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Breastfeeding 母乳喂养
Q4 Medicine Pub Date : 2021-11-19 DOI: 10.1007/978-3-030-83434-0_54
Cristiane Alves de Oliveira
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引用次数: 0
Ultrasound in Second and Third Trimester: What Should Be Evaluated? 妊娠中期和晚期的超声:应该评估什么?
Q4 Medicine Pub Date : 2021-11-19 DOI: 10.1007/978-3-030-83434-0_15
Victor Rocha de Castro Alves, Rafaela Cardoso Gil Pimentel, A. Benedeti, F. M. Filho
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引用次数: 0
Doppler Velocimetry 多普勒测速技术
Q4 Medicine Pub Date : 2021-11-19 DOI: 10.1007/978-3-030-83434-0_16
Cristos Pritsivelis, Jair Roberto da Silva Braga, Jorge de Rezende-Filho
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引用次数: 0
Cesarean Delivery 剖腹产
Q4 Medicine Pub Date : 2021-11-19 DOI: 10.1007/978-3-030-83434-0_50
R. M. de Morais Filho, Roberto Magliano de Morais
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引用次数: 0
Congenital Cutaneous Candidiasis in a Healthy Term Baby: A Case of Report 健康足月婴儿先天性皮肤念珠菌病一例报告
Q4 Medicine Pub Date : 2021-09-01 DOI: 10.14734/pn.2021.32.3.137
B. Seo, Tae Woong Um, Hae Sun Park, Ran Lee, Hye Won Park
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引用次数: 0
Comparison of Respiratory Outcome between the Surfactant without Endotracheal Tube Intubation and the Intubation-Surfactant-Extubation Techniques in Extremely Low Gestational Age Neonates with Respiratory Distress Syndrome 极低胎龄呼吸窘迫综合征新生儿无气管插管表面活性剂与插管-表面活性剂-拔管技术呼吸结局的比较
Q4 Medicine Pub Date : 2021-09-01 DOI: 10.14734/pn.2021.32.3.125
Teahyen Cha, Ji-Hak Jeong, B. Lee, E. Kim, Ki-Soo Kim, Euiseok Jung
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引用次数: 0
Coronavirus Disease 2019 Vaccines and Pregnancy: Present and Future 2019冠状病毒病疫苗和怀孕:现在和未来
Q4 Medicine Pub Date : 2021-09-01 DOI: 10.14734/pn.2021.32.3.111
Jaeyoung Pae, H. Ko
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引用次数: 0
Conservative Management of Retained Placenta Accreta Postpartum 产后残留胎盘的保守处理
Q4 Medicine Pub Date : 2021-06-01 DOI: 10.14734/pn.2021.32.2.75
E. Joo, Ji-Eun Ko, Hee lim Lee, Hyeon-Chul Kim, Young Ran Kim
Retained placenta accreta is difficult to diagnose in the series of processes involved in parturition. It is usually discovered after delivery, when massive and uncontrollable postpartum hemorrhage occurs. A histological examination of residual placental tissue is the gold standard for the diagnosis of retained placenta accreta and indicates the degree of placental invasion into the myometrium. If the placenta is forcefully removed, maternal morbidity and mortality is high. Therefore, the management is essential when the placenta cannot be delivered spontaneously or manually. We present a case of a 35-year-old woman (G4P2A1L2) who had a high risk of placenta accreta due to past history of placenta accreta and previous myomectomy. After successful delivery, the placenta was not delivered as expected. Consequently, she experienced massive post-partum hemorrhage of 1,500 mL for up to 2 days post-partum, necessary of an extensive blood transfusion. Following spontaneous vaginal delivery and a failed attempt to manually remove the placenta, a uterine artery embolization was performed, and the patient improved over a few weeks. Thus, this case was successfully managed with conservative treatment, avoiding hysterectomy or other additional surgical treatments. No secondary postpartum complications were observed, and the menstrual cycle returned to normal within 6 months.
