• 제목/요약/키워드: pregnant patient

검색결과 136건 처리시간 0.023초

IVF로 세쌍둥이를 임신한 여성의 임신오조 치험1례 (A Case Report of a Triplets Pregnant patient by in Vitro Fertilization with Hyperemesis Gravidarum)

  • 김정아;김동철
    • 대한한방부인과학회지
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    • 제28권4호
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    • pp.118-125
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    • 2015
  • Objectives : The purpose of this study is to report the effects of herbal medicine and acupuncture on a triplets pregnant patient with hyperemesis gravidarum. Methods : A patient who was pregnant with triplets by in vitro fertilization (IVF) with hyperemesis gravidarum received treatment as an inpatient by herbal medicne and acupuncture. We evaluated the results of treatment by change of symptoms and visual analogue scale (VAS) about nausea. Results : After treatment, almost symptoms of hyperemesis gravidarum were improved. Vomiting and VAS of nausea were reduced and intaking was increased as treatment. Conclusions : This study suggests that Korean medicine mainly herbal medicine and acupuncture is effective on a triplets pregnant patient by IVF with hyperemesis gravidarum.

Ruptured uterus in a 36-week pregnant patient with hemorrhagic shock after blunt trauma in Korea: a case report

  • Sebeom Jeon;Suyoung Park;Soohyun Oh;Jayun Cho
    • Journal of Trauma and Injury
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    • 제36권3호
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    • pp.281-285
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    • 2023
  • Traumatic uterine rupture is uncommon but can be fatal and life-threatening for both the mother and infant. In addition to complications caused by trauma itself, such as pelvic fracture, gestational complications such as placental abruption, abortion, premature labor, rupture of membranes, maternal death, and stillbirth can occur. In particular, fetuses have been reported to have a high mortality rate in cases of traumatic uterine rupture. A 35-year-old pregnant female patient fell from the fourth floor and was admitted to our trauma center. We observed large hemoperitoneum, pelvic fractures, and spleen laceration, and the fetus was presumed to be located outside the uterus. The pregnant woman was hemodynamically unstable. Although the fetus was stillborn, angioembolization and surgical treatment were properly performed through collaboration with an interventional radiologist, obstetrician, and trauma surgeons. After two orthopedic operations, the patient was discharged after 34 days. This case report suggests the importance of a multidisciplinary approach in the treatment of pregnant trauma patients.

체외수정 전부터 출산까지 한약을 병용한 난임 1례 (The One Case of Infertle Women Taking Herbal Medicine before In Vitro Fertilization to Birth)

  • 장세란;박영선;김동철
    • 대한한방부인과학회지
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    • 제24권4호
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    • pp.194-204
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    • 2011
  • Purpose: Many infertile women are receiving in vitro fertilization-embryo transfer (IVF-ET). But side effects occur after IVF-ET and pregnancy rate is still low. So this study is to report the effect of herbal medicine on a woman receiving IVF-ET and herbal medicine's low risk on a pregnant woman. Methods: The patient was underwent artificial insemination five times and IVF-ET three times. In this study, the patient steadily took a herbal medicine before IVF-ET to birth. Results: The side effects of IVF-ET and the miscarriage symptoms ware decreased. And by taking a herbal medicine during IVF-ET, the patient was pregnant and gave birth when she was 33 weeks pregnant by cesarian section. Conclusions: This case study shows that herbal medicine is effective for reducing side effects of IVF-ET and increasing pregnancy rate. And in this case the patient gave birth to healthy babies, althogh steadily taking herbal medicine during pregnancy.

Acute Type II Aortic Dissection with Severe Aortic Regurgitation and Chronic Descending Aortic Dissection in Pregnant Patient with Marfan Syndrome

  • Lee, Seok-Soo;Jung, Tae-Eun;Lee, Dong Hyup
    • Journal of Chest Surgery
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    • 제45권6호
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    • pp.404-407
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    • 2012
  • Aortic dilatation and dissection are severe complications during pregnancy that can be fatal to both the mother and the fetus. The risks of these complications are especially high in pregnant patients with Marfan syndrome; however, incidents of descending aortic dissection are very rare. This case report involves a successful Bentall procedure for and recovery from a rare aortic dissection in a pregnant Marfan patient who developed acute type II aortic dissection with severe aortic regurgitation and chronic descending aortic dissection immediately after Cesarean section. Regular follow-up will be needed to monitor the descending aortic dissection.

스마트폰을 이용한 헬스케어 스케쥴링 애플리케이션 (Healthcare Application Modeling Using Smartphone)

  • 이승호;임명재;이기영
    • 한국인터넷방송통신학회논문지
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    • 제10권4호
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    • pp.35-40
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    • 2010
  • 최근 의료 분야는 환자 데이터를 무선으로 전달하는 모바일 헬스케어 시스템을 사용한다. 그러나 현재 환자에게 지원하는 메시지는 특정 환자를 만족시키기는 어렵고, 당뇨환자이나 임신부와 같은 정기적인 환자 관리를 도와주는 헬스케어 시스템이 부족하다. 따라서 본 논문에서는 WPAN의 네트워킹 및 데이터 전송방식과 응용 프레임워크를 적용하여, 특히 임신부를 대상으로 임신확인부터 주기별 건강관리, 태아움직임, 태교 및 건강상식 등을 관리하는 스마트폰을 이용한 헬스케어 스케줄링 애플리케이션을 제안하였다.

