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- 저자 : 박융인(Yong Hyun Park) (검색결과 4 건)
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울혈성 심부전 환자의 치료 경과중 혈청 마그네슘의 동태에 관한 고찰
임종훈(Jong Hoon Lim),전국진(Kook Jin Chun),정준훈(Joon Hoon Jeong),김병진(Byung Jin Kim),오현명(Hyun Myung Oah),박용현(Yong Hyun Park),박융인(Yong Hyun Park),홍택종(Taek Jong Hong),신영우(Yung Woo Shin) 대한내과학회 1997 대한내과학회지 Vol.53 No.6
N/A Objectives: There are many interesting reports suggesting that magnesium(Mg) deficiency is deleterious in patients with congestive heart failure (CHF). It is paradoxical that the most important cause of Mg deficiency in these persons is maybe use of therapeutics including diuretics. Authors investigated the trend of serum and 24 hour urine Mg with other relating electrolytes in Mg homeostasis prospectively, in the management of CHF. And we assessd the effects of medications and many variables in .CHF on serum Mg, and the usefulness of serum Mg representing the body content. Methods: Fifty three patients who were diagnosed as CHF by clinical finding and echocardiogaphy were prescribed conventional doses of diuretics as furosemide 40mg and spironolactone 50mg daily, with or without angiotensin converting enzyme(ACE) inhibitor and digitalis. And then, serial serum and 24 hour urine Mg, sodium, potassium and calcium were obtained at admission, 2nd day, 5th day, and discharge. Results: The patients group with chronic CHF, which was defined as long-term use of diuretics over 6 months, showed higher prevalence of low level of serum Mg concentration than the group with acute one(11 of 28, 39% vs. 2 of 25. 8%, P< 0.01). Of those two groups, the latter showed upward trend of serum Mg from admission to discharge, but the former showed no change. In 24 hour urine Mg excretion, the amount of the patients with CHF was larger than that of control group. In the chronic CHF group, the effect of digitalis on decreasing serum Mg was evident. Serum Mg of acute CHF group correlated with serum BUN(r=0.5609). Whereas, that of chronic group with ejection fraction(r= ?0.4742) and plasma renin activity(r= ? 0.3791), with serum potassium(r=0.4673) and creatinine(0.5846). Serum Mg may be useful indicator of Mg homeostasis, especially in chronic CHF patients. Conclusion: Because patients with chronic CHF were prone to deficiency of Mg in the management, maintaining the adequate serum Mg through long- term replacement seems very important in decreasing the morbidity and mortality of these persons.
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고혈압 환자에서 좌심실비대가 심실성 부정맥 발생에 미치는 영향
배우형(Woo Hyung Bae),이현국(Hyeon Gook Lee),박융인(Yoong In Park),박용현(Yong Hyun Park),오현명(Hyun Myung Oah),임종훈(Jong Hoon Lim),안병재(Byung Jae An),김성호(Seong Ho Kim),전국진(Kook Jin Chun),홍택종(Taek Jong Hong),신영우(Yung 대한내과학회 1999 대한내과학회지 Vol.56 No.4
N/A Objectives:Left ventricular hypertrophy(LVH) increases the risk of sudden death in hypertensive patients and this is known due to ventricular arrhythmias. Thus, author studied the relationship between LVH as a hypertensive target organ damage and ventricular arrhythmias. Methods:24-hour ambulatory electrocardiographic monitoring, measurement of microalbumin in 24-hour urine and fundoscopic examination were performed on 100 hypertensives (50 patients without LVH and 50 patients with LVH on EKG) who admitted Pusan National University Hospital. Results:In patients with LVH, ventricular extrasystoles occurred more frequently than without LVH(p<0.05) and ventricular couplet and ventricular tachycardia were more common but statistically not different. Microalbuminuria and hypertensive retinopathy were more severe in patients with LVH than without LVH(p<0.05 and p<0.01, respectively). Conclusion:Of the ventricular arrhythmias, ventricular extrasystole but not ventricular couplet and ventricular tachycardia occurred more frequently in patients with LVH than without LVH. Thus, prospective study with long-term follow up should be done to establish the relationship between hypertensive LVH and cardiovascular mortality, especially sudden death. And, further study should be done to make the relationship between reduction in LVH with antihypertensive therapy and reduction in LVH-associated ventricular arrhythmias.
