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폐 허혈-재관류 손상을 유발한 실험견 모델에서 Prostacyclin이 동맥혈 가스 분석 소견, 폐혈관저항과 폐 수분 함량에 미치는 효과
김계민,오용석 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.36 No.2
Background : Many investigations were done about pulmonary protection in lung transplantation which is the most effective treatment of end-stage pulmonary disease. The objective of this study is to verify the effect of prostacyclin on the ischemia-reperfusion injury in terms of the change of arterial blood gas (ABGA), pulmonary vascular resistance (PVR) and pulmonary water content. Methods : In twelve mongrel dogs weighing approximately 20 kg, double-lumen endotracheal tube was intubated and Swan-Ganz catheter was inserted. To obtain control data for water content of left lung right postcaval lobe was resected. Left hilum was snared with umbilical tape after collapse of left lung and tightened to clamp. It was maintained for 90 min. Thereafter, ventilation and perfusion of left lung were restored. To control group (n=6), prostacyclin was not given. To prostacyclin group (n=6), prostacyclin was intravenously administered at 250 ng/kg/min for 20 min, just before ischemia and just after reperfusion. We measured hemodynamic variables and analyzed arterial blood gas before and after ischemia and then at every 1 hour interval. At 4 hours after reperfusion, left lung was resected, and water content was measured with wet-dry method. Results : There was no significant difference between control group and prostacyclin group in ABGA, PVR and water content of lung. However, three subjects of prostacyclin group showed higher PaO2 after reperfusion than that of others. Conclusion : This study shows that protective effect of prostacyclin is not uniform in severely injured canine ischemia-reperfusion model. We conclude that prostacyclin does not have pulmonary protective effect in severe ischemia-reperfusion injury. (Korean J Anesthesiol 1999; 36: 319∼326)
일측성 질폐쇄 및 동측 신장 무발생을 동반한 중복자궁 2예
윤일영,여소진,김형문,김정식,김태희,이해혁,남계현,이권해,김준모,김민의 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Uterus didelphys with unilateral obstructed hemivagina and ipsilateral renal agenesis usually presents after menarch with progressive abdominal pain during menses secondary to hematocolpos, and indeed a very rare congenital anomaly due to Mullerian duct malformation. An accurate and prompt diagnosis is of importance to permit treatment and to assure the future fertility of the patient. Pelvic ultrasound, physical examination and pelvic MRI established a diagnosis of hematometracolpos secondary to uterus didelphys with unilateral imperforate hemivagina. An incision in the vaginal septum allowed drainage of the hematocolpos, providing relief of the patients symptoms. We report two case of uterus didelphys with obstructed hemivagina with brief review of the literature.
HEMINGWAY의 思想과 技法 및 文體巧 : The Sun Also Rises와 A Farewell to Arms을 中心으로
金啓民 진주교육대학교 1968 論文集 Vol.2 No.1
The researcher studios arid investigated Hemingway'a thoughts, technique and style through his works "The Sun Also Risea" and A Farewell to Arms" and the study is divided into three parts. 1. The Sun Also Rises is net simple records on life of a group of typical representatives of Lost Generation but descriptive records as calm observer of Lost Generation. 2. A Farewell to Arms is the hard boilted lore story and the heroes in it are the Dumb ox as Wyndhum Lewig pointed out, but it contains Hemingway's efforts to believe the life of human. Especially the researcher investigated the rain srmbolization through this book. 3. The researcher observed Hemingway's powerful style forming and also investigated "said" and its variety through "The Sun Also Rises" and "A Farewell To Arms."
Saul Bellow의 小說에 나타난 Reality Instructors와 Saviors에 관한 分析(Ⅱ)
金啓民 釜山大學校 1985 人文論叢 Vol.28 No.1
This paper is the continuous study of the previous one, Observation and Analysis on Advices and Lessons of Reality Instructors and Saviors in Saul Bellow's Novels (I). In Bellow's novels, most of all, his protagonists are in the state of human alienation against the world, others and even themselves. In this state, what is the best policy to overcome it? Bellow believes that in order to overcome the alienated situtation of each of the protagonists he must cast off the self-centrical egotism and regerate mentally. Thus, Billow provides Reality Instructors and Saviors as his spokesmen to give the advices and lessons to the anti-hero who was caught in the existential dilemma. Consequently, each of Bellow's protagonists is much influenced to change his mind and finally he becomes the man of rebirth in the view point of transcendentalism.
A rare case of extensive papillary muscle calcification in senile cardiac calcification syndrome
김은진;송봉근;강민호;손형래;홍수민;박동원;허승혜;김계연;최석구 인제대학교 2011 仁濟醫學 Vol.32 No.-
광범위 유두근 석회화는 흔하지 앉으며, 원인과 임상적 중요성에 관한 문헌만 드물게 찾아볼 수 있다. 반면에 작은 석회 침착은 노인에서 흔하며 심장 첨부에 주로 나타난다. 유두근 석회화는 관상동맥질환, 확장성 심근병증, 승모관 질환, 고칼슘혈증, 그리고 말기신부전에서 인산칼슘의 중가와 연관성이 있다. 저자는 심장초옴파와 MDCT를 통해 진단된 전외측 유두근의 광범위 석회화의 드문 사례가 있어 보고한다.
고립성 폐결절의 조직학적 진단에 있어서 경기관지폐생검의 진단적 가치
김치훈,김정주,왕준호,연규민,김형수,리원연,용석중,신계철 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-
Transbronchial lung biopsy(TBLB) is a relatively simple and convenient diagnostic tool in solitary pulmonary nodule(SPN) on chest radiograph, which is cannot be diagnosed through routine tests. To investigate the diagnostic value and diagnostic rate of TBLB according to the variable factor, we analyzed 69 patients with radiologically SPN lesion on chest radiograph which was confirmed histologically. A histologic diagnosis of TBLB was made in 47 of 69 patients(68.1%), in which 26 of 37(70.3%) with malignancy and 21 of 32(65.6%) with benign lesion. There were no significant differences in diagnostic yield according to age, sex and location of the lesion. The diagnostic rate tended to increase with the more than 5 pieces to acquired by TBLB. When the size of SPN was less than 3 ㎝, it cannot be diagnosed. In conclusion, TBLB is a diagnostic procedure with good yield and safety, but percutaneous needle aspiration, transbronchial needle aspiration, and bronchial washing fluid cytology may be a complementary procedure to overcome the limitation of TBLB and get higher diagnostic yield for SPN.