肺炎樣疾患의 臨床的 觀察

김기호,홍순조,이효식,강문원,김호연,정규원,정희영,전종휘,김선무,이종무,김정진 대한의학협회 1976 대한의학협회지 Vol.19 No.4

리네졸리드와 반코마이신을 교대로 투여하여 치료한 지속성 메티실린 내성 황색포도알균 균혈증 1예

김낙현,김문석,장은선,강유민,김가연,장희창,박완범,김의종,김남중,오명돈 대한감염학회 2009 감염과 화학요법 Vol.41 No.6

Persistent Staphylococcus aureus bacteremia is frequently defined as bacteremia persisting for ≥7 days despite proper antibiotic therapy. Its treatment includes removal of all infection foci and proper antibiotic therapy. Vancomycin remains the antibiotic of choice in MRSA bacteremia. Alternative agents, linezolid or daptomycin, are available, but a consensus regarding management of persistent MRSA bacteremia on vancomycin failure is still lacking. We report a case of a 60-year-old male who received thoracoabdominal aorta replacement operation due to dissecting aneurysm of the ascending and descending aorta. Surgical site infection and bacteremia caused by MRSA occured, and wound debridement operations were performed. The patient was treated with vancomycin in therapeutic doses but MRSA bacteremia persisted for 168 days in a row. Although the inserted aortic graft was the most probable source of persistent bacteremia, surgical removal was impossible. Linezolid was administered as an alternative antibiotic but had to be discontinued from time to time due to thrombocytopenia induced by this agent. In the end, MRSA bacteremia was successfully managed by alternating vancomycin-linezolid therapy.

다발성 대장암 간전이 환자의 간절제를 위한 새로운 시도

주종우,김형철,임철완,신응진,조규석,유기원,송옥평,홍대식,박성진,조준희,이혜경,김희경,권계원,고은석 순천향의학연구소;Soonchunhyang Medical Research Institute 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Multiple bilobar liver matastases (MBLM) are the main cause of low resectability in the colon cancer liver metastases. The authors experienced one case of initially non-resectable colon cancer liver metastases. He was curatively and safely treated with a two-stage hepatectomy using the new method of future remnant liver volume growing. A 54-year-old man was referred to our department with the sigmoid colon cancer combined with MBLM, which were checked in two small metastatic lesions in the left lobe and five large sized lesions in the right lobe in the computed tomogram (CT). A laparoscopic assisted anterior resection was primarily performed. We performed the 1^(st) stage hepatectomy 3 weeks after the colon resection. Intra-operative Ultrasonogram (US) found 9 small superficial metastatic lesions in the left lobe. All that lesions were completely removed by non-anatomical wedge resection. An occlusion ballon catheter was placed in the right portal vein through a small branch of the inferior mesenteric vein at that time. The future remnant liver volume was sufficiently increased 3 weeks after the 1^(st) hepatectomy. A right hepatectomy was safely performed 22 days after the 1^(st) hepatectomy. The patient received a regional chemotherapy (interleukin2 based immuno-chemotherapy through hepatic artery) for 4 months, then received 9 cycles of systemic chemotherapy (biweekly Oxaliplation, leucovorin, plus 5-fluorouracil) without any recurrence evidence.

우관상동맥 개구부 완전 폐쇄가 동반된 대동맥 판상부 협착증 1례

임상현,김종진,김희열,진승원,전희경,노태호,채장성,김재형,홍순조,최규보,윤정섭,김치경 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.4

