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간장 ( 肝臟 ) 및 담도 ( 膽道 ) : 특발성 세균성 복막염 환자의 예후 결정 인자에 관한 연구
강종식(Jong Sik Kang),문중갑(Joong Kap Moon),이승주(Seung Ju Lee),이정웅(Jung Woong Lee),정찬수(Chan Su Jeong),이준상(Jun Sang Lee) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.2
N/A We examined 34 cases of spontaneous bacterial peritonitis retrospectively to evaluate the factors influencing prognosis in spontaneous bacterial peritonitis. The obtained results were as follows. The groups with higher serum bilirubin, lower ascitic glucose concentration, more abnormal y-GTP, combined hepatic encephalopathy and positive ascitic culture showed poor prognosis significantly. Also, the groups with increased frequency of admission by spontaneous bacterial peritonitis and cultured enteric organism (esp.E.coli) in ascites tended to show poor prognosis. But, fever, serum creatinine level, PMN fraction in ascites or peripheral blood, and postitive blood culture were not related to prognosis statistically.
이정웅,임상덕,윤영석,선호영,윤덕영 대한골절학회 1995 대한골절학회지 Vol.8 No.2
Fracture of the capitellum is intraarticular fractures that occured rarely about the elbow. It is usually caused by a fall on the outstretched upper extremity with the radial head impacting against the anterior portion of the lateral humeral condyle. We reviewed 4 patients with capitellum fracture of the humerus treated by open reduction and intemal fixation from Aug. 1990 to Mar. 1993. The isolated capitellum fractures were in 2 cases, associated radial head fracture in 1 case, associated humeral lateral condyle fracture in 1 case. The case combined comminuted fracture of the humeral lateral condyle was fair, others were good result.
이정웅,김석범,최원태 대한골절학회 1996 대한골절학회지 Vol.9 No.1
In general, fracture of the shaft of the humerus is treated non-operative or by operative methods. The accepted treatment of the isolated low-energy humeral shaft fracture is non-operative method. However, the fracture of the humerus that are associated with high energy, significant communition, unstable fracture patterns, or fractures that have been difficult to reduce or maintain reduction have been difficult to treat or maintain reduction have been difficult to treat by non-operative method. This has led to the use of operative intervention for the treatment of the humeral shaft fracture. The use of open technique with plate and screw is difficult due to potential injury of the neurovascular structure, increased risk of the infection and extensile exposure of the fracture site. Intramedullary nailing has advantages over other techniques of internal fixation and has been used to maintain the alignment and length of humerus. Especially, biomechanically locked intramedullary nailing has the theoretical advantage of providing a weight shearing device and a ability to decrease the effect of rotational shear at the fracture site. This would increase the inherent stability at the fracture site and thus promote union. Authors performed interlocking intramedullary nailing for 35 cases of humeral shaft fracture from July-1993 until May-1995.
대퇴골 전자간 골절에 있어 압박고나사못 고정술후 경간각 변화
이정웅,김석범,임상덕,진병록,정상돈,윤영석,최원태 대한골절학회 1994 대한골절학회지 Vol.7 No.2
The incidence of the intertrochanteric fracture of the femur is increasing due to increased geriatric population. The primary goal in the treatment of an order patients with an intertrochanteric fracture is to obtain anatomical reduction and rigid fixation for the rapid mobilization, decreased mortality and restoration of function. Many devices were developed for this purpose, especially of compression hip screw had gained considerable acceptance. A retrospective study of clinical results of the 50 cases intertrochanteric fracture from March 1990 to January 1993 was performed. The result were as follows ; 1. Average age is 58 years and sex distribution is 31 cases of male, 19 cases of female. 2. Common cause of injury are slip down and traffic accident. Affected side is Rt 32 cases and Lt 18 cases. 3. According to the classification (of Boyd-Graffin), there are 14 case of Type I, 31 cases of Type II 2 cases of Type III, 3 cases of Type W 4. Among 50 cases, complication is encountered in 8 cases angular defonnity (4 cases), limitation of motion(3 cases), infection(l case). 5. After treatment of intertrochanteric fracture; Neck-shaft angle of non-displaced fracture and comminuted fracture was an average 2 degree varus angular deformity. Vertical displacement of non-displaced fracture was an average 4.5mm and comminuted fracture was 5.0mm. Medial displacement of non-displaced fracture was an average 3.5mm and comminuted fracture was 4.5mm. 6. Satifactory results could be obtained by open reduction and internal fixation with compression hip screw.