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윤여규 ( Yeo Kyu Yoon ),홍성국 ( Song Cook Hong ),주흥재 ( Hoong Zae Joo ),김진복 ( Jin Pok Kim ) 대한외상학회 1988 大韓外傷學會誌 Vol.1 No.1
During the two years from 1st. Jan. 1984 to 31th. Dec. 1985, we evaluated the 1,685 traffic accident victims who visited the emergency room of Kyung Hee Medical Center and Seoul National University Hospital. The results were as follows: 1.The highest incidence was in the ages of twenties to thirities and the sex ratio was 64:36, predomi-nant in male. 2.The highest month and seasonal incidence were October and during Autumn. The real accident time was more frequent during the evening, from 18 o``clock to 20 o``clock. 3.The pedestrian injury was more prevalent than passenger injury. 4.The 28.5% of accident victims was arrived at the E.R. within 30 minutes after injury. 5.The kinds of injury of the accident victims were abrasion, contusion and cerebral concusion in orders. 6.The abdominal injury following traffic accident.was 4.9% of all injury and the small bowel injury was most frequently involved by the ratio of 28.5%.
홍성화,이태석,주흥재,윤여규 대한혈관외과학회 1986 Vascular Specialist International Vol.2 No.1
Portal hypertension with bleeding esophageal varices is usually caused by liver cirrhosis or extrahepatic portal obstruction, such as portal vein thrornbosis. There are certain cases of portal hypertension in which the casue is unexplained but neither liver cirrhosis nor portal vein thrombosis could be found. They are characterized by their better prognosis and liver function compared with that of liver cirrhosis. Splenic vein obstruction is infrequently a cause of gastroesophageal bleeding. Characteristically, this form of compartmental portal hypertension is seen in patients with pancreatic diseases, such as recurrent pancreatitis, pancreatic pseudocysts or pancreatic tumors. The diagnosis should be suspected in patient who presents with variceal bleeding in the absence of signs of liver disease. During the operation for gastrointestinal bleeding, the finding of a normal liver, an enlarged spleen and a markedly dilated gastroepiploic vein should alert suspicion of this condition. This condition was called $quot;sinistral$quot; portal hypertension, left-sided ported hypertension or segmental portal phypertension. Authors report a case of left-sided portal hypertension due to splenic vein obstruction by the tuberculous lymphadenitis without pancreatic diseases.
홍성화,고영관,이석환,윤충,고석환,주흥재,김영혁 대한외상학회 1998 大韓外傷學會誌 Vol.11 No.2
Background: The results of surgical mortalty are especially difficult to evatuate because groups of diseases concemed not compatible, the methods of treatment differ, and there are no universally valid definitions and criteria. In the past, efforts have been made to devise scoring system, each intended to predict with greater accaracy the outcome of the illness from the begining of treatment. The goal of this study was to review the outcome of surgical martahty, and to assess the correlation between APACHE II score and the American Society of Anesthesiologists(ASA) class. Materials and Methods: We reviewed 112 patients died within 60 days after the initial operation from Jan. 1987 to July 1998. All patients were classified preoperatively into 6 catecories in accordance with the recommendations of ASA. The APACHE II scores were calculated in 91 patients among these patients. The worse physiologic values during the first 24 hours after the admission were used for the calculation. All statistical analyses were performed with Wilcoxon rank sums test and Spearman correlation test using SPSS software. Results: The overall surgical mortality was 0.57%. The APACHE II scores of defined patients ranged from 4 to 33 and the median score was 16 point. A significant correlation was noted between APACHE II and ASA class(Spearman correlation test p=0.004). The survival days were shortened in the patients who had higher ASA class. The survival days of ASA II was 19.6+18.4(mean+standard deviation), ASA III was 15.9+16.2, ASA IV was 10.5+12.4, and ASA V was 1.4+0.9. The median APACHE Il score associated with emergency operation was significantly higher compared with the elective operation. Conclusion: The relationship between the APACHE II scores and ASA class was linear and significantly correlated. The APACHE B and ASA class can provide to estimate objectively patient risk for mortality.
신공여자의 신혈관 상태에 따른 수취자의 이식신 생존율 및 신기능의 변화에 관한 고찰
박호철,주흥재,정호술,홍성화 대한혈관외과학회 1992 Vascular Specialist International Vol.8 No.1
Factors that affect on the survival of transplanted kidney have been analyzed and the surgeons have been interested to the prediction of outcome for years. We compared graft survival rates and postoperative changes of renal function of grafts be- tween the group A with single renal artery(n=58), and group B with double renal arteries(N=9) of donors in transplanted kidneys. This study analized selected 67 cases which were treated by kidney transplantation at Department of Surgery, College of Medicine, Kyung Hee University, during 10years from January 1987 to December 1987. Mean age of recipients and donors was 36, 42years in group A, and 33, 44years in group B respectively. Right nephrectomy of donor was done in 5 cases, and left nephrectomy was done in 62 cases. And the serum creatinine level was used for guidance of postoperative status of renal function. Their graft survival rates of group A and B were 3 months 100%, 92%, 6 months l 00%, 87%, I year 100%, 80%, 2 years 89%, 72%, and 3 years 78%, 64%. Group A had better survival rate than group B, but there was no significant difference between the groups. And also there was no significant difference of postoperative serum creatinine level of recipients between the groups. So the result was as follows: There was no significant correlation between the graft survival rate, postoperative change of renal function of graft and the state of renal artery of donor.