어린이의 사시교정술시 인공호흡수와 심박수와의 상관관계

강종만,김종성,김희수,염명걸 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.4

Correlation between Respiratory Rates and the Degree of Bradycardia in Strabismus Surgery in Children Jong-Man Kang, M.D., Hee-Soo Kim, M.D., Chong0Sung Kim, M.D. and Myung-Kul Yum, M.D.^* Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, and ^*Department of Pediatrics, College of Medicine, Hanyang University, Seoul, Korea Background: Strabismus surgery is frequent in pediatric ophthalmic surgery. Traction on the extra-ocular muscles can trigger an oculocardiac rdflex. We investigated the correlation between respiratoy rates and the degree of bradycardia to find another management for preventing oculocardiac reflex. Methods: NO premedications were administered. They were induced with thiopental and vecuronium and maintained with O_@-enflurane-N_2O. The tidal volume was 10 ml/kg. Respiratory rate of group 1 (n = 18) was fixed at 24 bpm, group 2 (n = 18) at 20 bpm, and group 3 (n = 19) at 16 bpm. We measured the mean heart rate from intubation to the beginning of surgery and defined this as the basal heart rate. We defined the lowest heart rate after traction of the extraocular muscles as the minimal heart rate. We calculated the correlation coefficient between the respiratory rate and basal heart rate, minimal heart rate, the change of heart rates and E_tCO_2. Results: There was a positive correlation between the respiratory rate and the basal heart rate, and minimal heart rate. There was no correlation between the respiratory rate and the change of heart rate. There was no difference in E_tCo_2 among the 3 groups. Conclusions: Can be increased both basal heart rate in anesthetized patients and minimal heart rate induced by oculocardiac reflex by making the respiratory rate more rapid if there is no significant difference of E_tCO_2. The oculocardiac reflex may be reduced by making respiratory rate more rapid if there is no significant influence on minute ventilation. (Korean J Anesthesiol 2001; 41: 450~454)

Foley 도뇨관을 이용한 소파술 및 분만 후 과다자궁 출혈의 보존적 치료

김종일,이지영,유은희 梨花女子大學校 醫科大學 醫科學硏究所 1999 EMJ (Ewha medical journal) Vol.22 No.4

연구목적 : 자궁출혈에 대한 Foley 도뇨관을 이용한 압박지혈법의 효율성과 안전성을 알아보고자 한다. 방법 : 1991년 5월부터 1998년 4월까지 7년간 이화여자대학 동대문 병원에서 시행된 21예를 후향적으로 조사하였다. 모든 환자들에 있어 과다 자궁출혈의 지혈을 위해 자궁내에 Foley 도뇨관을 삽입후 생리식염수로 풍선 확장시키는 방법을 사용하였다. 결과 : Foley 도뇨관을 삽입한 평균 기간은 96시간이었으며 풍선 확장시킨 생리식염수의 양은 32.5㎖였다. 자궁경부괴사나 감염, 지혈실패로 인한 자궁적출술 등의 합병증은 없었다. 결론 : Foley 도뇨관을 이용한 풍선압박지혈법은 급성 자궁출혈 조절에 있어 빠르고 효과적이며 안전한 치료법으로 사료된다. Objective : To evaluate the safety and efficacy of Foley catheter balloon tamponade for uterine bleeding. Method : A retrospective data collection of sequential series of 21 patients were performed between May 1991 and April 1998. Treatment entailed controlled inflation with normal saline in an intrauterine balloon of Foley catheter. Result : The mean duration of the Foley catheter tamponade for uterine bleeding was 96 hours(range ; 48-144 hours) and mean amount of ballooning was 32.5㎖(range : 28-60㎖). There was no complication such as cervical necrosis, infection or hysterectomy. Conclusion : We propose the intrauterine balloon tamponade as an additional alternative for controlling hemorrhage before resorting to angiographic embolization or surgery.

뇌성마비아의 모발내 망간 분석 연구

김희상,김종영,안경회 大韓再活醫學會 1999 Annals of Rehabilitation Medicine Vol.23 No.3

Fine달린 Heat Pipe의 熱傳達 性能

김종일,김병철,한희석 조선대학교 동력자원연구소 1987 動力資源硏究所誌 Vol.9 No.2

This study was observed and analysed on the performance of a finned heatpipe used in the thermal energy storage system for the solar energy and heat recovery. For this purpose, a finned heat pipe was constructed with a groove screen wick, copper-water, 38㎜ in diameter and 500㎜ long. As the performance of a finned heat pipe depends upon operating temperature, tilt angle and fill charge, the axial and circumferential temperature of a finned heat pipe was measured and its performance was analysed. The maximum temperature difference, was largely influenced by fill charge, which decreased with increasing tilt angle when input was amall but not effected by tilt angle when input was large. The optimum fill charge was found to be 0.5, the dimensionless evaporator volume.

