http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
위장관 ( 胃腸管 ) : 소아의 대량 위장관 출혈에 대한 임상적 분석
배재문(Jae Moon Bae),정성은(Sung Eun Jung),박귀원(Kwi Won Park),이성철(Seong cheol Lee),김우기(Woo Ki Kim) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
N/A Massive gastrointestinal bleeding is a disease entity which is more likely to need emergent managements in pediatric patients rather than in adult patients. Eleven cases were reviewed and analyzed clinically. Melena was a principal presenting symptom in all cases. The most common underlying disease was peptic ulcer and the others were chronic inflammatory bowel diseases, Meckels diverticulitis, hemangioma of small bowel and erosive gastritis. The amount of blood loss was estimated by using total blood volume of patients and volume of transfused blood. The main-stay of treatment was prompt surgical intervention after early detection of bleeding site.
배재문 ( Jae Moon Bae ),배성한 ( Sung Han Bae ),윤여규 ( Yeo Kyu Youn ),김상준 ( Sang Joon Kim ),김진복 ( Jin Pok Kim ) 대한외상학회 1989 大韓外傷學會誌 Vol.2 No.1
Sixteen patients with necrotizing fasciitis of the perineum were treated at the Seoul National University Hospital from 1980 to 1988. Necrotizing fasciitis(N.F) occured predominantly in males(N : F= 14: 2), and the age of patients was even in distribution. These infections were caused by illicit injection for hemorrhoids, postoperative complica-tion, perianal abscess, fish bone impaction, bladder rupture due to traffic accident, and spontaneously in a half of patients. Necrotizing fasciitis is a rare disease that involves both superfical and deep fascia. It begins with fascial necrosis at onset and rapidly progresses to surrounding fascial planes, eventually involving overlying skin and underlying muscle. Escherichia coli was the most predominant organism cultured from the wounds in 12 patients. Other organism cultured were Pseudomonas enterococcus, streptococcus in orders of decreasing frequency. The accompanying disease was most commonly diabetes mellitus but perianal diseases such hemorrhoids and anal fistulas also occurred Its hospital course was quite long(mean : 60. 9 days) and showed high morbidity(6). The most definitive treatment was multiple incision and complete surgical removal of all necrotic tissue until the normal plane was reached. Reconstructive procedures such as skin graft and musculo cutaneous flap were necessary for 11 patients. None of the 16 patients died of the disease.
배재문(Bae, Jae-Mun),심문숙(Shim, Moon-Sook) 한국산학기술학회 2011 한국산학기술학회논문지 Vol.12 No.9
본 연구는 심장판막수술환자에서의 자가간호역량과 삶의 질 정도와 자가간호역량이 삶의 질에 미치는 요인 을 규명할 목적으로 실시하였다. 연구대상은 D시 2개 대학병원에서 외래방문 치료하는 환자 110명을 대상으로 구조 화된 설문지를 이용하여 설문조사를 실시하였다. 연구 결과, 심장판막수술환자의 자가간호역량과 삶의 질 정도는 총 4.0점 중 각각 평균 2.71점과 2.96점으로 그다지 높지 않은 것으로 나타났다. 또한 심장판막수술환자의 자가간호역량 이 삶의 질에 미치는 영향은 신체적 기술 (β=.625, p<.001)로 심장판막수술환자들은 자가간호역량의 신체적 기술이 높을수록 삶의 질이 높음을 알 수 있다. 결론은 자가간호역량은 심장판막 수술환자의 삶의 질에 영향을 미치는 요인 으로 확인되었으며, 심장판막 수술환자는 자가간호역량이 높을수록 삶의 질이 높은 것으로 나타났다. 따라서 심장판 막 수술환자의 자가간호역량을 높이기 위해 심장판막 수술환자의 신체적, 심리적, 정신적 영역에 대한 간호사정과 그 에 따른 적절한 간호중재를 개발할 필요가 있다. This study aims to survey patients who underwent a heart valve so as to define their self-care Agency and quality of life, as well as the effect of their self-care Agency on their quality of life. One hundred ten outpatients in two university hospitals in the City of D were surveyed using a structured questionnaire. The findings of this study revealed that for the life quality of patients with a surgery of heart valve, out of a total of 4.0 points, self-care Agency was an average 2.71 points, while life quality was an average 2.96 points, showing not so high scores. Also, it was also found that the higher the physical skills of patients with a surgery of heart valve (ß=.625, p<.001) were, the higher the quality of their life was. In conclusion, self-care Agency was confirmed as a determinant of the life quality of patients with a surgery of heart valve, and it was found that the higher the self-care Agency of patients with a surgery of heart valve, the higher their life quality was. Thus, in order to enhance the self-care Agency of patients with a surgery of heart valve, nursing assessment of their physical, psychological and mental areas, as well as corresponding appropriate nursing interventions need to be developed.