http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
A case of acute hemolytic transfusion reaction due to anti-Dia antibody -A case report-
문성하,이승환,노민영 대한마취통증의학회 2012 Korean Journal of Anesthesiology Vol.63 No.4
Many medical institutions in Korea have recently been performing an antibody screening test as one of the essential elements of a pre-transfusion test. The Dia antigen is well known as one of the antigens with low incidence among Caucasians; however, it has been discovered with a relatively higher incidence among Mongoloid populations. The frequency of the Dia antigen among the Korean population is estimated to be 6.4-14.5%. But in Korea, a screening panel of cells from abroad without Dia positive cells has been commonly used when a patient has an unexpected antibody screening test. Here we report a case of acute hemolytic transfusion reaction due to Anti-Dia antibody. To prevent other transfusion reaction by anti-Dia antibody, addition of Dia positive cells as unexpected antibody screening test is recommended.
복강경하 위아전절제술 중 발생한 숨겨진 후복막강 출혈 감지를 위한 경식도 도플러의 유용성
문성하,이승환,노민영 대한중환자의학회 2012 Acute and Critical Care Vol.27 No.2
Hemodynamic monitoring is an essential element in the management of perioperative patients. In addition, anesthesiologists routinely used blood pressure (invasive or non invasive), heart rate, urinary output and central venous pressure as monitoring modalities. Esophageal doppler monitoring, as a minimally invasive hemodynamic assessment tool, has a good correlation with pulmonary artery catheterization in measuring cardiac output. We experienced a case of concealed retroperitoneal hemorrhage in a patient who underwent a laparoscopic subtotal gastrectomy. When surgeons tried to close trocar sites, the patient's blood pressure dropped rapidly. At laparoscopy, we could not find gross bleeding. However, we could detect hypovolemia by esophageal doppler monitoring (CardioQ, DeltexTM, UK). The procedure was converted to open laparotomy. Thereafter, we could find retroperitoneal hemorrhage, and vascular repair was done successfully. The patient recovered without any other complications.
문성하,안동애,최현정,김태희,빈정우,고동찬 대한마취통증의학회 2016 Korean Journal of Anesthesiology Vol.69 No.3
Coronary air embolism is a rare event. We report a case in which an acute myocardial infarction occurred in the region supplied by the right coronary artery after the removal of a double-lumen hemodialysis catheter. Emergent coronary angiography revealed air bubbles obstructing the mid-segment of the right coronary artery with slow flow phenomenon distally. The patient expired due to myocardial infarction.
모야모야병과 동방결절기능부전 증후군을 가진 산모의 제왕절개술을 위한 전신마취
문성하,김정희,우철호,김윤홍,김현수 대한마취통증의학회 2006 Korean Journal of Anesthesiology Vol.50 No.2
Moyamoya disease is a rare progressive occlusive disease of the internal carotid arteries. We experienced a case of general anesthesia in a patient with Moyamoya disease and sick sinus syndrome who underwent a cesarean section. General anesthesia was performed using laryngeal mask airway ProSealTM in order to avoid the hemodynamic response to tracheal intubation. INVOSⓇ 5100 was used to monitor the level of cerebral oxygenation. The patient was kept stable hemodynamically and her level of cerebral oxygenation was kept at the optimal level during the operation. (Korean J Anesthesiol 2006; 50: 232~5)
뇌동맥류 파열 후 발생한 신경성 기절심근과 폐부종-증례 보고-
문성하,최원준,목정민,양재영,우철호 대한중환자의학회 2010 Acute and Critical Care Vol.25 No.2
We report a case of neurogenic cardiopulmonary instability with pulmonary edema occurring after an aneurysmal subarachnoid hemorrhage. The patient`s pre-operative Glasgow coma scale score was 6 and the PA chest radiograph showed increased diffuse haziness in the right lung field. The patient presented with severe hypotension and low oxygen saturation during surgery. Cardiac damage was documented by increased CK-MB troponin-T levels, and ischemic ECG findings. Reversible cardiac failure associated with subarachnoid hemorrhage may be due to a neurogenic- stunned myocardium. The patient underwent clipping of the aneurysm and recovered with minimal neurologic impairment and normal cardiac function.
문성하,정경석 대한응급의학회 1994 대한응급의학회지 Vol.5 No.1
While trauma is well known as a major cause of death and disability in Korea, but trauma severity indices has not been routinely used in trauma center. The purpose of this study was to better characterize trauma in a urban trauma center and to evaluate quality of trauma care. We retrospectively studied 255 patients(mean age : 30.5 years, 200 male and 55 female) who had undergone abdominal operation for multiple trauma at the Kangnam Sacred Heart Hospital, Seoul, from January 1,1988 through December 31, 1992. A comparison between survivors and nonsurvivors showed significant difference in injury se-verity score(ISS, 18.9 vs. 39.8), revised trauma score(RTS, 7.4vs. 4.7), TRISS Ps(probability of survival, 0.66 vs. 0.17), and abdominal trauma index(ATI, 13.8 vs. 32.3). The most common unjury mechanism was motor vehicle crash(MVC, n=123, 48.3%) followed by other blunt(n-70, 27.5%) and penetrating injuries(n=62, 24.3%), MVX patients had higher ISS(23.9 vs. 16.6 and 16.7), higher ATI(17.1 vs. 13.5 and 12.5), higher actual mortality rate(9.8% vs. 1.6% and 2.9%), lower RTS(6.9vs. 7.6 and 7.5), lower TRISS Ps(0.54 vs. 0.75 and 0.70), and more lengthy hospital stay(69.2 days vs. 33.5 days and 28.8 days) than did patients for either penetrating or other blunt injury mechanism. By TRISS methodology, unpredicted outcomes occurred in 56 of 255 patients(22%) with 1 unpredicted death and 55 unpredicted survivors. The sensitivity and specificity of TRISS Ps were 93% and 77%. Performance outcome using the TRISS methodology revealed Z score for nonsurvivors of-2.03, MVC injury of-2.42, other blunt injury of-1.42 and penetrating injury of -1.73 The results indicate that MVC patients were more severely injured than patients with other injury mechanisms and routine measurement of injury severity in patients with multiple trauma are essential for prediction of outcome and evaluation of trauma care.