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        양측성 갈색세포종 적출에 관한 마취경험예 보고

        이춘희,이귀용,안백화 대한마취과학회 1990 Korean Journal of Anesthesiology Vol.23 No.6

        An anesthetic experience with bilateral adrenalectomy for pheochromocytoma in an 26-year-old male has been reported. The patient was treated with phenoxybenzamine and propranol for about five weeks His blood pressure was 160/100 mmHg, pulse rate was 92 beats/min. Following induetion of an anesthesia with intravenous diazepam, thiopental sodium, morphine, and sodium nitroprusside infusion, vecuronium was administered intravenously, and endotracheal intubation was performed. Anesthesia was maintained with nitrous oxide, oxide (50%~50%) and isoflurane (0.5~3%) using a semiclosed circle system. For the control of blood pressure during surgical manipulation, we used sodium nitroprusside and phentolamine infusion. After tumor resection, blood pressure was controlled by intravenous Hartmans solution and whole blood. The patient tolerated anesthesia and surgery well despite the episodic hemodynamic changes.

      • 일개 면지역주민의 년도별 보건지소 이용실태에 관한 고찰 : 경기도 남양주군 수동면; 1976-1980 Su-Dong Myun, Nam Yang-Ju Gun, Kyung-Gi Do

        민동원,성낙순,안백화,하은희 이화여자대학교 의과대학 1985 梨花醫學誌 Vol.- No.17

        In order to know about the trend of utilization of Health Subcenter in Su-Dong community, a study was carried out through analyzing the reports on the status of out-patients in Su-Dong Health Subcenter during 5 years from 1976 to 1980, and following results were obtained. 1) Population of Su-Dong Myun was changed from 5,424 in 1975 to 5,211 in 1979. 2) The annual utilization rate of Health Subcenter of Su-Dong Myun showed decreasing tendency from 803.3 in 1976 to 700.6 in 1980 per 1,000 population. 3) In terms of annual utilization rate by age group, the highest group is 0-4 age group and the lowest group is 15-24 age group every year. 4) The average visiting time per case to Health subcenter showed 1.75 times in 1978, 1.69 times in 1979 and 1.60 times in 1980. 5) In terms of utilization rate of Su-Dong Health Subcenter by Ries, the highest rate was shown in Ribsouk 2 Rie and the lowest in Gidoon. 6) The 5 major diseases cared in Health Subcenter were as follows : Diseases of the Respiratory System, Diseases of the Digestive System, Diseases of the Skin and Subcutaneous Tissue, Accident, Poisoning and Violence, and Diseases of the Nervous System and Sense Organs in the year of 1976∼1980. 7) Annual average medical fee per first visiting was increased such as 405(₩) in 1976, 653(₩) in 1977, 1,090(₩) in 1978, 1,650(₩) in 1979 and 1,970(₩) in 1980. And annual average medical fee per case was also increased such as 923(₩) in 1977, 1,450(₩) in 1978, 2,540(₩) in 1979 and 2,990(₩) in 1980.

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