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안와골절 재건술을 위해 시행한 전신마취 후 발생한 단독 일측성 설하신경의 마비 1예
정성훈 ( Seong Hoon Jung ),손정은 ( Jeong Eun Sohn ),이광민 ( Kwangmin Lee ),위정환 ( Jeong Hwan Wi ),조용규 ( Yongkyu Jo ),김동성 ( Dong Seong Kim ) 경희대학교 경희의료원 2021 慶熙醫學 Vol.36 No.1
The hypoglossal nerve, the twelfth cranial nerve, is the pure motor nerve fibers which supplies general somatic efferent innervation of hyoglossus, genioglossus and styloglossus muscles and all intrinsic muscles of tongue.(1) The hypoglossal nerve palsy (HNP) makes patients uncomfortable in controlling speech and swallowing, the HNP has been reported in many conditions like tumors, head trauma, stroke, hysteria, multiple sclerosis.(2) Isolated unilateral HNP after general anesthesia is a rare complication. In this paper, we report a case of isolated unilateral HNP which occurred after reconstruction of blow out fracture and recovered completely with conservative therapies.
증례보고 : 척추-경막외 병용마취하 대퇴골경부골절수술 중 발생한 농흉 파열
김종학 ( Jong Hak Kim ),백희정 ( Hee Jung Baik ),김윤진 ( Youn Jin Kim ),유경희 ( Kyoung Hee Lyu ),손정은 ( Jeong Eun Sohn ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.5
Thoracic empyema can result from the pleural accumulation of infected fluid or the infection of accumulated pleural fluid. The causes of empyema are pneumonia, surgery of lung, mediastinum, diaphragm, trauma, and so on. The impact of anesthetic technique (regional versus general versus combination of both) on the respiratory complication rate has not been established. A 86-yr-old male patient, who had COPD about 15 years and chronic empyema for several months, scheduled to operation for a femur neck fracture. We report a case that this patient with COPD and empyema operated under combined spinal-epidural anesthesia and converted to general anesthesia because of the rupture of the chronic empyema. (Korean J Anesthesiol 2006; 51: 647~50)
김태유,김상윤,최성혜,양동원,김재우,손정은,임병훈,인연권 대한치매학회 2004 Dementia and Neurocognitive Disorders Vol.3 No.2
Background: Confrontational naming test is useful in evaluating the language function. It reveals memory and cognitive processing dysfunctions in many neurologic diseases including dementia. Although the Korean version of the Boston Naming Test (K-BNT) has been a popular and useful test, it takes much time and effort in dementia patients of moderate to severe stage of disease or in elderly individual with low educational level. So we developed the Korean Naming Test (KNT). Methods: KNT consists of relatively easy 40 items. Each item was familar materials around us and simplified figures with black thick line. Ninety two of probable Alzheimer's patients received the Korean version of Mini-Mental State Examination (K-MMSE), the Korean version of expanded Clinical Dementia Rating Scale (CDR), K-BNT and KNT. We tested reliability and validity of KNT and also evaluated scores of the KNT along with CDR. Results: The KNT correlated with K-BNT [0.75(p;0.01)], CDR [-0.49(p;0.01)], K-MMSE [0.55(p;0.01)]. The internal consistency was 0.91 (Cronbach's alpha). The KNT score decreased as the disease progressed. Conclusions: The KNT is a brief and good test for evaluating language function of moderate to severe dementia patients with low educational level. Also it is sensitive to mild stage of disease and has a excellent reliability and validity.