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CASES OF THE SURGICAL CORRECTION OF FACIAL ASYMMERY
허홍열,민승기,조상기,정인원,Huh, Hong Yell,Min, Sung Ki,Cho, Sang Ki,Jeong, In Won Korean Association of Maxillofacial Plastic and Re 1991 Maxillofacial Plastic Reconstructive Surgery Vol.13 No.2
안모비대칭은 심미적 정서적으로 영향을 줄 뿐만 아니라 기능적인 장애를 초래하는 경우도 있다. 안모비대칭은 안면골 중에서 특히 하악골과 관련된 경우가 많은데 이는 하악골이 안면하부의 연조직을 지지하므로 작은 위치, 형태 변화에도 두드러지게 나타나기 때문이다. 비대칭안모를 초래하는 하악과두의 거대증은 Hyperplasia, Hypertrophy, 골증, 외골증, 골연골증, 연골육종 등을 들 수 있다. 비대칭안모 분류는 여러 학자에 의해 다양하게 분류되지만 Bruce와 Hayward는 Deviation prognathism, Unilateral macroganthia, Unilateral condylar hyperpiasia로 분류한 바 있다. 과증식된 하악과두의 절제술은 1856년 Humphry에 의해 최초로 시행된 후 여러 학자들에 의해 성공적으로 시행되고 있다. 본 증례에서는 Unilateral condylar hyperlpasia와 골연골종으로 인한 안모비대칭 환자로써 Condylectomy, Le Fort I osteotomy, Vertical ramus osteotomy, Mandibular inferior border ostectomy, Genioplasty 등을 시행하여 심미적 기능적으로 양호한 결과를 얻었기에 이를 보고하는 바이다. This is a case report and review of literature of the facial asymmetry corrected by various surgical methods. In case 1, facial asymmetry resulted from osteochondroma of condyle and corrected via condylectomy only. In case 2, unilateral condylar hyperplasia with compensatory maxillary growth resulted in severe facial asymmetry. Procedures used in case 2 are vertical ramus osteotomy, condylectomy, genioplasty, mandibular inferior border ostectomy and Le Fort I osteotomy.
Huh Hong Yell(許洪烈),Cho Sang Ki(趙相紀),Yun Cheri Hee(尹哲熙),Jin Woo Jeong(陳宇政),Shin Hyo Keun(辛曉根),Kim Oh Whan(金晤煥) 대한구강악안면외과학회 1986 대한구강악안면외과학회지 Vol.12 No.1
We had treated 63 cases with cleft lip and palate which visited Department of Oral & Maxillofacial surgery, college of Dentistry, Chon Buk National University from May 1981 to April 1986. In total 63 cases, male patients were 41 cases (65.1%) and female patients were 22 cases (34.9%) Cleft lip and palate patients were 31 cases (49.2%) cleft palate patients were 14 cases (22.2%) and cleft lip patients were 18 cases (28.6%) We performed cheiloplasty by means of Millard s method, LeMesurier s method, Veau s method, Tennison s method and Bauer s method, palatorrhaphy by means of Von Langenbeck method and V-Y retroposition procedure.
발작성 심실상성빈맥의 12 유도 심전도를 이용한 감별진단과 ST - T 파 분석의 의의
이승욱(Seung Uk Lee),조정관(Jeong Gwan Cho),류제영(Jay young Rhew),김계훈(Kye Hoon Kim),김원(won Kim),김성희(Seong Hee Kim),김준우(Jun Woo Kim),조장현(Jang Hyun Cho),안영근(Young Keun Ahn),김원영(Won Young Kim),조상기(Sang Ki Cho),정 대한내과학회 1998 대한내과학회지 Vol.55 No.2
N/A Objects: Accurate differential diagnosis of paroxysmal supraventricular tachycardia (PSVT) has become more important after introduction of curative catheter ablation technique into clinical practice. It has been reported that ST-T changes during supraventricular tachycardia are frequent, but its association is different according to the type of PSVT and the location of the AV bypass tracts. Therefore, this study was performed to evaluate the significance of ST-T changes in addition to classic ECG parameters in differentiating AV nodal reentrant tachycardia (AVNRT) and AV reentrant tachycardia (AVRT), and predicting the location of the AV bypass tracts. Methods: One hundred thirty patients presenting with narrow-QRS complex (<120 msec) regular tachycardia in whom the mechanism of the tachycardia was later confirmed as AVNRT or AVRT by electrophysiologic study (EPS) with successful catheter ablation were included in this study. Tachycardia cycle length, visible P wave, pseudo r` wave in Vl, pseudo s wave in the inferior leads, QRS altemation, ST segments depression, and T wave inversion were evaluated in the ECGs recorded during spontaneous episodes of the PSVT and compared between patients with AVNRT (n=54) and AVRT (n=76). Results: Tachycardia cycle lengths were not different between AVNRT and AVRT (355.8 ± 50.6 msec vs. 341.9 ± 51.4 msec). P wave during the tachycardia was significantly more frequently seen in AVRT than AVNRT, (72,4% vs, 9.3%, p<0.0001). However, pseudo r` wave and pseudo s wave were significantly more frequent in AVNRT than AVBT (59.3% vs. 7.9%, 33.3% vs. 1.3%, respectively, p<0,0001). QRS alternation was significantly more frequent in AVRT than AVNRT (342% vs. 11.1%, p<0.05). ST segment depression ≥1 mm was observed in 27.8% of AVNBT and 79.9% of AVBT (p<0.001). T wave inversion was more frequent in AVRT than AVNRT (30.3% vs. 7.4%, p<0.01). ST depression ≥2mm was observed in 76.9% of the left posterior pathways, 28.1% of the left anterolateral pathways, 66.7% of the right posterior pathways, and 1.1% of the right anterior pathways. Sensitivity, specificity, and positive predictive value in differentiating AVRT from AVNRT with visible p wave were 72%, 91%, and 92%, respectively : 78%, 72%, and 80%, respectively with ST segment depression ≥1 mm, and 30%, 93%, and 85%, respectively with T wave inversion. In differentiating AVNRT from AVRT, Sensitivity, Specificity, and positive predictive value of pseudo r' wave and pseudo s wave were 59%, 92%, 84%, respectively and 33%, 99%, 94%, respectively. Sensitivity, specificity, and positive predictive value in distinguishing posterior location from anterior location of the pathways were 74%, 76%, and 72%, respectively with ST segment depression (≥2mm) and 46%, 83%, and 70%, respectively with T wave inversion. Conculsions : ST Segment depression during PSVT can be used complementally to the classic ECG parameters in the differential diagnosis of PSVT and predicting the location of the AV bypass tracts.
