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分娩 및 流産에 合倂된 敗血症에 對한 臨床的 觀察

Clinical Study of Sepsia Complicated by Deliveries and Abertions

대한산부인과학회지 1968년 11권 3호 p.9 ~ 17
崔永達 (  ) - 慶北大學校 醫科大學 産婦人科學敎室

權秉日 (  ) - 慶北大學校 醫科大學 産婦人科學敎室

Abstract


In recent literature, several authors reported increased tendency of sepsis complicated by various types of abortion and delivery.
In spite of well-developed antibiotics, the main problems are increased incidence of antibiotic -resistant bacteria and gram-negative bacilli infection.
In addition, there are many illegal `abortions and home deliveries, which are very suspeptible to bacterial infection.
The author reviewed the clinical symptoms and laboratory findings of 36 septic patients compli.ccated by, abortions and deliveries, which .were. admitted to, Dept., of Obst. & Gynec. in Kyungpook National University Hospital during3 last 3 years.
Analysis-of sepsis showed as follows;
1. In all admitted cases, the incidenceof septic patients was 2.8%.
2. The septic. patients were 2% of all admitted cases in 1964, whereas the incidence was 4% in 1966. 3: Preceding causes of sepsis were delivery,(30. 5%) and Abortion (69.4%)
4. On the view point of management, 23 cases were helpedby doctors, 1 case by midwife and the remaining 12 cases by layman.
5. Frequent symptoms were high fever, tachycardia, chillness, and bloody leucorrhea.
6.- Subjective symptoms developed` within 10days in all cases arid frequently developed within 5days.
7. In all blood culture-20 cases.reveaIed bacterial growth. In vaginal discharge´ culture of 16-cases,bacterial growth was noted in 9 cases.
8. Frequent complications were anemia, septic pneumonia and shock.
9. In prognosis of treatment, the mortality was 14 cases. (38..8%).

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