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폐암환자에서 발생한 피하매몰 중심정맥포트 골절 및 색전증 2예
주진영 ( Jin Yung Ju ),조재영 ( Jae Yeong Cho ),임정환 ( Jung Hwan Lim ),조계중 ( Gye Jung Cho ),채동렬 ( Dong Ryeol Chae ),오인재 ( In Jae Oh ),김규식 ( Kyu Sik Kim ),김유일 ( Yu Il Kim ),임성철 ( Sung Chul Lim ),김영철 ( Young C 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.63 No.5
Totally implanted central venous access devices for chemotherapy (chemoport) are being used increasingly in lung cancer patients. Vascular catheters are associated with various complications including infection, thrombosis as well as spontaneous fractures and embolization of the catheter, which is known as ``pinch-off syndrome``. ``Pinch-off syndrome`` refers to the compression of a subclavian central venous catheter between the clavicle and first rib resulting in an intermittent or permanent obstruction, which can lead to tears, transection, or embolization. We report two cases of fractured and embolized implanted subclavian venous catheters in which the fragments were removed percutaneously. A 62-year-old man presented with back pain with a duration of a few weeks. The chest radiograph revealed complete transsection and embolization of the catheter into the right atrium. In addition, a 47-year-old woman with a chemoport had a grade 3 pinch-off sign in a chest radiograph demonstrating complete transsection and embolization of the catheter into the pulmonary artery. Both cases were managed by retrieving the embolized distal fragment percutaneously and removing the proximal section of the catheter. (Tuberc Respir Dis 2007;63:449-453)
생체전류가 침 치료에 미치는 영향; 예비연구 - 심박수에 대한 내관(內關) 자침 효과를 중심으로-
이봉효 ( Bong Hyo Lee ),박지하 ( Ji Ha Park ),김희영 ( Hee Young Kim ),김성록 ( Seong Rok Kim ),박여빈 ( Yeo Bin Park ),온예진 ( Ye Jin On ),이승수 ( Seung Su Lee ),이창욱 ( Chang Wook Lee ),한수연 ( Soo Yeon Han ),임성철 ( Sung C 경락경혈학회 2013 Korean Journal of Acupuncture Vol.30 No.3
Objectives: Many studies have investigated the electric specificity of meridian and acupoint. However, the definition about the real substance of ``Ki(Qi)`` that flows in the meridian has not been established yet. The authors hypothesized that the ``Ki(Qi)`` may be the very ``bioelectricity`` of western medicine, from two common features that they are not visible with naked eyes and that they function in the living body only. Methods: 20 healthy adults participated in this study. Heart rate was measured before and after exercise. Acupuncture was performed at PC6 immediately after exercise with counter balance in the first experiment. In the second experiment, acupuncture group was further divided to the three groups, i.e. glove acupuncture group, manual acupuncture group, and NaCl acupuncture group. In the glove group, acupuncturist put on the two folds of latex gloves to block bioelectric currents between the acupuncturist and subject. In the NaCl group, acupuncturist had his fingertips wet with NaCl solution. Results : Exercise increased Heart Rate and acupuncture at PC6 inhibited this increase. In the second experiment, the significant difference compared to the comtrol group was the most in NaCl acupuncture and the least in Glove acupuncture. However, there was no significant difference between three groups. Conclusions : The results of this study seem to be deficient as a conclusive evidence for the hypothesis that the ``Ki(Qi)`` of Korean Medicine is the ``bioelectricity`` of western medicine.