http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
증례보고 : 혈소판 수혈에 내성을 보인 글란츠만씨 혈소판무력증을 가진 환자의 정형외과 수술 시 전신마취 경험
박정복 ( Jung Bok Park ),신양식 ( Yang Sik Shin ),김수환 ( Soo Hwan Kim ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.4
Glanzmann`s thrombasthenia is an autosomal recessive bleeding disorder caused by qualitative or quantitative abnormalities of the platelet glycoprotein IIb/IIIa (GP IIb/IIIa), which can lead to excessive bleeding. Glanzmann thrombasthenia is associated with clinical variability, with some patients only having minimal bruising and others having frequent, severe and potentially fatal hemorrhages. Platelet transfusions, which used to be the standard treatment, may lead to the development of antibodies to HLA and/or GPIIb/IIIa, thereby rendering future transfusions ineffective. Glanzmann`s thrombasthenia can be a severe hemorrhagic disease; however, the prognosis is excellent with careful supportive care. In this case, administering allogenic plateletpheresis to patients with Glanzmann`s thrombasthenia who were refractory to platelet transfusions was found to be successful during bone surgeries. (Korean J Anesthesiol 2009;57:507∼10)
증례보고 : 수술 후 통증 치료를 위해 삽입한 경막외 카테터의 지주막하 이동의 조기 발견
김수환 ( Soo Hwan Kim ),김종훈 ( Chong Hoon Kim ),신양식 ( Yang Sik Shin ),이형석 ( Hyung Seok Lee ),박영찬 ( Young Chan Park ),이기영 ( Ki Young Lee ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.6
A 68 years old male patient was scheduled for open cholecystectomy and common bile duct exploration for gallstone and common bile duct stones with cholecystitis. With the patient in lateral decubitus position, a 17 G Tuohy needle was inserted into the epidural space via midline approach at the T10-11 interspace by using the loss of resistance technique. Then, an 18 G epidural catheter was inserted into the epidural space upward 5 cm for postoperative pain control without complications such as bleeding, paresthesia or CSF leakage. After the epidural catheterization, general anesthesia was induced. During the surgery, the aspiration test via the epidural catheter was done once more before connection of PCA device to the epidural catheter, and some clear fluid was found to be aspirated. Intrathecal migration of the epidural catheter was doubted and confirmed by a measurement of glucose level and the thiopental precipitation test. After the end of surgery, the epidural catheter was removed and the patient was discharged from the PACU 1 hour later without any complication or sequelae. We report a case of early detection of intrathecal migration of an epidural catheter by a measurement of glucose level and the thiopental precipitation test of the aspirated fluid. (Korean J Anesthesiol 2006; 51: 746~8)
양측성 안면마비에서 적외선 체열 영상 촬영으로 평가한 성상신경절 차단의 치료 효과 - 증례 보고 -
이윤우(Youn Woo Lee),정주영(Joo Young Jeong),김희정(Hee Jung Kim),신양식(Yang Sik Shin) 대한통증학회 2001 The Korean Journal of Pain Vol.14 No.1
Facial nerve palsy is not a serious disease, but it can be both upsetting and disabling for patients. More than half of the lesions of facial nerve palsy fall into the category termed Bells palsy. It is very rare to find a representative case of bilateral Bell's palsy. Here we report the changes of infrared thermographic findings in bilateral Bell's palsy treated with a stellate ganglion block (SGB). A 45-year-old female patient who had a right facial palsy which developed 2 weeks before. Steroid administration and acupuncture was not effective and so she was referred to pain clinic. The right facial palsy was cured after 19th right SGB. Twenty eight days after the onset of the right facial palsy, left facial palsy also developed and cured completely with a left SGB. Serial infrared thermograms were performed. The hypothermias on the affected side improved symmetrically by the end of the treatment.