장 허혈-재관류에서 폐조직의 Inducible Nitric Oxide Synthase 유전자 발현에 대한 저체온증의 효과
김규석 ( Kyu Seok Kim ),이정훈 ( Jeong Hun Lee ),서길준 ( Gil Joon Suh ),윤여규 ( Yeo Kyu Youn ),강영준 ( Young Joon Kang ),김민아 ( Min A Kim ),조상기 ( Sang Ki Cho ),신효범 ( Hyo Keun Shin ) 대한외상학회 2006 大韓外傷學會誌 Vol.19 No.1
Purpose: Although hypothermia has been used in many clinical situations, such as post cardiopulmonary resuscitation, stroke, traumatic brain injury, septic shock, and hemorrhagic shock, the mechanism by which it works has not been clearly elucidated. We aimed to evaluate the effect of hypothermia on the plasma nitric oxide (NO) concentration, lung iNOS expression, and histologic changes in intestinal ischemia-reperfusion (IR). Method: Male Sprague-Dawley rats were randomly divided into the hypothermia group (HT, n=8, 27~30℃) and the normothermia group (NT, n=8, 36~37℃). They underwent 30 min of intestinal ischemia by clamping the superior mesenteric artery, which was followed by 1.5 h of reperfusion. They were then sacrificed. The acute lung injury (ALI) score, the plasma NO concentration, and lung iNOS gene expression were measured. Results: Compared with the HT group, the NT group showed severe infiltrations of inflammatrory cells, alveolar hemorrhages, and interstitial hypertrophies in lung tissues. There were significant differences in the ALI scores between the NT and the HT groups (8.7 ± 1.5/HPF in NT vs 5.8 ± 1.2/HPF in HT, p=0.008). Although the plasma NO concentration was slightly lower in the HT group, there was no significant difference between the two groups (0.80 ± 0.24 μmol/L in NT vs 0.75 ± 0.30 μmol/L in HT, p=0.917). Lung iNOS gene expression was stronger in the NT group than in the HT group. The band density of the expression of iNOS in lung tissues was significantly increased in the NT group compared to the HT group (5.54 ± 2.75 in NT vs 0.08 ± 0.52 in HT, p=0.002). Conclusions: This study showed that hypothermia in intestinal IR reduces inflammatory responses, ALI scores, and iNOS gene expression in lung tissues. There was no significant effect of hypothermia on the plasma NO concentration. (K Korean Soc Traumatol 2006;19:14-20)
김윤아(Yun Ah Kim),정명호(Myung Ho Jeong),주신배(Shin Bae Joo),최명자(Myung Ja Choi),김인수(In Soo Kim),김남호(Nam Ho Kim),김건형(Kun Hyung Kim),이승욱(Seung Uk Lee),조장현(Jang Hyun Cho),안영근(Young Keun Ahn),조상기(Sang Ki Cho),조정 대한내과학회 2001 대한내과학회지 Vol.60 No.5
N/A Background : Previous reports have mentioned the increased mortality of percutaneous coronary intervention (PCI) in elderly female patients compared with elderly male. The purpose of this study was to evaluate the clinical characteristics, coronary lesion, characteristics and differences of success rate of PCI between male and female elderly patients. Methods : Three hundred sixty six elderly patients (454 lesions), including 210 male (255 cases, 73.4±2.45 year-old) and 156 female (199 cases, 73.5±2.55 year-old) who underwent PCI at Chonnam National University Hospital between Jan '96 and Dec '98 (out of 3,030 patients during same period). We compared clinical characteristic, coronary artery lesion morphology, success and complication rates of PCI in elderly male and female patients. Result : Clinical diagnosis and risk factors for atherosclerosis were not different between two groups. Right coronary lesions were more common in female and left circumflex artery lesion less common in female patients. The success rate of balloon angioplasty was 93.2% (110/118) in male and 93.3% in (98/105) in female patients, and the success rates of stenting were 99.2% (136/137) in male and 100% (94/94) in female. Success rates of PCI were not different between two groups. Procedure-related mortality was one cardiac death (1/255, 0.39%) in male group only. Complications of elderly male were two occlusive dissection (OD: 2/255, 0.8%), three thrombotic occlusion (TO: 3/255, 1.2%) and two ventricular arrhythmia (VA) with shock (2/255, 0.8%). In 199 female patients, three OD (3/199, 1.5%), three TO (3/199, 1.5%) and two VA (2/199, 1.0%) developed. The complications rates were not different two groups. Conclusion : PCI in female patients older than 70 years can be performed with comparable success and complication rates to those of elderly male patients.(Korean J Med 60:456-462, 2001)