급성 호흡부전 임산부에서의 폐병변 (Unusual Roentgenographic Presentation of Lung Cancer in a Pregnant Woman with Acute Respiratory Failure)

  • 박태병;황성철;이이형;박경주;주희재
    • Tuberculosis and Respiratory Diseases
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    • 제42권6호
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    • pp.951-954
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    • 1995
  • Diagnostic procedures in pregnant wowen is limited and is usually delayed, especially so if she is on mechanical ventilation. A 28-year-old pregnant woman with severe dyspnea was referred to our hospital under the impression of miliary tuberculosis. The respiratory failure was so severe that patient had to be managed with mechanical ventilator under clinical impression of overwhelming pneumonia or pulmonary tuberculosis. But the patient's conditions deteriorated. Bronchoscopy and blind transbronchial lung biopsy performed to determine the nature of the etiology, and to our surprise, revealed squamous cell carcinoma of the lung.

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임신중독증 임신부의 임신 연장에 대한 임상보고 1례 (A Clinical Study about Prolonging Pregnancy in Patient with Pre-eclampsia)

  • 김보균;박상연;정대성;한원주
    • 대한의료기공학회지
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    • 제13권1호
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    • pp.36-45
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    • 2013
  • Objective : We studied whether Antaeeum and Saahm Spleen-tonifying acupuncture had effects of prolonging pregnancy in pregnant women with pre-eclampsia. Methods : We have administered Antaeeum and applied Saahm Spleen-tonifying acupuncture for 8 weeks and the patient stopped taking steroids she had taken before. Furthermore, we observed edema, fatigue, albuminuria and hypertension. Results : In consequence of administering Antaeeum and applying Saahm Spleen-tonifying acupuncture for 8 weeks, edema and fatigue were improved and albuminuria and hypertension were not changed significantly. However pregnancy was prolonged from 28 weeks to 36 weeks and the patient could give birth successfully. Conclusions : In conclusion, Antaeeum and Saahm Spleen-tonifying acupuncture have effects of prolonging pregnancy in patients with pre-eclampsia.

체외수정에 반복적으로 실패한 자궁선근증을 동반한 난임환자 치험 1례 (A Clinical Report of an Infertile Patient with Adenomyosis Who Failed Repeatedly In Vitro Fertilization)

  • 정명주
    • 대한한방부인과학회지
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    • 제30권4호
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    • pp.203-212
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    • 2017
  • Objectives: To report the efficacy of traditional Korean medicine to an infertile patient who repeatedly failed in vitro fertilization. Methods: The patient was diagnosed with adenomyosis and failed in vitro fertilization 9 times. Her dysmenorrhea and physical symptoms were improved through traditional Korean medicine and she was pregnant with the 10th attempt of in vitro fertilization. She had bleeding during pregnancy due to adenomyosis and took herbal medicines to maintain stable condition. Results: During the treatment period, the uterine thickness due to adenomyosis was reduced and her dysmenorrhea was improved. She was pregnant by in vitro fertilization and gave birth to a healthy child by Caesarean section. Conclusions: This case report shows that traditional Korean medical treatments work to improve the success rate of in vitro fertilization.

자궁강내 인공수정에 의한 임신율 (Pregnancy Rate by Intrauterine Insemination (IUI) with Controlled Ovarian Hyperstimulation (COH))

  • 홍정의;이지삼
    • Clinical and Experimental Reproductive Medicine
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    • 제25권2호
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    • pp.217-231
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    • 1998
  • The effectiveness of intrauterine insemination (IUI) combined with controlled ovanan hyperstimulation (COH) in the treatment of infertility with various etiologies was compared in a total of 152 cycles. Patients received a maximum of three IUI cycles for the treatment. Severe male ($<2\times10^6$ motile sperm) or age factor (> 39 y) patients were excluded in this study. Pregnancy was classified as clinical if a gestational sac was seen on ultrasound. The overall clinical pregnancy rate was 7.9% per cycle (12/152) and 9.7% per patient (12/124). The pregnancy rates were 0% in unstimulated natural (0/18), 7.5% in CC (3/40), 8.2% in CC+hMG (4/49), 5.9% in GnRH-a ultrashort (1/17), 5.9% in GnRH-a long (1/17) and 27.3% in dual suppression cycles (3/11), respectively. The pregnancy rate was higher in dual suppression cycle than other stimulated cycles, but this was not significant. The multiple pregnancy rates were 25.0% (2 twins and 1 triplet). No patient developed ovarian hyperstimulation. Abortion rates were 66.7% in CC (2/3) and 100% in ultrashort cycles (1/1). The livebirth rate was 5.9% per cycle (9/152) and 7.3% per patient (9/124). There were no differences in age, duration of infertility, follicle size, total ampules of gonadotropins and days of stimulation between pregnant and non-pregnant groups. However, significant(P<0.05) differences were observed in the level of estradiol $(E_2)$ on the day of hCG injection ($3,266.6{\pm}214.2$ vs $2,202.7{\pm}139.4$ pg/ml) and total motile sperm count ($212.1{\pm}63.4$ vs $105.1{\pm}9.9\times10^6$) between pregnant group and non-pregnant group. These results suggest that IUI combined with successful ovarian stimulation tends to improve the chance of pregnancy as compared to IUI without COH and a total motile sperm count may be considered predictive of the success for pregnancy.

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