http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
우시욱 ( Si Uk Woo ),최규성 ( Gyu Sung Choi ),김도헌 ( Do Hern Kim ),허준 ( Jun Hur ),전욱 ( Wook Chun ),이재정 ( Jae Jung Lee ) 대한외상학회 2003 大韓外傷學會誌 Vol.16 No.2
Background: During the past several decades, advances in burn treatment, including the improvement in fluid ressusitation, the evolvement of antibiotics, and the early excision of the wound, have increased the survival rate of burn patients. How ever sepsis and organ dysfunction are major causes of death after burn trauma. This study focused on finding the demography of burn mortality and the cause of death and on characterizing the time course of severe burn injury. Method: From January 1, 2002, to December 31, 2002, 543 patients were treated at the Burn Unit of General Surgery, Han Gang Sacred Heart Hospital after burn trauma. Among them, 112 patients expired. We reviewed their medical records and analyzed their demography, the cause of death, and the survival period, retrospectively. Results: Among the 112 patient, the cases of death are most common in the male patients aged 40 to 49. The most common cause of burn was flame (94.6%). They expired from sepsis (63.39%), pulmonary complication (13.39%), burn shock (13.39%) and acute renal failure (6.25%). Unill 72 hours after the burn injury, burn shock was the most common cause of death, between the 3rd day and the 7th day, pulmonary complications were the most common cause and after the 7th day, sepsis was. Conclusions: Even nowadays, many burn patients expire from burn shock and sepsis. Rapid transportation to a specialized burn center, judicious fluid ressusitation, wound care for wound healing, and prophylaxis of secondary infection can save more massive-burn victims.
복강경 결직장절제술 환자에서 2세대 세팔로스포린 단독 요법의 투여기간에 따른 병원감염 예방효과를 비교하기 위한 무작위연구
곽한덕(Han Deok Kwak),최동진(Dong Jin Choi),우시욱(Si Uk Woo),김진(Jin Kim),엄준원(Jun Won Um),김선한(Seon Hahn Kim) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.78 No.6
Purpose: We performed this study to compare 1-day group using a 2nd generation cephalsporin with 3-day group for evaluating hospital acquired infection. Methods: The patients underwent laparoscopic colorectal surgery at Korea University Medical Center Anam Hospital, from August, 2007 to June, 2008. They were randomly allocated to 2 groups: 1-day or 3-day group. A 2nd generation cephalosporin was administered within 1 hour before surgery with 12-hour intervals. In cases of suspected infection, further studies were done to identify infection. Results: The study included 154 patients (1-day group - 78, vs. 3-day group - 76). No differences were noted between the 2 groups in age, body mass index, smoking, diabetes mellitus, corticosteroid-use were noted. Gender (P=0.011) and mean operative time (P=0.047) between the 2 groups were different. The preventive rates of infection were 87.18% in the 1-day group compared with 82.89% in the 3-day group (P=0.456). Conclusion: Our prospective randomized control study concluded that there were no differences between the 1-day and 3-day group in hospital acquired infection. We could come to the conclusion that 1-day antimicrobial agent in laparoscopic colorectal surgery would be adequate in preventing infection.