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妊娠中毒症患者의 分娩後 子宮內莫搔爬術의 效果에 關하여

Alleviation of Toxemia by Postpartum Curettage

대한산부인과학회지 1961년 4권 3호 p.71 ~ 77
박기복 (  ) - 서울대학교 의과대학 산부인과학교실

Abstract


Out of 35 patients with toxemia of pregnancy, 24 cases were subjected to postpartum uterine curettage in an attempt to alleviate the toxemic symptoms and 11 cases were not curetted following delivery. The results obtained were as follows:
1) The blood pressure in eleven patients with acute toxemia of pregnancy without curettage dropped temporarily following delivery, but that of the majority of these cases : elevated again to the antepartum level and remained hypertensive for over one week.
2) Out of 22 patients with acute toxemia of, pregnancy 18 exhibited prompt returns of the-blood pressure to normotensive levels within eighteen hours and 4 showed´ no significant, blood pressure response by this procedure; A patient of postpartum eclampsia showed the most dramatic response to -the removalrof the decidual tissue.
3) Two patients with chronic hypertensive vascular disease with superimposed acute toxemia returned to the pre-pregnant levels following curettage.
4) Remarkable amelioration of hypertension following postpartum removal of the decidual tissue of the patients with toxemia of pregnancy substantiates a new concept on the etiological factors involving hypertension of this disease, particularly postpartum eclampsia.

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