在分娩的一系列过程中,附着性胎盘是难以诊断的。它通常是在分娩后发现的,当大量和无法控制的产后出血发生时。残留胎盘组织的组织学检查是诊断残留胎盘增生的金标准,并表明胎盘侵入子宫肌层的程度。如果强行摘除胎盘,产妇的发病率和死亡率都很高。因此,当胎盘不能自然或人工分娩时,处理是必不可少的。我们报告了一位35岁的女性(G4P2A1L2),由于既往的胎盘增生史和既往的子宫肌瘤切除术,她有高风险的胎盘增生。成功分娩后,胎盘没有按预期娩出。因此,她经历了大量的产后出血1500毫升,产后2天,需要大量输血。在自然阴道分娩和人工移除胎盘失败后,进行了子宫动脉栓塞术,患者在几周内有所改善。因此,该病例成功地进行了保守治疗,避免了子宫切除术或其他额外的手术治疗。无产后继发并发症,6个月内月经周期恢复正常。
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引用次数: 0
Prenatal Diagnosis of Ventricular Tachycardia Initiated from Bradycardia 由心动过缓引起的室性心动过速的产前诊断
Q4 Medicine Pub Date : 2021-06-01 DOI: 10.14734/pn.2021.32.2.95
R. Kim, Mi-Young Lee, L. Song, Seung A Choi, Jinha Chung, H. Won, P. Lee, E. Kim, J. Baek
Fetal ventricular tachycardia (VT) is an extremely rare condition. Because sustained VT is highly associated with perinatal morbidity and mortality, prenatal management with antiarrhythmic drugs is crucial. A 33-year-old woman was referred to our hospital for fetal bradycardia at 25.2 weeks of gestation. Initial echocardiography showed bradycardia with irregular atrial beats, which was suspected as blocked atrial bigeminy. Four weeks later, the fetal tachycardia was accompanied by no atrioventricular conduction. Therefore, VT was diagnosed. The fetus developed hydrops. Despite the use of antiarrhythmic drug, the neonate died a few hours after birth because of persistent VT. Only few cases of fetal VT have been reported worldwide, and no case has been reported in Korea. Here, we report a case of fetal VT and discuss the prenatal management using antiarrhythmic drugs, reviewing previous reports.
胎儿室性心动过速(VT)是一种极为罕见的疾病。由于持续的VT与围产期发病率和死亡率高度相关,因此产前抗心律失常药物管理至关重要。一名33岁妇女在妊娠25.2周时因胎儿心动过缓转诊至我院。初步超声心动图显示心动过缓伴不规则心房搏动,怀疑为房源性阻塞。四周后,胎儿心动过速并无房室传导。因此诊断为VT。胎儿出现了水肿。尽管使用了抗心律失常药物,但由于持续的VT,新生儿在出生几小时后死亡。世界范围内报道的胎儿VT病例很少,韩国也没有报道。在此,我们报告一例胎儿VT,并讨论使用抗心律失常药物的产前管理,回顾以往的报道。
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引用次数: 0
Outbreak of Neonatal Staphylococcal Scalded Skin Syndrome in a Maternal Unit 新生儿葡萄球菌烫伤皮肤综合征暴发在产妇单位
Q4 Medicine Pub Date : 2021-06-01 DOI: 10.14734/pn.2021.32.2.61
Y. Jeon, Yunha Hwang, Yejin Park, C. Kim, R. Lim
Objective: Staphylococcal scalded skin syndrome (SSSS) is a relatively rare superficial blistering skin disease caused by exfoliating toxins produced by Staphylococcus aureus. We experienced a 3-month outbreak of neonatal SSSS in a maternal unit.Methods: The medical records of newborns who were diagnosed with SSSS were retrospectively reviewed.Results: Eleven newborns with SSSS were transferred to our hospital between January and March 2019. The median age of the newborns was 18.0 (11.0-22.5) days. Of the 11 newborns, 2 (18%) showed the generalized type of SSSS, 4 (36%) the intermediate type, and 5 (45%) the abortive type. S. aureus was isolated in 10 of the newborns and found to be methicillin-resistant in 9 cases. All the newborns were treated with intravenous cefazolin, and two newborns with the generalized type were also treated with clindamycin. The median duration of antibiotic use is 8 (6-14) days. All the newborns responded well to antibiotics and were discharged without complications.Conclusion: We recently experienced an outbreak of neonatal SSSS. To manage problems associated with such an outbreak, periodic monitoring is required, along with guidelines for infection control, such as thorough infection education, isolation of infected newborns, and antiseptic handwashing.
目的:葡萄球菌性烫伤皮肤综合征(SSSS)是由金黄色葡萄球菌产生的去角质毒素引起的一种较为罕见的浅表疱性皮肤病。我们在一个产妇病房经历了3个月新生儿SSSS的爆发。方法:对诊断为SSSS的新生儿病历进行回顾性分析。结果:2019年1月至3月,11例SSSS新生儿转至我院。新生儿的中位年龄为18.0(11.0-22.5)天。11例新生儿中,2例(18%)为广义型,4例(36%)为中间型,5例(45%)为流产型。10例新生儿分离出金黄色葡萄球菌,9例对甲氧西林耐药。所有新生儿均静脉滴注头孢唑林,2例广泛性新生儿同时滴注克林霉素。抗生素使用的中位持续时间为8(6-14)天。所有新生儿对抗生素反应良好,出院时无并发症。结论:我们最近经历了新生儿SSSS的爆发。为管理与此类暴发有关的问题,需要进行定期监测,并制定感染控制指南,例如全面的感染教育、隔离受感染的新生儿和消毒洗手。
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引用次数: 0
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Perinatology
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