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이종후,김수완,김이현 대한중환자의학회 2013 Acute and Critical Care Vol.28 No.3
Despite the advanced technologies of intensive care, massive hemoptysis can still cause death in a small subset of patients. Extracorporeal membrane oxygenation (ECMO) is expected to provide adequate gas exchange, to reduce ventilator-induced lung injuries, and to eventually improve outcomes in these patients. Also, the instability of vital signs due to hemoptysis makes it impossible to perform immediate interventional procedures such as embolization and resectional surgery. In these cases, ECMO may be instituted as a bridge therapy. Herein, we describe the detailed course of our case, with the hopes of helping physicians to decide when to initiate ECMO in patients with massive hemoptysis.
Ramsay Hunt 증후군 환자에서 발생한 중증 폐혈전색전증 1예 -증례 보고-
이종후,고성주,성길명,김미옥,이재천,한상훈,최재철,김이형 대한중환자의학회 2011 Acute and Critical Care Vol.26 No.4
Ramsay Hunt syndrome associated with the Varicella zoster virus (VZV) infection is characterized by vesicles on the pinna, otalgia, facial nerve palsy and sensorineural hearing loss. Although significant complications from VZV infection are increasing, thrombosis associated with VZV infection is one of the rare complications in adults. The VZV itself could cause endothelial damage in the various organs. Subsequently, the thrombosis might be complicated. A previously healthy 84 year-old female patient was diagnosed with Ramsay Hunt syndrome. On the 7th day of antiviral treatment, she complained of sudden breathlessness. She was hypoxemic with an elevated alveolar-arterial oxygen difference and needed to be supported by mechanical ventilation. Massive pulmonary thrombosis was documented by computerized tomography and she successfully underwent thrombolytic therapy. We report a case of massive pulmonary thromboembolism associated with VZV infection, treated with thrombolytic therapy.
대유행 인플루엔자(H1N1 2009) 환자에서 합병된 급성 폐색전증
이종후,김미옥,이재천,김진석,신상엽 대한감염학회 2010 Infection and Chemotherapy Vol.42 No.2
During the pandemic, few patients have suffered from severe pneumonia leading to acute respiratory distress syndrome (ARDS) and multiple organ dysfunction necessitating prolonged intensive care with higher mortality. Although sepsis and ARDS represent hypercoagulable states, acute pulmonary thromboembolism is rarely encountered in influenza infection. Fifty five year old female patient admitted with pneumonia associated with influenza A infection, progressed into ARDS. Pulmonary thromboembolism was detected by CT scan and treated with anticoagulants. This is the first case report of acute pulmonary thromboembolism in a patient with pandemic influenza (H1N1 2009) in Korea.
이종후,김현정,김이형 대한의학회 2017 Journal of Korean medical science Vol.32 No.1
Adding either macrolide or fluoroquinolone (FQ) to β-lactam has been recommended for patients with severe community-acquired pneumonia (CAP). However, due to the limited evidence available, there is a question as to the superiority of the two combination therapies. The MEDLINE, EMBASE, Cochrane Central Register, Scopus, and Web of Science databases were searched for systematic review and meta-analysis. A total of eight trials were analyzed. The total number of patients in the β-lactam plus macrolide (BL-M) and β-lactam plus fluoroquinolone (BL-F) groups was 2,273 and 1,600, respectively. Overall mortality of the BL-M group was lower than that of the BL-F group (19.4% vs. 26.8%), which showed statistical significance (odds ratio [OR], 0.68; 95% confidence interval [CI], 0.49 to 0.94; P = 0.02). Length of hospital stay was reduced in the BL-M group compared to the BL-F group (mean difference, −3.05 days; 95% CI, −6.01 to −0.09; P = 0.04). However, there was no significant difference in length of intensive care unit (ICU) stay between the two groups. Among patients with severe CAP, BL-M therapy may better reduce overall mortality and length of hospital stay than BL-F therapy. However, we could not elicit strong conclusions from the available trials due to high risk of bias and methodological limitations.
이종후,류재철 에스케이텔레콤 (주) 2000 Telecommunications Review Vol.10 No.5
전자상거래 등 인터넷 응용 서비스의 확대에 따라 중요성이 강조되고 있는 인터넷 보안 기술은 적용되는 영역에 따라 보안 기반기술, 네트웍 보안기술, 응용계층 보안기술, 시스템 보안기술 등으로 구분할 수 있다. 본 논문에서는 이와 같은 여러 가지 다양한 인터넷 보안기술과 최근 급격한 성장을 거듭하고 있는 무선인터넷에 대한 보안기술의 개발 및 표준화 동향을 살펴봄으로써 인터넷 보안기술에 대한 이해를 돕고, 보안기술의 향후 발전 방향에 대해서 전망해 보고자 한다.