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A Case of Pregnancy Complicated with Korean Hemorrhagic Fever

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±èÁ¾È£/Chong Ho Kim
¶ó¸íÀç/¹®¿µÁø/ȲÁ¤Çý/±è½Â·æ/ȲÀ±¿µ/Myung Jae Ra/Young Jin Moon/Jeong Hyae Hwang/Seung Ryong Kim/Youn Yeoung Hwang

Abstract

¼­ ·Ð
Çѱ¹Çü ÃâÇ÷¿­ÀÌ ÀӽŰú ÇÕº´ÇÏ¿© ¹ß»ýÇÑ º¸°í´Â ±¹³»¿¡¼± 1978³â ±è¿øµ¿ µî¿¡ ÀÇÇØ ÀÓ½Å
¾à 7°³¿ùµÈ »ê¸ð°¡ Çѱ¹Çü ÃâÇ÷¿­¿¡ ÀÌȯµÈ ÈÄ ¹ß»ýÇÑ Å¾ƻç¸Á ¹× ÅÂ¾Æ ºÎ°Ë ¼Ò°ßÀ» º¸°í
ÇÑ °Í°ú 1992³â Àü¼±Èñ µî¿¡ ÀÇÇØ Çѱ¹Çü ÃâÇ÷¿­ÀÌ ÀӽŰú µ¿¹ÝµÈ 2·Ê¸¦ º¸°íÇÑ °Í ¿Ü¿¡´Â
¸Å¿ì µå¹® °æ¿ìÀÌ´Ù. ±¹¿Ü¿¡¼­µµ 1994³â Gilson µî¿¡ ÀÇÇØ ÀӽŰú µ¿¹ÝµÈ Hantavirus
putmonary syndrome 2·Ê°¡ º¸°íµÈ ¹Ù ÀÖ´Ù.
Çѱ¹Çü ÃâÇ÷¿­Àº ¹ÙÀÌ·¯½º¿¡ ÀÇÇØ Àü½ÅÀÇ ¸ð¼¼Ç÷°ü ¹× ¼¼µ¿¸ÆÀÌ Ä§¹üµÊÀ¸·Î½á °í¿­, ÃâÇ÷
¼º °æÇâ, ½ÅºÎÀü µîÀÇ Æ¯Â¡ÀûÀÎ ÀÓ»ó Áõ»óÀ» µ¿¹ÝÇÏ´Â ±Þ¼º °¨¿°¼º ÁúȯÀ¸·Î »ç¶÷¿¡¼­ »ç¶÷
À¸·ÎÀÇ ÀüÆÄ(person-to-person transmission)ÀÇ Áõ°Å´Â ¾øÀ¸¸ç(Centers for Discase Control
and Prevention, 1993), ¿øÀÎÀº ¾ß»ê ¹× ½ÀÁö, ´ËÁö´ë µî¿¡¼­ ¼­½ÄÇÏ´Â ¾ß»ýÇü µîÁÙÁã
(Apodemus agarius coreae)¸¦ ¸Åü·Î ÇÏ´Â Hantaan virus·Î ¾Ë·ÁÁ® ÀÖ´Ù(°íâ¼ø µî, 1972,
¹ÚÁ¤È£ & À̴뿬, 1972 ; Lee HW et al., 1972 ; ÃÖ¿øÃæ µî, 1987).
Çѱ¹Çü ÃâÇ÷¿­ÀÇ ¼ºº° ¹ß»ýºñÀ²ÀÇ ¿¬µµº° º¯ÃµÀ» º¸¸é, 1966¡­1971³âÀÇ ³²³à ¹ß»ýºñÀ²ÀÌ
3.9¡­4.7 1À̾ú´ø °ÍÀÌ 1973³â ÀÌÈÄ 2.3¡­3.1 : 1·Î½á Á¡Â÷ ¿©¼º¿¡¼­ ȯÀÚÀÇ ¹ß»ýÁõ°¡°¡ º¸°í
µÇ¾ú´Ù(Àü¼±Èñ µî, 1992 ; ±è°æÈ£, 1976 ; ±è°æÈ£ µî, 1974 ; ±è°æÈ£ µî, 1974 ; ÀüÁ¾ÈÖ, 1976).
À̷νá ÀÌ ÁúȯÀÇ ¹ß»ýÀÌ ±× Ãʱ⿡ ÀÖ¾î ÁߺÎÁö¹æ ±ºÀο¡°Ô ±¹ÇѵǾú´ø °ÍÀÌ ±ÙÀÚ¿¡ Àü
±¹ÀûÀ¸·Î ¶ÇÇÑ µµ½ÃÁö¿ª¿¡¼­ ¹ß»ýµÇ°í ¿©¼ºÀÇ È¯ÀÚ°¡ Áõ°¡µÈ´Ù´Â Á¡À» °¨¾ÈÇÒ ¶§ ÀӺο¡¼­
ÀÇ Çѱ¹Çü ÃâÇ÷¿­ÀÇ °¨¿°°¡´É¼ºÀ» ÃßÁ¤ÇÒ ¼ö ÀÖÀ¸¸ç(Àü¼±Èñ µî, 1992), Á» ´õ ¸¹Àº ¿¬±¸¿Í
º¸°í·Î žƿ¡ ¹ÌÄ¡´Â ¿µÇ⠵ ´ëÇÑ ¿¬±¸°¡ ÇÊ¿äÇϸ®¶ó º»´Ù.
±×·¯¹Ç·Î ÀÌ¿¡ º» ÀúÀÚ´Â ÀӽŠ27ÁÖ¿¡ Çѱ¹Çü ÃâÇ÷¿­¿¡ °¨¿°µÇ¾î Ä¡À¯µÈ ÀӺΠ1·Ê¸¦ °æÇè
ÇÏ¿´±â¿¡ ¹®Çå°íÂû°ú ÇÔ²² º¸°íÇÏ´Â ¹ÙÀÌ´Ù.
#ÃÊ·Ï#
Korean hemorrhagic fever complicated during pregnancy are rare. Korean hemorrhagic
fever is a disease characterized by fevers, capillary dilatation, leakage of blood leading to
hemorrhagic manifestations, and in severe cases, shock and renal tubular disease or
acute respiratory failure. We experienced one case of pregnancy complicated with
Korean hemorrhagic fever, so we report the case with brief review of the literatures.

Ű¿öµå

Korean hemorrhagic fever; pregnancy.;
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KoreaMed
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