人參 根腐病에 關한 硏究<第二報> : 人參圃 土壤中의 菌類에 垂直分布 및 菌種 分類에 대하여

金倧熙,李敏雄 東國大學校 1974 論文集 Vol.13 No.-

本 實驗은 人蔘圃 土壤中 根腐病이 發生한 곳과 發病않은 無病地 및 人蔘을 耕作않았든 土壤을 選定하여 捷息하는 菌類의 土壤別 垂直分包와 菌類를 分類하였고 土壤의 物理化學的 性質을 調査하여 다음과 같은 結果를 報告하고자 한다. 1. 土壤의 酸度는 各個 土壤이 均一하고 모두 酸性을 나타냈다. 2. 有機物의 含量은 5%의 有意差가 있어 無耕作地>羅病地>無病地와 같은 關係가 있다. 3. 無機物의 含量으로 CA과 Ksms 差異가 없고 P_2O_5와 Mg는 無病地와 蕪耕作地보다 5%의 有意差로 더 많이 함유하였다. 4. Cs와 Fs値는 無病地가 羅病地와 無耕作地 보다 5% 有意差로 差異가 있다. 5. Silt는 無病地가 他地區보다 더 적은 5%의 有意差가 있었다. 6. 水分含量은 統計的으로 差異이나 無病地에 比較的 적게 含有되엇다. 7. 菌類의 垂直分布는 一般的으로 各土壤 供히 表土層에 多數分布하는 경향이 있고 深層에 가까울수록 적어지는 경향이 있다. 統計的으로 無病地는 地區 보다 적으며 5%의 有意差가 있었다. 8. 羅病地 土壤은 10屬 21種의 菌腫이 分布하고 Aspergillus와 Penicillium屬이 多數分布하고 Rhizopus와 Nigrospora屬의 分布가 적었다. 9. 無病地는 12屬 17種으로 Asp. Pen. 및 Spicaria屬 등의 分布가 多數이고 Mucor Marrsonia 및 Rhizoctonia屬 등이 적게 분포하였다. 10. 無耕作地는 10屬 10種이 分布하고 Asp. Peb.屬이 多數分布하고 Hyalopus屬와 Thamnidium屬이 적게 分布하였다. This study was carried out March, 1973. the aim of this study was to know the relationship between soil conditions and population of vertical fungi distribution and species founded in the soil of uncultivated plot of ginseng diseased and healthy plot of ginseng in Kang wha-Gun, Korea. Acidity of each soil was uniformly acid. Organic matter content was 5 per cent significance in each soil; uncultivated plot was significance to diseased and healthy plot, and diseased plot was significance to healthy plot. As inorganic matter, Ca and K contents were uniform in all plot, but P_2O_5 and Mg were 5 per cent significance; healthy plot contain more quantity than the other two plot. Cs and Fs value were 5 per cent significance; healthy plot contatin more quantity than the other two plot. Silt was also 5 per cent significance; uncultivated and diseased plot contain more quantity than healthy plot. Moisture content was statistically uniform in all plot, but it was less in healthy plot. Numbers of fungi were largely distributed on the surface soil, and decrease with depth. As the numbers of fungi, healthy plot was significance to other two plot which cantain larger numbers. As to the species, diseased plot had 10 genera and 21 species, healthy plot had 12 genera and 17 species, and uncultivated plot had 10 genera 10 species. There was dominantly populated Aspergillus, Penicillum and Spicaria, but Rhizopus, Nigrospora, Marrsonia, Rhizoctonia, Hyalopus and Thamnidum group genera were recessively distributed.

高脂肪食餌 및 植防風 抽出物 투여가 흰쥐 上小 腦動脈壁의 彈力織維에 미치는 形態學的 硏究

金宗中,文正錫,정주현,文永熙 조선의대 1985 The Medical Journal of Chosun University Vol.10 No.1