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문자운,한아름,이의수,김성구,한승범,이재욱,정낙균,조빈,정대철,강진한 대한감염학회 2019 Infection and Chemotherapy Vol.51 No.2
This retrospective study was performed to determine the seroprevalence of hepatitis A virus (HAV) in children and adolescents with hematologic malignancies after the completion of chemotherapy and hematopoietic cell transplantation (HCT). Of 97 enrolled patients, 60 (61.9%) were seropositive for HAV. The seroprevalences in patients undergoing chemotherapy and HCT were 60.3% (41/68) and 65.5% (19/29), respectively (P = 0.628). No significant factors associated with seropositivity for HAV after chemotherapy and HCT were identified. Anti-HAV tests and HAV re-vaccinations can be considered in children and adolescents with underlying hematologic malignancies after chemotherapy and HCT based on the anti-HAV results.
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심한 내경정맥 및 척추동맥 확장을 동반한 노인환자에서 CT 유도하 경추추간공경막외 스테로이드주입술
김훈도,이상호,한영미,이의운 대한마취통증의학회 2005 Korean Journal of Anesthesiology Vol.49 No.4
Seventy nine-year old female patient visited our department presenting radicular pain on her neck, left shoulder and arm. She had a history of hypertension and underwent coronary angiography and angioplasty 4 years ago. Cervical MRI showed central disc herniation with osteophyte and left foraminal stenosis at C5-6 level and bulging disc with osteophyte and foraminal stenosis (left > right) at C6-7. First plan was transforaminal steroid injection under C-arm fluoroscopy at C5-6 level. Unexpectedly, we could find enlarged internal jugular vein and vertebral artery on MRI scan, which is due to cardiovascular disease. These important vascular structures were expected to be injured by needle during the procedure if done under C-arm fluoroscopy. We decided to give transforaminal steroid injection under CT fluoroscopy to avoid injury to the large vessels and inadvertent complication. The procedure was successfully done using CT fluoroscopy (Brilliance 10TM, PhilipsⓇ, USA) without any complication associated with vascular injury or intravascular injection.
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제 2 흉부교감신경 절단술과 Clip 을 이용한 교감신경 차단술이 술중 혈압 및 심박수 변화에 미치는 효과 비교
이윤우,이정복,신증수,김정열,이의운,이두연 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.38 No.2
Backgroond : Thoracoscopic sympathicotomy was, at first, thought to be a simple and safe method for treatment of hyperhydrosis. However, the main disadvantage of this procedure is irreversibility in additions socalled rebound sweating occurred in 30 ―40% of patients during the first 1-2 weeks after operation. Some patients regret the surgery, even to the extend of preferring the original sweaty hands. Recently clipping has been suggested one of the way to minimize such problem. Hypothesis of this study was that sympathetic nerve block effect by clipping may be weak compared to sympathicotomy. The aim of this study was to evaluate and compare the sympathicotomy by clipping effect on cardio- vascular system. Methods : Sixty-five patients with essential hyperhydrosis in ASA physical status class 1 undergoing thoracoscopic sympathetic block were randomly divided into two groups: The Clipping group (N = 21) and the sympathicotomy (N =44) group. Anesthesia was induced with thiopental sodium (5 mg/kg) and pancunium (0.05 mg/kg) and maintained with enflurane. The operation was done to the left side first and the to the right by an experienced surgeon. During the procedure, we measured blood pressure using a non invasive technique at the right forearm, heart rate and temperature after anesthetic induction as baseline values, immediately after the left side resection of the T2 sympathetic trunk or clipping, and after completely both sides resection. All the records were coded and analysed single blind by one author. Results : After the T2 sympathicotomy, heart rate decreased from 87 .±14 to 76 ± 17 (P $lt; 0.05) and the mean blood pressure was reduced from 77 ± 14 to 64 ± 10 mmHg (P $lt; 0.05). After T2 clipping, heart rate decrease from 88 ± 18 to 73 + 14 (P $lt; 0.05) and mean blood pressure was reduced from 74 ± 12 to 67 ± 13 mmHg (P $lt; 0.05). Conclusion: The main result of this study was that there was no significant difference in sympathetic block effects on blood pressure and heart rate between clipping and sympaty during the procedure. (Korean J Anesthesiol 2000; 38: 296~300)
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