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이예현,남의화,박설희,송치윤,이용욱,이종명,박정훈,황철용,Lee, Ye-Hyun,Nam, Eui-Hwa,Park, Seol-Hee,Song, Chi-Youn,Lee, Yong-Uk,Lee, Jong-Myung,Park, Jung-Hoon,Hwang, Cheol-Yong 대한수의학회 2013 大韓獸醫學會誌 Vol.53 No.3
Two dogs were presented with melena, vomiting and depression after accidental swallowing of candy form of Strepsils (flurbiprofen), which is one of non-steroidal anti-inflammatory drugs used in human medicine for controlling a sore throat. These dogs had common signs of anemia induced by gastrointestinal ulceration and hemorrhage with azotemia and leukocytosis. The dogs were treated with blood transfusion, fluid therapy, proton-pump inhibitor, antiemetics, mucus protectant and antibiotic. Although most of clinical signs of two dogs were resolved, azotemic problem with evidence of renal injury have remained.
이예현(Ye Hyun Lee),남의화(Eui Hwa Nam),박설희(Seol Hee Park),송치윤(Chi Youn Song),이용욱(Yong Uk Lee),이종명(Jong Myung Lee),박정훈(Jung Hoon Park),황철용(Cheol Yong Hwang) 대한수의학회 2013 大韓獸醫學會誌 Vol.53 No.3
Two dogs were presented with melena, vomiting and depression after accidental swallowing of candy form of Strepsils (flurbiprofen), which is one of non-steroidal anti-inflammatory drugs used in human medicine for controlling a sore throat. These dogs had common signs of anemia induced by gastrointestinal ulceration and hemorrhage with azotemia and leukocytosis. The dogs were treated with blood transfusion, fluid therapy, proton-pump inhibitor,antiemetics, mucus protectant and antibiotic. Although most of clinical signs of two dogs were resolved, azotemic problem with evidence of renal injury have remained.
견관절 수술 시 국소신경 차단술을 이용한 통증 관리 - 초음파 유도하 중재술 -
오주한,이예현,박해봉,Oh, Joo Han,Lee, Ye Hyun,Park, Hae Bong 대한정형외과초음파학회 2014 대한정형외과 초음파학회지 Vol.7 No.1
견관절 수술을 위한 마취와 수술 후 통증 조절을 위해 적용될 수 있는 국소 신경 차단술에는 사각근간 신경 차단술, 상견갑 신경 차단술, 5번 경추 신경근 차단술 및 액와 신경 차단술 등이 있을 수 있다. 국소 신경 차단술은 통증 조절 효과는 뛰어난 것으로 보고되고 있으나 횡격 신경 마비, 기흉, 신경 손상 등의 부작용이 다수 보고되며 그 실패율도 상당하여, 부작용을 최소화하고 성공률을 높이기 위한 노력으로 초음파 유도하 중재술이 사용되고 있다. 저자들은 이와 관련된 해부학적 기초와 초음파를 이용한 국소 신경 차단 술기 등에 대하여 기술하고자 한다. There are several kinds of regional nerve blockades, such as interscalene brachial plexus block, C5 root block, suprascapular nerve block, and axillary nerve block, which can be applied for anesthesia and postoperative pain control after shoulder surgeries. These regional nerve blockades have shown good results, but high failure rate and serious complications, such as phrenic nerve palsy, pneumothorax, and nerve injury, still remain. Ultrasound-guided intervention can increase the success rate of nerve blockades and reduce complications. We described the method of ultrasound-guided intervention for the regional nerve blockades around shoulder.
