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李寧均,朴鍾善,崔秉茂,金升煥,洪彰義,姜錫麟 中央醫學社 1963 中央醫學 Vol.5 No.5
A six years old Korean girl was admitted in February 1963, with cyanotic congenital heart disease. By auscultation grade I -Ⅱ systolic murmur was audible along the left sternal border without thrill. Remarkable laboratory findings were high degree of and hematuria, polycythemia, albuminuria, and right sided hemiparesis. Transposition of the abdominal viscera with levocardia was found on routine X-ray study ECG showed right axis deviation and inverted P-wave in lead I . The right heart catheterization and angiocardiography with Shonander serial X-ray machine showed the right-sided (venous)atrium receiving the right and left superior vena cava separately, complete transposition of the great vessels, shunt at the ventricular level, and pulmonary stenosis. The inferior vena cava coursed along the left border of the spinal column and drained into the venous atrium, which is in the left hemithorax. The aortic arch was left-sided and bifurcated right ureter was visualized. Glenn' s procedure was done to increase the pulmonary blood flow in March 1963. Postoperative course was benign and uneventful. The follow-up study of the case, five month postively, revealed satisfactory results; increased exercise tolerance, marked relief from dyspnea on exertion, abolished cyanosis on rest, incresed arterial oxygen saturation (from 48% to 70%), normalization of hemogram, and increased pulmonary vascularity on the right lung field. The final anatomical findings of this unusually complicated cardiac anomaly were: (1) Levocardia with situs inversus viscerum, chamber inversion, and inverted P-wave in Lead I on ECG. (2) Transposition of the great vessels with pulmonary stenosis. (3) Intra-cardiac shunt or Shunts: i. Undetermined intracardiac shunt, Vntricular septal defect or single vent -ricle or atrioventricularis communis ? ii. Confirmed atrial septal defect. (4) Double superior vena cavae: left superior vena cava drained into the right atrial cavity (right atrium proper or coronary sinus?). Inferior vena cava on the left side. (By course of the cardiac catheter) Left aortic arch and left descending aorta. Bifurcated right ureter. Asplenia :presence not determined. Three lobes of the right lung confirmed by operation but numbr of lobes on the left lung undetermined. This report is believed to be the first operative palliation case of complete trans-position of the great vessels with pulmonary stenosis in a Korean literature.
활로氏四徵을 隨伴한 完全內臟轉錯症 : 2例 手術報告 A Report of Two Cases
李寧均,金完植,洪彰義,金昇煥 中央醫學社 1962 中央醫學 Vol.3 No.5
Case 1 : A twenty - two years old cyanotic korean male was operated on for tetralogy of Fallot with caridio- pulmonary bypass. Irreversible ventricular fibrillation occurred, Autopsy findings confirmed the diagnosis of tetralogy of Fallot with situs inversus totalis. Case 2 : A two tyears old Korean boy was admitted with chief complaints of cyanosis and dyspnea. By X-ray examinations, EKG, and cardiac catheterization, situs inversus totalis with tetralogy of Fallot was diagnosed. End- to - side anastomosis was done between superior veua cava and pulmoary artey(Glenn's poperation) in the left hemithorax. Patient's cyanosis and dyspnea were relieved post-operatively. Both cases showed no Kartahener's syndromes. Association of tetralogy of Fallot with situs inversus totalis has to be published yet according to keith (1958). It is of interest to experience two cases of this anomaly in this institution during a relatively short period of time.
Epidemiology of Osteoporosis and Osteoporotic Fractures in South Korea
이영균,윤병호,구경회 대한내분비학회 2013 Endocrinology and metabolism Vol.28 No.2
Several epidemiologic studies suggested that osteoporosis and osteoporotic fractures are not uncommon in South Korea. However,these previous cohort studies had limitations that may have influenced their results and the generalizability of the study conclusions,including small sample sizes, inclusion of only women, enrollment of participants from specific areas, and nonrandom selection of participants. Recently, epidemiologic studies using a nationwide claim register have been performed to overcome these limitations through collaboration between the Korean Society of Bone and Mineral Research and Health Insurance Review Assessments. Our review of the Korean Nationwide-database Osteoporosis Study could be helpful to obtain accurate incidence and prevalence estimations of osteoporosis and osteoporosis-related fractures in Korea.
National Trends of Hip Arthroscopy in Korea
이영균,하용찬,윤병호,구경회 대한의학회 2014 Journal of Korean medical science Vol.29 No.2
Hip arthroscopy has been reported to be useful and promising for the treatment of hip pathologies. However, it is not known whether the utilization of hip arthroscopy has increased in Korea. The purpose of this study was to evaluate national trends regarding the utilization of hip arthroscopy in Korea. We retrospectively reviewed nationwide data obtained from the Health Insurance Review and Assessment Service (HIRA). All new admissions for hip arthroscopy are recorded nationwide by HIRA using the ICD-10 code and the code for arthroscopic devices. Using archived data, we determined the trends in utilization of hip arthroscopy between 2007 and 2010. The number of hip arthroscopies increased more than twofold over the study period, from 596 to 1,262. A third of cases were performed in hospitals. Furthermore, a bimodal distribution was observed for men (20 to 24 yr and 45 to 49 yr) and an unimodal distribution for women (50 to 54 yr). Our results show an increasing trends in the utilization of hip arthroscopy from 2007 to 2010, which is in-line with recent findings of increased utilization with the rest of the world.
National Trends of Surgical Treatment for Intertrochanteric Fractures in Korea
이영균,윤병호,노재휘,김기철,하용찬,구경회 대한의학회 2013 Journal of Korean medical science Vol.28 No.9
Intramedullary nailing has been reported to have better outcome compared with traditional plate fixation in surgical treatment of intertrochanteric fractures. We evaluated the trends of surgical treatment of intertrochanteric fracture in Korea. Data of patients with intertrochanteric fractures, who were operated between the years of 2006 and 2011,was obtained from the Health Insurance Review and Assessment Service. The ratio of intramedullary nailing increased from 27.9% in 2006 to 64.3% in 2011 (P < 0.001), while the ratio of plate fixation decreased. During recent 5 yr, the utilization of intramedullary nailing doubled in clinical practice of intertrochanteric fractures in Korea.