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박융(Yung Park),하중원(Joong-Won Ha),성승용(Seung-Yong Sung),오현철(Hyun-Cheol Oh),유주형(Ju-Hyung Yoo),이윤태(Yun-Tae Lee) 대한정형외과학회 2006 대한정형외과학회지 Vol.41 No.2
목적: 전통적 또는 최소 침습적 접근법 중 한 방법을 이용한 단 분절 후방 요추체간 유합술 후 얻은 임상 및 방사선학적 결과를 비교 분석하여, 실제로 최소 침습적 접근법을 통한 요추 유합술이 전통적인 접근 방법을 이용한 유합술보다 최소 침습적 수술로서의 장점들을 가지고 있는지 알아보고자 하였다. 대상 및 방법: 2003년 10월부터 2004년 10월까지 단 분절 후방 요추체간 유합술을 시행 받은 환자 중 최소 1년 이상 추시가 가능했던 46명을 대상으로 하였다. 이 중 27명은 최소 침습적 접근법을, 19명은 전통적 접근법을 이용한 후방 요추체간 유합술을 시행 받은 환자였다. 두 군 간의 임상 및 방사선학적 결과, 수술 시간, 설혈량, 수혈량, 술 후 요통, 술 후 첫 보행 시기, 입원 기간 및 합병증 등을 비교하여 통계 분석하였다. 결과: 수술 후 최소 1년 추시한 임상 및 방사선학적 결과는 두 비교 군에서 통계적 유의한 차이가 없었다. 최소 침습적 유합술 군에서 실혈량, 수혈량, 술 후 요통이 통계적으로 의미 있게 적었으며, 술 후 첫 보행 시기와 퇴원 시기도 최소 침습적 유합술 군에서 의미 있게 빨랐다. 그러나 수술 시간은 최소 침습적 유합술이 전통적 유합술보다 더 길게 소요되었으며, 최소 침습적 유합술 군에서 수술 술기의 기술적인 합병증이 2예가 있었다. 결론: 단 분절 후방 요추체간 유합술을 위한 두 수술 접근법 중 최소 침습적 방법이 실혈량, 술 후 요통, 보행 시기 및 입원 기간 면에서 전통적인 방식보다 우수하였고, 최소 침습적 접근법이 기존 전통적 수술 접근법의 장점을 유지하면서도 수술 직후 환자의 빠른 회복과 재활에 유리한 장점을 가지고 있다고 생각된다. 그러나 최소 침습적 요추 후방 유합술은 전통적 접근법에 비해 수술 시간이 더 걸리고 수술 술기의 기술적 어려움으로 인한 합병증이 발생될 수 있어, 이에 대한 보다 여러 기관의 장기적이고 전향적인 연구 보고가 필요할 것으로 생각된다. Purpose: To compare the clinical and radiographic results of the two approaches for posterior lumbar fusion, one-level posterior lumbar interbody fusion (PLIF) performed with a minimally invasive approach or the traditional open approach. Materials and Methods: This study examined a consecutive series of 46 patients who underwent one-level PLIF procedure (27 cases performed with minimally invasive approach and 19 cases with traditional open approach) by one surgeon at one hospital. The following data were compared with a minimum 1-year follow-up: the clinical and radiographic results, surgical time, estimated blood loss, transfusion requirements, postoperative back pain, time needed before ambulation, length of hospital stay, and complications. Results: There was no statistical difference between the two groups in terms of the clinical and radiographic results at the last follow-up. The minimally invasive group was found to have a less blood loss, fewer transfusion requirements, less postoperative back pain, a shorter recovery time, and a shorter hospital stay. However, minimally invasive group required a longer surgical time and there were 2 cases with technical complications. Conclusion: This study confirmed the favorable results reported by previous uncontrolled cohort studies. It also showed that the minimally invasive approach had a similar surgical efficacy to that of traditional open approach. However, minimally invasive technique requires a steep learning curve and attention in order to lower the risk of complications.
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