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朴東春,朴昌秀,全炳權,崔一龍 中央醫學社 1971 中央醫學 Vol.21 No.4
The authors have analyzed 781 cases of Korean wounded veterans who were evacuated from Vietnam Warfield, chiefly on view of neurosurgical aspect, collected for last 4 years and 10 months. The results of the observation are summarized as followings; 1. There divided into 275 cases of head injuries, 268 cases of peripheral nerve injuries, 128 cases of vertebral and spinal cord injuries and 110 cases of H.N.P. and others in the total 781 cases of the injured veterans. 2. In 275 cases of head injuries, 149 patients or 54.2% were injured from fragment of shell, explosives, grenade and booby trap, which were over to the ratio of the reports of `Neurological surgery of trauma in Korean war’ published by office of surgeon general department of the army, Washington and automobile-accident and bullet injury in that order. 3. On the site of head injury, the frontal injury was most frequent in rate of 40.4% and next temporal and parietal in that order. Craniectomy was carried out on 164 cases (60%) of head injuries and cranioplasty on 147 cases. 4. 48.7% of total head injuries were resulted into sequelae such as hemiplegia (13.8%), cranial nerve palsy, speech disturbance and epilepsy in that order. 5. In. the larger proportions of the causes of the peripheral nerve injuries, fragment injury occupied 66.4% and bullet 27% and total cases divided into 9% brachial injury, 20% ulnar injury, 15% median, 18% radial, 18% sciatic, 9.7% personnel, 7.5% tibial nerve injury. 6. On the other hand, 45. 3% of lumbar and 44. 7% of thoracic injury 17, ere demonstrated and paraplegia in 25% of cord injury. 7. In 128 cases of vertebral and spinal cord injury, 47.4% of cases were resulted from fragment injury, which was similar to the cases of the bullet injury in rate of 46% in Korean conflict.
Shigella의 Ampicillin 및 Co-trimoxazole에 대한 R Plasmid 由來의 耐性
朴東春,全燾基 慶北大學校 醫科大學 1979 慶北醫大誌 Vol.20 No.2
우리 敎室에서 收集된 Shilella의 抗菌劑에 對한 耐性을 實驗하였던 바 大部分의 菌이 chloramphenicol(Cm), teracycline(Tc), sulfisomidine(Sa)에 耐性이었으며 1978年에 分離한 95株의 菌은 上記 抗菌劑 外에 ampicillin(Ap) 및 carbenicillin(Cb)에 70株(74%), co-trimoxazole(Ts)에 80株(84%)가 高度의 耐性을 가졌고, nalidixic acid(Na)에는 22株(23%)가 耐性이었다. 藥劑耐性別로 보면 1976∼1977年에 分離한 菌은 大部分이 Cm, Tc, Sm, Sa의 4劑耐性이 었으나, 1978年 分離菌 中에는 4劑耐性菌은 14株이었고 10株가 Ts를 包含한 5劑耐性菌이었고 Ap, Cb, 및 Ts를 包含한 8劑耐性菌이 23株였다. Na를 除外한 他 藥劑耐性은 E. coli에 傳達시킬 수 있어서 傳達性 R plasmid由來의 耐性임이 證明되었다. 耐性傳達 頻度는 10^-2.5∼10^-6.5으로 共試菌株 및 被傳達菌에 따라 差異가 있었으며 選擇藥劑는 別 影響을 미치지 못했다. Shigella strains collected in this laboratory were tested for their resistance to antimicrobial drugs. Most strains isolated in 1976 through 1978 were multiply resistant to four drugs of chloramphenicol, tetracycline, streptomycin, and sulfisomidine. Eighty strains (84%) were resistant to cotrimoxazole, 70 (74%) each to ampicillin and carbenicillin, and 22 (23%) to nalidixic acid among 1978 isolates. All of the drug-resistant strains were multiply resistant to four or more drugs, with 47 strains to 7 drugs, 23 to 8 drugs, 14 to four drugs, and 10 to five drugs. No strain resistant to cephaloridine, gentamicin, amikacin, and rifampin was isolated. Strains resistant to ampicillin were only occasionally encountered among strains isolated before 1978. The transfer experiments of drug resistance showed that approximately 80 to 81% of drug-resistant 1978 isolates of Sh. flexneri and Sh. sonnei transfer their resistance to E. coli, and these strains proved to be infected by conjugative R plasmids responsible for all resistance except nalidxic acid of the respective strains. The transfer frequency of drug resistance ranged from 10^-2.5 to 10^-6.5, with marked variation by donor and recipient E. coli strains, but not by selecting drugs.
요실금 수술후 발생한 요도 폐색에서 외요도구 상방 질벽을 통한 요도 박리술 : 치험 1례 보고 A Case Report
박동춘,정희창,유진욱 영남대학교 의과대학 1999 Yeungnam University Journal of Medicine Vol.16 No.2
We report our experience with a case of urethrolysis using a transvaginal suprameatal approach without lateral perforation of the urethropelvic ligament. A 43-year-old woman suffered from voiding difficulties such as hesitancy, frequency, urgency, decreased urinary flow, residual urine sensation after Marshall-Marchetti-Krantz operation concurrent with hysterectomy. The results of multidisciplinary work-ups of urethral obstruction such as history, vaginal examination, voiding cystourethrography, urodynamic study, showed that she had urethral obstruction due to a previous operation. Since clean intermittent catheterization and alpha-blocker therapy did not improve her symptoms, suprameatal transvaginal urethrolysis was performed to resolve the symptoms. Postoperative follow-up for 5 months showed that the patient remained free from voiding difficulty in their life. We believe that suprameatal transvaginal urethrolysis is worth attempting for urethral obstruction associated with anti-incontinence surgery.
朴東春,李英注,崔一龍 中央醫學社 1971 中央醫學 Vol.21 No.4
We described two cases of meningiomas of the spinal cord, extramedullary-one at the thoracic, the other at lumbar spine. These have variable neurological deficits due to compression of the cord, nerve roots and the dura. These were diagnosed easily with neurological examination, radiological study and laboratory tests, and confirmed meningiomas microscopically. After total removal of the tumor by laminectomy, neurological deficits were disappeared completely.
朴東春 慶北大學校 醫科大學 1981 慶北醫大誌 Vol.22 No.2
最近 3年間 慶北醫大 泌尿器科學敎室에서 治驗한 重複尿管患者 8例中 5例에서 上極腎半切除術, 尿管腎盂吻合術, 同側尿管尿管吻合術, 尿管 tapering 後 再移植術, 一次縫合術 等의 各種 術式을 施行하여 좋은 結果를 얻었기에 報告하고 이들 術式의 適應症에 대해 簡略히 考察하였다. Personal experience with various surgical procedures, such as heminephroureterectomy, urete-ropyelostomy, ipsilateral uretero-ureterostomy, ureteral reimplantation with ureteral tapering, and primary repair of the separated segments, in ureteral duplication in 5 patients during the last 3 years is reported. All patients have done well clinically and radiologically. The operative techniques employed in each patient are briefly discussed.