http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 오태숙 (검색결과 3 건)
- 무료
- 기관 내 무료
- 유료
-
-
중환실 환자의 임상적 고찰 : 제 2 보:1975. 3. 1 ~ 1982. 2. 28
고신옥,오흥근,백상기,오태숙 대한마취과학회 1983 Korean Journal of Anesthesiology Vol.16 No.1
The ICU at Severance Hopital was opened with 7 beds on October 18, 1968 and expanded to 19 beds on February 2, 1981. From 1970-977, We statistically analyzed 3,072 ICU patients. During the period of years from March 1975 to February 1982, We have analyzed clinically 4,348 ICU patients. The Results were as Follows: 1) During the 7 years the total number of patients was 4,383. ln 1981, 1063 patients were admitted to the ICU: this number being almost twice that of in 1980. 2) During the 7 years, the overall mortality was 15.1%, highest in 1976(30.1%) and lowest in 1979(11.5%). It has decreased annually, 12.4% in 1980, 12.3% in 1981. 3) Total admission days in ICU were 18,148 days, the average patient stay in ICU being 4.17 days. The majority of the patients(81.2%) stayed in ICU less than 5 days. The number of patients staying in ICU more than 6 days increased every year from 14.2% in 1975 to 22% in 1981. 4) About 50% of the patients admitted were under the forties-age group. The number under the teens old group was 19%, this group representing the highest number of patients admitted to the ICU. The highest mortality(18.5%) occurred in the 1 to 10 yearold-age group. 5) The number of patients admitted to the department of internal medicine was 1,574 cases, which was the highest among all departments. The mortality rate was highest in the neurosurgery department(41.9%). In 1981, the number of ICU patients in cardiac surgery and pediatrics was increased three time compared with that of 1975. 6) All ICU patients have been divided into two categories, operative and non-operative cases. The operative cases were 2,150, non-operative cases 2,198 cases. Mortality rate was 10% in operative cases, 20% in non-operative cases. 7) Case expired from march 1981 to February 1982: The number of expired parients including those with a poor prognosis was 183 cases. The number of patients that expired under the 10-year-age group was the highest, 78 cases. The cases that expired in internal medicine and pediatrics were 63 and 58 cases respectively. The causes of death were due to damage of central nervous system, cardiovascular system, respiratory system in that order. From the above results, it can be concluded that in spite of an increase in patients, the mortality rate has decreased annually.
-
박광원,길혜금,김천숙,오태숙 대한마취과학회 1982 Korean Journal of Anesthesiology Vol.15 No.4
Tetralogy of Fallot constituten the highest proportion of cyanotic congenital heart disease and has four basic abnormal anatomical pictures including ventricular septal defect, pulmonary stenosis, aortic overriding and right ventricular hypertrophy. The work of Edwards, et al (1965), Guntheroth, et al (1965) and Lev and Eckner (1964) has shown that the anatomical picture in a combination of just first two morphological characteristics, the aortic overriding and right ventricular hypertrophy being a consequence of the ventricular septal defect and pulmonary stenosis. Basic signs involve two categories, one is change of shunt rate depending on pulmonary stenosis, ventricular septal defect and systemic vascular resistance, and the other is physiological response to the chronically lowered PaO_2. Thus the pathophysiological status presents to us more problems than other congenital heart disease in the care of patients during operation and anesthesia. Therefore, the anesthesiologist must understand the basic pathophysiology, various findings of examination, symptoms and signs, the problems during anesthesia and postoperative care. The purpose of this study was to evaluate the anesthetic management in total corrective surgery of tetralogy of Fallor which was performed at Severance Hospital. Out of consecutive 160 cases of tetralogy of Fallot in our past ten years experiences from 1971 to 1980, we selected the clinical results on anesthetic care of 121 cases which received total corrective surgery under hypothermia and extracoporeal circulation. The results were as follows; 1) Out of 121 cases, 82 cases were male (67.8%) and female was 39 cases (32.2%). The group aging from 6 to 10 year old was the highest proportion (44.6%) and the next proportion was the group aging from 11 to 15 (22.3%). 2) Out of 121 cases, 91 cases were cyanotic (75.2%). On the diagnostic distribution, tetralogy of Fallot without any other anomaly was the most common (66.9%). 3) As for premedicants, secobarbital was the highest proportion (28.1%). For anesthetic maintenance, methoxyflurance with nitrous oxide was the most common (43.8%). 4) During cardio-pulmonary bypass, high flow perfusion was commonly used and the highest mean arterial pressure was 89.09±1.21 mmHg and the lowest mean arterial pressure was 36.33±1.21 mmHg. 5) The major complication after operation and anesthesia were dysrhythmia (13.1%), pleural effusion (10.3%), main wound infection (10.3%), hemorrhage (8.3%), acute renal failure (8.3%), heart failure (6.9%), low output syndrome (4.1%) and cerebral infarection due to air embolism (2.7%). 6) Out of 121 cases were expired and hospital mortality was 23.1%. The causes of death were heart failure (50%), acute renal failure (14.3%) and cerebral in farction (14.3%). In conclusion, anesthetic care for total corrective surgery of tetralogy of Fallot should be based upon the understanding of the pathophysiology of disorder itself.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
