http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
척수강내 Bupivavacain에 첨가한 소량의 Neostigmin의 진통효과와 부작용
소금영,정종달,김병철,유벙식,안태훈,김훈정,임경준 조선대학교 2000 The Medical Journal of Chosun University Vol.25 No.2
Background : Spinal cholinergic receptor has been shown to have a antinociceptive action, an effect that can be mimicked by spinal cholinesterase inhibitor. Intrathecal injection of neostigmine cause analgesia and adverse effect in a dose-dependent pattern in the patients. The purpose of this study was to determine whether small doses of intrathecal neostigmine (10, 25 and 50 ㎍) produce analgesia and any side effects. Method : After getting informed consents, 60 patients scheduled for orthopedic surgery of lower extremities under spinal anesthesia were randomly assigned to one of four groups. Using dose-ranging design, patients received either normal saline or neostigmine l0, 25 or 50 ㎍ in a 1-㎎ solution of 5% glucose in normal saline with heavy bupivacaine 12 ㎎. Heart rate, blood pressure, degree of motor and sensory block were recorded. The assessment of postoperative analgesia included time to first rescue, total number of rescue medication and pain score on visual analog scale (VAS) at 1, 3, 6, 9, 12, 24 hour. Nausea and vomiting were assessed by using the visual analog scale at 24 hr postperatively and the incidence of them was recorded postoperatively. Result : There were no significant differences among the four groups in characteristics of spinal blocks. Compared to saline, neostigmine groups significantly prolonged time to first rescue medication and decreased total number of rescue medication and pain visual analog scale score, but incidence of nausea and 24hr nausea VAS score were not increased in neostigmine group compared to control group. Conclusion : These data in patients injected intrathecal neostigmine suggest that analgesia may occur at doses less than neostigmine 50 ㎍ and neostigmine 50㎍ has a better analgesia effect with fewer side effects than other doses for postoperative analgesia.
( Byoung Joon So ),( Seung Hyun Chun ),( Jae Beom Park ),( Sung Kyu Jung ),( Il Hwan Kim ) 대한피부과학회 2014 대한피부과학회 학술발표대회집 Vol.66 No.1
Unguis incarnatus, more commonly known as ingrown toenail, occurs when excessive pressure is applied to the toenail, such as wearing tight-fitted shoes. The nail grows into the fold area which initiates foreign body response, resulting in pain, inflammation and in severe cases granuloma. Locally, non-invasive treatment methods have been performed with the use of plastic tube, dental floss, and shape memory alloy loops in mild cases. Formable acrylic treatment with gutter splint reported by Arai et al, is a simple and effective treatment, but causes pain with movement and is easily lost during the maintenance period. We try to fix these drawbacks with the use of toenail like soft silicon tubes. Silicon tube insertion with gutter splint was applied to three patients, two male and one female, who visited with a left big and right 2nd ingrown toenail respectively. Pain was alleviated and routine observation showed improved toe deformation without other side effects. We believe silicon tube insertion with gutter splint as a simple, safe, and effective method than plastic tube.
( Byoung Joon So ),( Seung Hyun Chun ),( Jae Beom Park ),( Sung Kyu Jung ),( Il Hwan Kim ) 대한피부과학회 2014 대한피부과학회 학술발표대회집 Vol.66 No.2
Background: There are various techniques for treatment of ingrowing nails. Plastic tube insertion with gutter splint is widely used for conservative treatment options of ingrowing nails. But it shows low success rate and diverse side effects. Silicon tube which ameliorate those shortcomings is lately developed. Objectives: To evaluate the success rate and side effect of silicon tube insertion with gutter splint, we compare silicon tube insertion with plastic tube insertion in ingrowing nail patients. Methods: In 19 patients, undergoing silicon tube insertion with gutter spilnt and 17 patients treated with plastic tube insertion with gutter splint over 2-year period at our hospital. We examine success rate and side effect of each procedure. Results: In silicon tube insertion cases, 14 cases(74%) and plastic tube insertion cases, 10 cases (59%) showed no recurrence after treatment. Severe pain due to tube insertion occurs 2 cases(10%) of silicon tube insertion cases, 3 cases(17%) of plastic tube insertion cases. Recurrent loss of tube occurs 2 cases(10%) of silicon tube insertion cases, 4 cases(23%) of plastic tube insertion cases. Conclusion: The study shows an effective result of silicon tube insertion with gutter splint. In conclusion, application of silicon tube insertion with gutter splint is effective method rather than plastic tube insertion with gutter splint. Further study should be given to the identification of efficacy of silicon tube insertion with gutter splint.
A case of perialar extraorbital sebaceous carcinoma
( Byoung Joon So ),( Jae Beom Park ),( Seung Hyun Chun ),( Ji Hyun Park ),( Sang Wook Son ),( Il Hwan Kim ) 대한피부과학회 2015 대한피부과학회 학술발표대회집 Vol.67 No.1
Sebaceous carcinoma is rare aggressive neoplasm that usually located on the ocular adnexa, especially meibomian gland and zeiss gland, but few cases of sebaceous carcinoma are arising from extraocular sites. Extraocular sebaceous carcinoma is commonly affect the head and neck area, rarely affect the trunk and extremities in elderly. A 58-year-old male who had 0.5ⅹ0.6cm sized slow-growing yellowish plaque on below the left nasal ala for several years visited our hospital. The histologic examination with 3mm punch biopsy shows irregular tumor nest composed of sebaceous undifferentiated cells variation in the shape and size of each nuclei, confirmed the diagnosis of sebaceous carcinoma. The lesion was totally removed by 5mm-margin wide surgical excision and showed no recurrence for three years. We experienced an unusual case of extraorbital sebaceous carcinoma that successfully treated with 5mm-margin wide surgical excision without recurrence.
( Byoung Joon So ),( Jae Beom Park ),( Min Gun Yoo ),( Sang Geun Lee ),( Il Hwan Kim ) 대한피부과학회 2013 대한피부과학회 학술발표대회집 Vol.65 No.2
Background: Dermoscopy become a useful method for the diagnosis of several disease including actinic keratosis, seborrheic keratosis, angiokeratoma, verruca vulgaris, dysplastic nevus, malignant melanoma, squamous cell carcinoma, basal cell carcinoma. It improves the diagnostic accuracy compared with physical examination. Objectives: The study investigated the diagnostic accuracy rate of the clinical diagnosis with dermoscopy about eight disease which can easily encountered. Methods: Total 56 patients with biopsy-proven eight disease were selected and analysed retrospectively. The dermoscopic features of eight disease that we investigated described by M. Huerta-Brogeras et al, H-E Lee et al, J-H Kim et al, D-Y Lee et al, G. Rezze et al, J. Bauer et al, C. Rosendahl et al and S-W Jwa et al. Results: Dermoscopy significantly increased the diagnostic accuracy of eight disease (after physical examination, 73.2%, after dermoscopy, 91.0%, p<0.05). The diagnostic accuracy of each disease was hard to find statistically significance due to small cases. Conclusion: This study revealed that examination using dermoscopy improve the diagnostic accuracy rate of diagnosis in dermatological clinical field. For evaluating diagnostic accuracy of each disease, we`ll collect much more cases.