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늑골골절의 한의학적 치료에 대한 최신 연구동향: China National Knowledge Infrastructure (CNKI), PubMed를 중심으로
박은상,황현호,박기현,김호걸,임지성,강준혁,Park, Eun Sang,Hwang, Hyeon Ho,Park, Ki Hyun,Kim, Ho Geol,Im, Ji Sung,Kang, Jun Hyuk 한방재활의학과학회 2022 한방재활의학과학회지 Vol.32 No.4
Objectives The purpose of this study is to identify the latest research trends regarding the nonsurgical treatment of rib fractures and suggest the direction for future research. Methods We searched for papers published from January 1, 2015 to July 1, 2022 in PubMed and the China National Knowledge Infrastructure (CNKI) based on keywords 'rib fracture'. 'Korean medicine', 'oriental medicine', 'TCM', 'moxibustion', 'acupunture', 'cupping', 'electroacupuncture', 'pharmacopuncture', 'fire needling'. Results A total of 79 studies were searched at first research. Then the studies were screening according to criteria and Finally 20 studies were selected. The oriental medical interventions analyzed in this study were fumigation method, herbal medicine, external application, acupuncture, ointment, herb fomentation, Tending Diancibo Pu far-infrared therapy. Conclusions Various oriental medical interventions such as herbal medicine, acupuncture, fumigation, herb fomentation, ointment, and physical therapy are being studied abroad for the treatment of rib fractures. It is considered that additional research related to the nonsurgical treatment for rib fractures is needed in the future in korea.
사삼(沙蔘), 양유(羊乳), 제니(薺苨)의 감별기준 연구
박은상 ( Eun-sang Park ),이세리 ( Se-ree Lee ),정종민 ( Jong-min Jeong ),송명규 ( Myeong-gyu Song ),윤지현 ( Jee-hyun Yoon ),주영승 ( Young-sung Ju ) 대한본초학회 2017 大韓本草學會誌 Vol.32 No.2
Objectives : This study is aimed at establishing the discriminative criteria for Adenophorae Radix (AT; Sasam), Codonopsis Lanceolatae Radix (CL; Yangyu) and Adenophorae Remotiflori Radix (AR; Jeni). Because of confusable publications and the similitude of herb shape, CL and AR have been used as AT in the markets. Methods : We firstly discriminated and confirmed AT, CL and AR through observing the external morphology of original plants. Then, external-internal morphological features of the medicinal herbs were studied. A stereoscope was used to determine macroscopic features of dried herbal medicines and a microscope was conducted to examine internal features with the samples, which were embedded in paraffin and stained. Results : 1. The original plant of CL was discriminated with the stem shape in comparison with others. AT and AR were classified by the leaf position of original plant. 2. In the macroscopic morphological study of medicinal herbs, CL had lumps, which seem like a wart. Also, AT and AR were different in the density of cross section. 3. In the microscopic morphological study of the medicinal herbs, the phloem, fissures and the arrangement of xylem were selected as discriminative criteria for 3 kinds of herbs. With these contents, we suggested the identification keys, including further details. Conclusions : These results, especially identification keys, will be helpful to distinguish 3 kinds of herbs, referred to as a `Sasam`. Moreover, macroscopic and microscopic methods used in this article would be applicable tools for the discrimination of other herbs.
폐전이를 보인 경-흉추 이행부 악성 신경초종 1례 - 증 례 보 고 -
박경범,황수현,김준수,김기정,박인성,김은상,정진명,한종우,Park, Kyung Bum,Hwang, Soo Hyun,Kim, Joon Soo,Kim, Ki Jeong,Park, In Sung,Kim, Eun-Sang,Jung, Jin-Myung,Han, Jong Woo 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.11
Acase of malignant schwannoma in the cervico-thoracic region with lung metastasis is presented. The patient was 55-year-old man presented with right arm weakness. Magnetic resonance image demonstrated lobulated enhancing soft tissue masses in spinal canal, neural foramen and right paraspinal space at C7-T1 level compressing the dural sac and spinal cord. Subtotal removal was performed and histological diagnosis of malignant schwannoma was made. Reoperation due to recurrence was done but subsequent metastasis to lung was observed.
