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소아중환자 호흡관리 실태(1985) : 제 5 보 The fifth report
정영균,함병문 대한마취과학회 1988 Korean Journal of Anesthesiology Vol.21 No.1
A clinical survey was performed on 342 patients under the age of 15 years who were admitted to the respiratory intensive care unit(RICU) between January and December, 1985. The results were as follows 1) The total number of RICU patients in 1985 was 610, and 342(56.1%) were pediatric patients. 2) The ratio of male to female was 55%(188 cases) to 45%(154 cases). 3) The most prevalent age group was 1 to 5 years of age, 145 cases(42.4%). 4) Of the 342 patients, 308 were chest surgery patients(90.1%), 30 were pediatric surgery (8.8%), 2 were neurosurgery, one was a general surgery and one was a plastic surgery patient. 5) The mortality rate was 3.5%(12 cases) which was significantly decreased from the 1984 rate of 5.9% Neonates experienced the highest mortality rate(l0.5%), but this decreased with aging. 6) The mortality rate according to procedure was 2.6%(8 cases) in chest surgery, 10%(3 cases) in pediatric surgery, and 100%(1 case) in general surgery and increased as the length of ventilatory support time increased. 7) The duration of ventilatory support was 57.93 hrs in chest surgery, 68.86 hrs in pediatric surgery and 59.75 hrs on average. Ventilatory support of 12~24 hrs was required in 115 (33.6%) cases. 8) The types of ventilators used were Bourns(132 cases, 38.6%), Bennet MA-1 (47 cases, 13.7%), Roche (45 cases, 13.2%), Bear-Cub(40 cases, 11.7%), etc. 9) The two major causes of death were low cardiac output syndrome(5 cases) in chest surgery and sepsis (2 cases) in pediatric surgery.
정영균,이선일,김수천,심재홍 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.3
Of 414 patients with ruptured intracranial aneurysms, 42 cases had large intracerebral hematoma over 3Occ in volume and were operated on at the Pusan Paik Hospital, Inje University from 1990 to 1992. The incidence of the large hematoma was 10% and the highest age incidence was 6th decade. The most frequent site of aneurysm with large hematoma was middle cerebral artery and the mean volume of hematoma was 5&c. There was a favorable outcome (good and fair) in 40% of all the cases and 34% mortality. Mortality rate increased in patients who had larger hematoma. had poor clinical or neurological grades at the diagnosis and were operated on after 72 hours of attack. We recommend that in aneurysmal patients with large hematoma. hematoma should be removed as soon as possible and that ruptured aneurysm be clipped at the same time.