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증례보고 : 금식되지 않은 환자에서 응급수술 후 회복실에서 인지된 흡인성 폐렴
최원준 ( Won Joon Choi ),경문기 ( Moon Ki Kyoung ),김용찬 ( Yong Chan Kim ),문성하 ( Sung Ha Moon ),김윤홍 ( Yung Hong Kim ),김현수 ( Hyun Soo Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.5
Aspiration pneumonia is considered to be a morbid complication of anesthesia, It was reported that several conditions are associated with an increased frequency of aspiration pneumonia, such as gastroenterological, neurological and, pulmonary diseases. The incidence is also higher in emergency situations than during elective surgery. We encountered aspiration pneumonia after emergency laparoscopic salpingectomy. The patient was 25 years old woman with no prior medical history but had fasted for only 5 h in the preoperative period. During the perioperative period, there were no signs of regurgitation of the gastric contents into the oral cavity. After surgery, the patient was transported to the recovery room in a fully awakened state. However, the patient became cyanotic without vomiting. After physiotherapy, a chest CT scan was performed, and she was diagnosed with aspiration pneumonia. She was admitted to intensive care. Ten days later, she was discharged in a healthy state. (Korean J Anesthesiol 2007; 52: 612~6)
증례보고 : 대뇌 전두엽에 재발한 악성 수막종 환자의 뇌종양 절제술 중 발생한 간대성근경력 발작
김윤홍 ( Yun Hong Kim ),이영재 ( Young Jae Yi ),경문기 ( Moon Ki Kyoung ),김현수 ( Hyun Soo Kim ),문성하 ( Sung Ha Mun ),최원준 ( Won Joon Choi ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.2
Several suspected etiologies can cause seizures during the resection of a brain tumor via a craniotomy: the tumor itself, intracranial hypertension or the anesthetic agents used, etc. Generalized myoclonic seizures, during general anesthesia in a 44 year old man, who underwent a resection for a relapsed frontal meningioma, were experienced. Anesthesia was induced and maintained using propofol and remifentanil. The myoclonic seizures began 30 minutes after the induction of anesthesia. The administration of rocuronium was unable to stop the involuntary movement. Midazolam was given to cease the seizures, but they continued for a further 105 minutes. After opening the dura mater, the seizures immediately disappeared and did not recur thereafter. (Korean J Anesthesiol 2007; 52: 241~4)
놀래기류에 기생하는 기생성 요각류, Caligus chanos에 관한 연구
고유봉,문성하,강경표,고경민 제주대학교 해양연구소 1997 해양자원연구소연구보고 Vol.21 No.-
The parasitic copepod. Caligus chanos parasitized on labridae fish around MunSum. Cheju Island, have been basically studied form Sep.. 1996 to Aug.. 1997. Parasitic pattern and water temperatures have a close relationship. which is high in June and low form Feb. to Apr.. Fishes of main hosts were Pseudolabrus japonicus and Pteragogus Ragellifer. Parasitic copepods prefer the body and tail of the host to the head, and prefer adult host to juveniles or older one.