뇌경막 동정맥루를 동반한 장기간 지속된 외상성 경동맥-해면정맥동루 - 증례보고 -
박경범,박인성,김준수,김기정,황수현,김은상,정진명,한종우,김재형,Park, Kyung Bum,Park, In Sung,Kim, Joon Soo,Kim, Ki Jeong,Hwang, Soo Hyun,Kim, Eun-Sang,Jung, Jin-Myung,Han, Jong Woo,Kim, Jae Hyung 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1
Traumatic carotid-cavernous fistula is a rare complication of moderate to severe head injury. For the treatment of carotid-cavernous fistula, detachable balloon occlusion is the best method of choice. A 26 year old male patient was hurt with a left periorbital penetrating injury 20 years ago, and then left side exophthalmos, bruit and right hemiparesis developed 10 years later. We experienced the very rare case of direct carotidcavernous fistula with cavernous dural arteriovenous fistula. Brain MRIs and cerebral angiograms revealed that direct carotid-cavernous fistula was accompanied by cavernous dural arteriovenous fistula due to longstanding venous hypertension and development of collateral circulation. Detachable balloon occlusion and surgical internal carotid artery ligation were not enough to occlude fistular flow, so cavernous dural arteriovenous fistula embolization was necessary. The authors present a case of long-standing traumatic carotid-cavernous fistula with cavernous dural arteriovenous fistula, with review of the literature.
경사에코자기공명영상을 이용한 뇌미만성 축삭 손상 환자의 예후 분석
김형종,박인성,김재형,김기정,황수현,김은상,정진명,한종우,Kim, Hyoung Jong,Park, In Sung,Kim, Jae Hyoung,Kim, Ki Jeong,Hwang, Soo Hyun,Kim, Eun-Sang,Jung, Jin-Myung,Han, Jong Woo 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.2
Objective : The authors have studied the clinical outcome of patients with diffuse axonal injuries(DAI) to evaluate the prognostic value of gradient-echo MR imaging findings. Materials and Methods : From March 1995 to March 1998, there were nineteen patients with DAI whose initial Glasgow coma scales were eight or less. Authors divided them into two groups according to Glasgow outcome scales ; those patients with GOS 3 or less(group A ; 9) and those with 4 or more(group B ; 10). We subdivided the lesions as superficial and deep lesion, and analyzed the numbers, anatomical loci of the lesions on the gradient echo images of each group. Results : Mean numbers of the lesions were 15 per case in group A(135/9) and 10 in group B(100/10). The common loci involved in DAI were cerebral cortex, brain stem, and corpus callosum. Cortical lesions were 31.1% in group A(42/135) and 47% in group B(47/100). Brain stem lesions were 25.9%(35/135) and 15%(15/100) each. Callosal lesions were 31.1%(26/135) and 13%(13/100) each. The frequency of callosal and brain stem lesions was significantly different between two groups(p<0.05). We divided callosal lesions as genu, body, and splenium and body lesions as anterior, middle, posterior, but no significant topographical difference of lesions was observed between two groups. Deep lesions were observed more frequently in group A(58.5%, 79/135) than group B(36%, 36/100). Conclusion : The poor outcome group showed more numbers of lesion and more frequent involvement of brain stem and corpus callosum than favorable outcome group. Gradient-echo MR imaging seems to have predictive value for clinical outcome in patients with DAI.
수술중 급성 대량 출혈을 동반한 자발성 척추경막외혈종 - 증 례 보 고 -
김형종,황수현,박인성,김은상,정진명,한종우,Kim, Hyoung Jong,Hwang, Soo Hyun,Park, In Sung,Kim, Eun-Sang,Jung, Jin-Myung,Han, Jong Woo 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.9
Spontaneous spinal epidural hematoma is rare disease and usually presents with a progressive neurological syndrome for which surgical decompression is usually indicated. The cause of bleeding in epidural hematoma remains unknown in most of the cases. The most frequently identified risk factor is coagulopathy or treatment with anticoagulants. Recently, authors experienced a case of spontaneous spinal epidural hematoma with intraoperative profuse bleeding at the cervicothoracic location. Laboratory examination showed no evidence of coagulopathy or hepatic disease. On neurologic examination, left hemiparesis(Grade : II) and left side sensory change were noted. On MRI scan, there was a mass of high signal intensity in T2WI and isosignal intensity in T1WI compressing the cord to left side. The patients had good surgical outcome after decompressive laminectomy and hematoma removal.