충돌 증후군에서 Ketorolac 국소주사 요법의 단기 효과
권지은(Jieun Kwon),이예현(Ye Hyun Lee),김해민(Hae Min Kim),김종민(Jong Min Kim),정현석(Hyun Suk Jung),이승림(Seung Rim Yi) 대한정형외과학회 2017 대한정형외과학회지 Vol.52 No.2
목적: 견봉 하 국소주사 요법으로 ketorolac과 corticosteroid의 효과를 비교 분석하고자 하였다. 대상 및 방법: 견관절 충돌 증후군으로 진단된 환자 20명에게 ketorolac 60 mg을, 또 다른 20명에게 triamcinolone 40 mg을 주사하고, 시간에 따른 시각적 통증 점수(visual analogue scale, VAS), 관절 운동 범위(range of motion, ROM) 및 Constant-Murley score를 측정하여 후향적인 방법으로 비교, 분석하였다. 결과: VAS는 주사 4주 후, 두 군 모두에서 감소된 소견을 보였으나 corticosteroid군에서 ketorolac군에 비하여 유의하게 더 감소된 소견을 보였고(p=0.001), 12주 후에는 두 군 간의 차이가 없었다(p=0.707). Constant-Murley score는 두 군 모두에서 향상되었으며 유의한 차이가 없었다(p=0.677). ROM 역시 두 군 모두 향상되었으며, 외회전의 경우 ketorolac군이 corticosteroid군보다 유의하게 향상되었다(p=0.005). 결론: 당뇨 등의 기저 질환이나 반복되는 주사 치료로 인한 부작용이 우려될 경우, ketorolac은 견봉 하 스테로이드 국소주사 치료에 대한 대안이 될 수 있을 것으로 생각된다. Purpose: The purpose of this study was to compare the clinical results between the subacromial injection of the ketorolac and that of the corticosteroid in patients with subacromial shoulder impingement syndrome. Materials and Methods: Twenty patients with shoulder impingement syndrome received an injection of 60 mg ketorolac and were evaluated in terms of visual analogue scale (VAS), range of motion (ROM) and Constant-Murley score. The outcomes are compared with the data of patients treated by 40 mg triamcinolone injection, retrospectively. Results: There was no significant difference in the demographics, VAS, ROM, and Constan-Murley score between the two groups before the injection. At the 4 weeks follow-up, pain improvement was significantly greater in the corticosteroid group (2.7±1.53) than in the ketorolac group (4.9±2.08; p=0.001). However 12 weeks after the injection, there was no significant difference in pain improvement between the two groups (ketorolac: 2.9±2.32, corticosteroid: 2.6±1.82; p=0.707). The Constant-Murley score at the final follow-up improved from 33.5 to 52.1 in the corticosteroid group, and from 39.0 to 56.6 in the ketorolac group (p=0.677). ROM was increased in both groups, and external rotation was significantly greater in the ketorolac group than in the corticosteroid group at the final follow-up (ketorolac: 29.3°±9.90°, corticosteroid: 20.8°±7.99°; p=0.005). Conclusion: In this study, ketolorac provided an effect equivalent to triamcinolone in the treatment of subacromial shoulder impingement syndrome at 12 weeks after the injection. This result could offer better opportunities to manage patients with diabetes or local and systemic side effects of repetitive use of corticosteroids.
젊은 남성에서 평행봉 운동 중 발생한 쇄골 근위부 피로 골절
권지은(Jieun Kwon),이예현(Ye Hyun Lee),조준희(Joon Hee Cho) 대한정형외과학회 2019 대한정형외과학회지 Vol.54 No.3
쇄골의 급성 골절은 비교적 흔한 골절이지만 쇄골에 발생한 피로 골절은 드물고, 쇄골 근위부의 피로 골절은 극히 드물다. 경부근치술 또는 목 주변의 방사선 조사 이후 발생한 쇄골 근위부의 피로 골절 사례들이 종종 보고되고 있으며, 전문 운동 선수에서 과도하게 반복되는 운동 중 발생한 쇄골 근위부의 피로 골절 사례들이 드물게 보고되고 있다. 저자들은 특별한 선행 요인이 없는 젊은 남성에서 평행봉 운동 중 발생한 쇄골 근위부의 피로 골절을 경험하였고 국내에서 유사한 사례가 보고된 바 없어 이를 문헌 고찰과 함께 보고하고자 한다. Although acute traumatic fractures of the clavicle are relatively common, stress fractures of the proximal clavicle are extremely rare. Stress fractures of the clavicle have often been reported after a radical neck dissection or radiation but rarely occur during excessive repetitive exercise in professional athletes. The authors report a case of a stress fracture of the proximal clavicle during exercise in a young man with no specific preceding factors, which has not been reported in the Korean literature.
