive in dental caries.

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가미보허탕(加味補虛湯)으로 치료한 산후우울증 1예에 대한 임상보고 (A Clinical Study on the Postpartum Depression Treated by Gami-Boheo-tang)

  • 이진아;반혜란;조성희
    • 대한한의학방제학회지
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    • 제13권1호
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    • pp.223-233
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    • 2005
  • As woman receive many stress during pregnancy and delivery, they happen to contract to psychopathy like a postpartum depression. Postpartum depression is a serious problem if they are not treated early enough the unhappy seriousness can be resulted. A 32-yeared-old female patient with postpartum depression was taken to Dongshin University oriental medical hospital on April, 28, 2003. We diagnosed this patient as postpartum depression, which originated from and efficiency of vital energy and blood. We treated this postpartum depression patient with herb medicine(Cami-Boheo-tang),acupuncture, moxibustion, and psychical therapy. After the oriental medical treatments, the patient was improved in all complains of the postpartum disease. After this, further study and approach will be needed about the disease of the postpartum depression.

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자간전증 원인에 있어서 태반 미토콘드리아의 돌연변이 (Mutation of Placental Mitochondria in the Etiology of Preeclampsia)

  • 김영태;박상희;김선행
    • 한국발생생물학회지:발생과생식
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    • 제3권1호
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    • pp.15-19
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    • 1999
  • 자간전증은 임신중 흔히 발생하는 고혈압성 질환으로 임산부와 태아에 많은 의학적 문제를 유발하지만 발병 원인은 아직 규명되지 않고 있다. 원인 규명을 위한 최근의 연구는 태반 미토콘드리아 돌연변이가 그 원인일 가능성이 높아져 가고 있다. 본 고찰은 현재까지 진행되고 있는 자간전증의 원인으로 태반 미토콘드리아 돌연변이 가설을 뒷받침하는 여러 연구 결과를 살펴보고, 만일 그 가설이 타당하다면 향후 자간전증의 예방, 진단, 치료의 전략을 임상적으로 어떻게 응용할 것인가에 관하여 기술하였다.

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유전성 대사질환의 착상전 유전진단 (Preimplantation Genetic Diagnosis in Inborn Error Metabolic Disorders)

  • 강인수
    • 대한유전성대사질환학회지
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    • 제5권1호
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    • pp.94-107
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    • 2005
  • Prenatal diagnosis (PND) such as amniocentesis or chorionic villi sampling has been widely used in order to prevent the birth of babies with defects especially in families with single gene disorderor chromosomal abnormalities. Preimplantation genetic diagnosis (PGD) has already become an alternative to traditional PND. Indications for PGD have expanded beyond those practices in PND (chromosomal abnormalities, single gene defects), such as late-onset diseases with genetic predisposition, and HLA typing for stem cell transplantation to affected sibling. After in vitro fertilization, the biopsied blastomere from the embryo is analyzed for single gene defect or chromosomal abnormality. The unaffected embryos are selected for transfer to the uterine cavity. Therefore, PGD has an advantage over PND as it can avoid the risk of pregnancy termination. In this review, PGD will be introduced and application of PGD in inborn error metabolic disorder will be discussed.

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Clinical implications of coronavirus disease 2019 in neonates

  • Kim, Do-Hyun
    • Clinical and Experimental Pediatrics
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    • 제64권4호
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    • pp.157-164
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    • 2021
  • Since the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in December 2019, a small number of coronavirus disease 2019 (COVID-19) cases in neonates have been reported worldwide. Neonates currently account for only a minor proportion of the pediatric population affected by COVID-19. Thus, data on the epidemiological and clinical features of COVID-19 in neonates are limited. Approximately 3% of neonates born to mothers with COVID-19 reportedly tested positive for SARS-CoV-2. Current limited data on neonates with COVID-19 suggest that neonatal COVID-19 shows a relatively benign course despite a high requirement for mechanical ventilation. However, neonates with pre-existing medical conditions and preterm infants appear to be at a higher risk of developing severe COVID-19. The greatest perinatal concern of the COVID-19 pandemic is the possibility of vertical transmission, especially transplacental transmission of SARS-CoV-2. Although direct evidence of the vertical transmission of SARS-CoV-2 is lacking, its possibility during late pregnancy cannot be ruled out. This review summarizes available case studies on COVID-19 in neonates and introduces what is currently known about neonatal COVID-19 with focus on its vertical transmission.