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S Z Chen

Publications and source records attributed to S Z Chen.

At least 73 records · Page 4Linked to original sources

[Two types of trophoblastic cells in choriocarcinoma--a clinicopathologic analysis of 80 cases].

The resected uterine specimens from 80 patients with gestational choriocarcinoma were analysed clinicopathologically as to the proportion of two types of trophoblastic cells, from 1962 to 1980. The results show: (1) The patients, whose uterine specimens showing predominantly cytotrophoblastic cells, have poorer prognosis. (2) The majority of cases with long latent period and protracted course speak for the cytotrophoblastic cell predominant type. (3) There is no obvious relation between age, antecedent pregnancy type, clinical stage and the quantity of different trophoblastic cells.

Choriocarcinoma↗

[Semi-quantitative evaluation of the intrapartum variable deceleration of the FHR pattern and its association with umbilical cord blood gas analysis].

Variable daceleration of FHR combined with no other abnormal pattern was semi-quantitatively evaluated to establish the diagnostic value of variable deceleration for fetal distress. FHR charts of 55 low risk vaginal deliveries by direct monitoring were analysed and the SDA (Sum of Dip Area) was calculated using the following equation: SDA = sigma Duration of dip (sec.) X Amplitude of dip (bpm.) X 10(-2) and correlation between SDA and umbilical cord blood gas analysis was obtained. A significant correlation was observed between SDA during labor (from 5 cm cervical dilation to delivery) and cord blood gas data. pHuv:r = -0.445 (p less than 0.005), PO2uv:r = -0.358 (p less than 0.01), BEuv:r = -0.538 (p less than 0.001), pHua:r = -0.441 (p less than 0.005), BEua:r = -0.463 (p less than 0.001). In 14 cases which showed prolonged deceleration (PD:more than 120 sec. in duration and below 100 bpm. in dip), excellent correlation was observed between the SDA of PD and pHuv:pHuv = 7.425-7.74 X 10(-4) SDA of PD (r = -0.756, p less than 0.005), whereas in 21 cases with severe variable deceleration (SVD:more than 60 sec. and recovered within 120 sec. in duration or below 60 bpm. in dip) no significant correlation was seen between the SDA of SVD and pHuv. These results suggest that the SDA value is helpful in evaluating variable deceleration during labor.

Female↗

Effects of sitting position on uterine activity during labor.

To determine which components of uterine activity are affected by different positions of labor, 116 intrauterine pressure records in the sitting and supine positions were analyzed in order to measure resting, contraction, and bearing down pressures. The resting pressure in the sitting position showed consistent elevation compared to the supine position, while the contraction pressure did not differ strikingly in the two positions. The bearing down pressure in the sitting position for nulliparas during the second stage and for multiparas at the time of the 8- to 10-cm dilation was significantly higher than that in the supine position. Also, the sitting position led to a significantly shorter duration of the second stage in nulliparas and the 5- to 10-cm dilation period in multiparas. These findings suggest that the maternal position does not affect uterine contractility, that the increased resting pressure in the sitting position is of some importance in supplementing the downward delivery force, and that the increased bearing down pressure in the sitting position could help to significantly shorten the duration of labor.

Female↗