http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Primary Fibromyalgia Syndrome 환자의 치험례
허후만(Hoo Man Heo),박상민(Sang Min Park),김용익(Y 대한통증학회 1998 The Korean Journal of Pain Vol.11 No.1
Fibromyalgia syndrome is defined as a diffuse, aching musculoskeletal pain associated with multiple and discrete predictable tender points along with stiffness. A primary form associated without any disease is uncommon compared to the secondary diffuse fibrositis. We witnessed a case of a primary fibromyalgia syndrome. A 28-year-old woman was suffering from pain on posterior neck, right shoulder, upper back, left hand and arm for two years. She also complained of morning stiffness, fatigue, and headache. We treated her with stellate ganglion block with 0.25% bupivacaine, medication that included amitriptyline, TENS and superlizer. We also recommended aerobic exercise.
김용익,이정석,배상철,허후만,박욱 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.34 No.6
Reports of neural and non-neural injury associated with anesthesia have appeared in the medical literature. The majority of these injuries were due to improper patient positioning on the operating table and mostly correlated with the duration of surgery. We observed a case of lumbar disc herniation that was detected after general anesthesia in the traditional supine position. A 34-year-old woman underwent an operation for removal of uterine myoma. She complained of newly developed severe back pain that radiated down the lower right leg. HIVD L4∼5 confirmed by lumbar MRI at POD 4th. We felt the cause of HIVD was related to the supine position or preexisting back pain with HIVD was exacerbated during surgery. This is possible to be prevented by evaluating the patient's postural limitation during the visit before anesthesia, padding under lumbar area and a more appropriate position to suit the patient needs for example, Lawn-chair position. The patient was treated with epidural injection of steroid at pain cinic. (Korean J Anesthesiol 1998; 34: 1273∼1277)
혈류차단방법에 의한 Succinylcholine, Mivacurium 및 Vecuronium의 시간경과에 따른 근이완반응
이정석,김순임,김성열,허후만,도석주 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.35 No.4
Background : The magnitude of neuromuscular blockade is related to plasma concentration of muscle relaxants. This study was designed to compare the maximal depression of twitch height by blood flow occlusion using a tourniquet at various time interval after intravenous administration of muscle relaxants. Method : We studied 127 healthy male adult patients who underwent elective surgery under the general anesthesia with propofol infusion and 50% nitrous oxide. The single supramaximal twitch stimulation applied to the ulnar nerve at the wrist at 1 Hz. The twitch response of adductor pollicis muscles were measured by a 2 kg Load Cell strain gauge with a thumb piece modification and recorded by a Gould TA 240 recorder. After occlusion of blood flow by the tourniquet in the upper arm, in which the neuromuscular monitoring was applied on the wrist, we administered the equipotent dose (ED95) of succinylcholine (S group), mivacurium (M group), and vecuronium (V group) intravenously on the contralateral arm respectively. We measured the maximal depression (%) of twitch height after the releasing tourniquet at 30, 60, 90, 120, 150, and 240 second intervals after the injection of each drug. Results : The depression of twitch height was not found from 90 seconds of tourniquet time in the M group, and 120 seconds of tourniquet time in the S group. However, in the V group, the depression of twitch height was maintained to 240 seconds of tourniquet time. Conclusions : It is suggested that the plasma concentration of mivacurium declined faster than that of succinylcholine, and that of vecuronium decreased slowest among the groups after intravenous administration of equipotent dose (ED95). (Korean J Anesthesiol 1998; 35: 679∼683)
Carrageenan에 의해 유발된 백서 비복근의 염증성 근육통이 건에 미치는 영향
이강창,이용석,이은미,허후만 대한통증학회 2004 The Korean Journal of Pain Vol.17 No.01
Background: It has been suggested that muscle pain may induce skeletal muscle tendon damage, but the mechanism of this process is not known. The purpose of this study was to investigate gastrocnemius muscle tendon damage on Sprague-Dawley rats after inducing inflammatory muscle pain with carrageenan. Methods: Rats were anesthetized with sevoflurane. Muscle pain was induced by injecting 0.1 ml of carrageenan into the gastrocnemius muscle. Rats were killed on 48 hours after carrageenan injection. Muscle tendons were fixed in 10% neural buffered formalin (NBF), dehydrated, embedded, and sectioned at 4μm. Sections were then stained with phosphotungstic acid hematoxylin (PTAH), mounted, and observed under a light microscope. Results: Carrageenan-induced inflammatory muscle pain was associated with reduced tendon fiber and fibroblast numbers. Conclusions: This finding suggests that carrageenan-induced inflammatory muscle pain damages the gastrocnemius muscle tendon in the rat by reducing tendon fiber and fibroblast numbers.