책상다리 자세에 국한된 증상을 호소하는 환자에서 자기공명영상의 유용성
이승림 ( Seung Rim Yi ),정현석 ( Hyun Seok Chung ),양보규 ( Bo Kyu Yang ),안영준 ( Young Joon Ahn ),김성완 ( Seong Wan Kim ),임세혁 ( Se Hyuk Im ),이예현 ( Ye Hyun Lee ) 한국정책학회 2014 The KAPS Vol.39 No.-
This study was conducted to evaluate the diagnostic utility of magnetic resonance imaging (MRI) for the patients having problems confined to cross-legged posture. The study subjects were 128 cases (male 87.5%) and 120 patients from October 2008 to June 2013. Average age of male patients was 50 years old (range, 21.72 years old), and female 45 years old (range, 18.76 years old). The rate of positive MRI findings was compared according to abnormal physical findings. The average duration of symptoms was 11.7 months. The most frequent complains was on the back (41.9% at rest, 57% when taking the posture). Patrick test was positive for 33.6% of cases, simple radiography was abnormal only for 20% of cases. Bone scan was normal for all 98 cases. Only 21.9% of 128 cases showed abnormal MRI findings which were managed with conservative treatment. Limitation in the range of hip joint motion was not statistically associated with abnormal findings of MRI (p=0.148). Normal Patrick test was associated with normal MRI finding (p=0.001). Among normal cases on both physical and simple bone X-ray film, 88.6% were normal at MRI. In conclusion, for patients with physical complaints from the cross-legged posture, diagnostic utility of MRI is relatively low when they show normal on both physical examination and simple radiography.
광범위 수부 손상에서 서혜부 유경피판과 유리 포장주위피판을 이용한 단계적 무지 재건술
노영학,정문상,백구현,이영호,공현식,이승환,이예현,Roh, Young-Hak,Chung, Moon-Sang,Baek, Goo-Hyun,Lee, Young-Ho,Gong, Hyun-Sik,Rhee, Seung-Hwan,Lee, Ye-Hyun 대한미세수술학회 2009 Archives of reconstructive microsurgery Vol.18 No.2
Purpose: Despite the free tissue transfer using microsurgical technique being the current trend of soft tissue reconstruction of the hand, the pedicled groin flap has the advantage to provide coverage for the mangled hand without necessitating the use of a damaged arterial system and also providing the benefit of saving the arterial system for later free tissue transfer. This report presents the author's experience using pedicled groin flap in four cases of mangled hands with massive bone and soft tissue defects requiring later thumb reconstruction with the free wrap around flap. Materials and methods: The patients' age ranged from 30 to 51 years; three patients were male and one was female. The causes of mangled hand included two machinery crush injuries, one laboratory explosion and one motor vehicle accident. While evaluating the post-operative results, factors like flap survival, complications, stability in opposition, pinch power and 2 point discrimination were taken into account. Results: All massive soft tissue defects of the hands were completely covered with pedicled groin flap successfully. The reconstructed thumb using free wrap around flap did not have any limitation in opposition. There was no occurrence of post-operative infection and all the flaps survived completely. The average pinch power was 70% of the contralateral intact thumb and average 2 point discrimination was 10 mm. Conclusion: The pedicled groin flap for the reconstruction of the massive soft tissue defects of the hand with subsequent reconstruction of the thumb with a wrap around flap is a very useful procedure. The combined use of pedicled groin flap and wrap around flap allows adequate coverage of sizable soft tissue defects and functional thumb opposition in cases of reconstruction of the mangled hands.