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정상영,김신곤,양동호 대한혈관외과학회 1988 Vascular Specialist International Vol.4 No.1
An embolus is a blood clot or other foreign material in a vessel located distal to the place of origin of the clot or foreign material. Arterial embolectomy, designed to restore patency of an acute occluded vessel has great advance since Fogarty balloon catheter was introduced in 1963. At present, in spite of all these advances responsible for the current higher rate of limb salvage, limb loss and mortality rate are still high in a certain group of patient, and concept of arterial embolism and its management are still undergoing changes. Twenty one cases of arterial thromboembolism, which were seen during the periods of 4 years and 7 months from January 1983 to July 1987 at Chonnam National University Hospital, were studied and divided into two groups, good prognosis group and poor prognosis group according to the absence or presence of death and limb loss, and the prognostic factors were evaluated. The results were as follows; 1) The arterial embolism was most frequently seen in 5th decade in good prognosis group (41.6%) and 7th decade in poor prognosis group (44.5%). Male: female ratio were 8:4 in good prognosis group and 8:1 in poor prognosis group. 2) In good prognosis group, no identified diseases were seen in most cases (7 cases: 58.3%) and atherosclerotic heart disease was most common in poor prognosis group (4 cases:44,4%). 3) The most common clinical manifestation was pain in both groups. 4) Time interval from onset of symptoms to treatment; Within 1 day was most common in good prognosis group (5 cases; 41.7%) and over 1 month was most common in poor prognosis group (6 cases: 66.7%). 5) The most common site of embolism was femoral artery in both groups. 6) Operations were done in 15 cases, among them, 9 cases were good prognosis and 6 cases were poor prognosis. Most common anesthesia was local anesthesia in both groups. 7) The operative mortality was 20%.
Buerser씨 병에서 Prostaglandin E₁경구용제제 Oplamon 투여시 자각증상 및 혈행동태에 미치는 영향
정상영,김신곤,김세종 대한혈관외과학회 1994 Vascular Specialist International Vol.10 No.1
Nineteen patients with Buerger's disease (Thromboangiitis obliterans) who were not candidate for reconstructive arterial surgery were treated by Opalmon (Limaprost alfadex), oral Prostaglandin E₁(PGE₁) derivative, a platelet aggregation inhibitor with a vasodilating action, orally in daily doses of 30μg(5μg/tablet) for 6 consecutive weeks at department of surgery, Chonnam University Hospital from January 1994 to July 1994. The results were as follows: I) Fontaine classification before Opalmon treatment were stage II; 5 patients, stage III; 5 patients and stage IV; 7 patients. Fontaine classification after Opalmon treatment were staae I; 4 patients, stage II; 6 patients, stage III; 5 patients and stage IV; 2 patients. 2) An increase in Ankle Pressure Index over 0.30 was showed in 6 of 17 patients(35.5%). 3) Overall improvement gradings were classified as 'markedly improved' in 3 patients(15.8%) and 'improved' in 12 patients(63.2%). Overall improvement rate was counted 79.0%. 4) Eleven of 14 patients(78.6%) who were suffered from resting pain were improved and 8 of 9 ulcers(88.8%) were improved. 5) The adverse effect of Opalmon treatment was nausea and vomiting in 1 patient.
정상영,임홍철,류봉수,이명주,양정열 朝鮮大學校 附設 醫學硏究所 1997 The Medical Journal of Chosun University Vol.22 No.2
As modern society becomes very complex, there has been steady increase in violence, and antomobile and industrial accidents. This has resulted in the increased incidence of facial injures including mandible fracture. We have analyzed 270 such cases from May, 1986 through May, 1996 at the Department of Plastic and Reconstructive Surgery, Chosun university Hospital. Anatomic classification of mandibular fractures is not standardized, we propose a fracture classification that combines several preexisting schemes and takes into account inherent areas of strength and weakness in the mandible. The role of dentition, in particular the canine and third molar teeth, and their relation to fracture patterns is assessed. 1. Ratio of incidence between male and female was 4:1. 2. The Most common age group was the 3rd decade. 3. The Most common cause was the automobile accident (53.3%) 4. Regional frequencies of mandibular fracture were : symphysis (41.9%), angle (21.5%), condyle (18.8%) body (13.3%), ramus (1.7%), coronoid process (1.7%) and alveolus (1.1%) 5. The Most common associated injury was other facial bone fracture(23.3%) 6. The Most common complication was postoperative wound infection (3%) 7. There were more simple fractures (67.4%) than multiple fractures (32.6%), which are on the increase.
수지동맥 교감신경 절제술을 시행한 Raynaud 증후군 1예
정상영,주재환,김동의,김신곤 대한혈관외과학회 1995 Vascular Specialist International Vol.11 No.1
The primary treatment of Raynaud's syndrome is entirely symptomatic, as there is no curative therapy available. Approximally 90 per cent of patients are adequately treated by cold and tobacco avoidance, and no drug therapy is necessary. For the remainder, the best results have been obtained with calcium-channel blockers, specifically nifedifine. A very distal sympathectomy at the level of the proper digital artery consists of isolating the terminal branches of the sympathetic nerves which travel with the peripheral nerves, dividing these branches and stripping the adventitia of the digital arteries. A woman was operated on for digital arterial insufficiency due to Raynauds syndrome that did not improved by conservative treatment. After operation, digital pain was relived immediately and the ulcer in the finger tip healed completely two weeks after and a significant improvement of cold intolerance was achieved.