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응급실에서 기관내삽관시에 진정제로 사용된 Etomidate의 효과와 안정성
최상천,김기운,민영기,윤상규,조준필,정윤석 대한응급의학회 2002 대한응급의학회지 Vol.13 No.4
Purpose: The purpose of this study was to estimate the efficacy and the safety of etomidate for rapid sequence intubation (RSI) in the emergency department. Methods: A retrospective analysis by chart review was done for patients who had needed intubation in the emergency department of Ajou university hospital from July 1999 to June 2000. Results: Three hundred (300) patients were enrolled in this study. Etomidates were used for 170 patients and Thiopental for 130 patients. in the Etomidate group, the average systolic blood pressures (SBP) were 127.7±42.2 mmHg prior to etomidate administration and 125.6±40.9 mmHg after. The average diastolic blood pressures (DBP) were 78.1±22.4 mmHg prior to etomidate administration and 79.1±21.3 mmHg after. There was no significant change in blood pressure after the use of etomidate. The average intubation time was about 3.9 minutes. Eight (8) patients experienced myoclonus and three (3) of vomiting after the use of etomidate. In the thiopental group, statistically significant decreases in the average SBP and DBP were seen after the administration of thiopental sodium. Twelve (12) patients had decreased blood pressure and one (1) patient arrhythmia after Thiopental administration. The average intubation time was about 5.9 minutes. Conclusion: The intubation time for etomidate group was superior to that for thiopental group. Also, in the etomidate group, no significant changes in the hemodynamic variables were noted during RSI. This study supports the efficacy and the safety of etomidate for RSI in the emergency department.
최상천,정지윤,이국종,원제환,조준필 대한응급의학회 2003 대한응급의학회지 Vol.14 No.1
We report a case in which traumatic epistaxis with a carotid cavernous fistula was successfully treated by using radiologic intervention. Since the inner facial bone is an anatomically weak structure and has numerous bleeding sites, traumatic epistaxis is profuse and can not be controlled well by using traditional treatments such as gauze, merocel®, and foley balloon packing. Uncontrolled epistaxis may cause unstable vital signs and threaten the patient. In the case of failure through traditional treatments, angiographic embolization can be used as a treatment of choice because angiographic embolization can be done at a high success rate with few complications. Stroke, facial palsy, visual loss, and facial pain are the most common complications. In our case, we had tried traditional treatments first, but there was no marked improvement. After the angiographic embolization had been conducted, epistaxis was successfully controlled. The patient' s vital signs were stabilized, and he was admitted to the ICU.
최상천,박종석,정윤석 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4
Paralytic shellfish poisoning results from consumption of mollusks that have fed on dinoflagellates capable of producing neurotoxins such as saxitoxin. The saxitoxin is concentrated in the shellfish and acts by decreasing sodium-channel permeability, thereby blocking neuronal transmission in skeletal muscles. Symptoms including paresthesia, perioral numbness, perioral tingling, nausea, vomiting, extremity numbness, extremity tingling, dizziness, ataxia, dysphagia, and weakness have been reported. In serious cases, respiratory hold may occur up to 6∼24 hours after ingestion. Generally, the treatment for paralytic shellfish poisoning is supportive care, but mechanical ventilation is needed in serious cases acompanied by respiratory hold. We experienced two cases of paralytic shellfish poisoning. Respiratory hold was presented in one case and only mild paresthesia in the other case. After supportive management, including mechanical ventilation in former case, both patients were discharged without sequalae.
지역중소기업의 디자인권리 창출을 위한 특허기술을 기초로 한 세라믹스피커 디자인개발에 관한 연구
최상천,허진용,윤명한 한국정보디자인학회 2011 정보디자인학연구 Vol. No.
This research wishes to creates medium and small enterprises' design patents and when develops design for strengthening of intellectual property right, is gone so that is profitable in product development of area medium and small enterprises through search which is design product registered in the Korean Industrial Property Office and progresses in a standard process for knowledge property strengthening of enterprise. With development, ceramics speaker design development coinciding on marketing direction of enterprise, other rival company which is small size shock ceramics speaker design since product external form design development (if is 3D simulation and CAD degree) by connection shock speaker market eastern exposure analysis and competition goods analysis and set and analysis, design analysis that user target prefers and development that is design accordingly of goods user class which consider the latest design trend differentiation since done unique ceramics speaker design development by design application for design right anger competitive power secure.
최상천 대구효성카돌릭대학교사회과학연구소 1998 사회과학연구 Vol.5 No.-
The central themes of Confucianism consist of a polarity which is the polarity of self-cultivation(修己; hsiu-chi) leading to personal self-realization and the ordering and harmonizing of the world(治人, 治國平天下). This polarity could fully concern only those with a vacation for political and social leadership-the superior men(君子; ch n-tzu). But the vision of ch n-tzu implied a duplex significance The chün-tzuo designated the hereditary nobles as a social class in the Warring States era on the one hand. But on the other hand, it suggested the ideal type of leaders in order to demand ch n-tzu's serious reflection and to legitimate their ruling. In the Analects(論語 Lun-y n) and in the Great Learning(大學; Ta-hs ch) Confucius himself states that "ch n-tzu cultivates himself in order to give rest to the people". The ch n-tzu can achieve complete self-realization only in his public vocation. It might be stated that a commitment to public service forms one of the basic criteria distinguishing the Confucian ideal of self-cultivation from some competing ideals and new-arising socio-political powers in that time. Conversely society can be harmonized and set in order only when men who have approached the ideal of self-realization are in public office. Here we find that Confucius devoted his life to idealize and stabilize the order of social stratum which consisted in the sage(聖人), chün-tzu, mean person and populace. And also in order to solidify those order he suggested the socio-political order as 君君臣臣父父子子, which was based primarily on one's conscientious adherence to the prescriptions of proper behavior(禮; li) and benevolence(仁; jin).