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김신철,Kim, Sin-Cheol (사)한국포장협회 2022 包裝界 Vol.352 No.-
(사)한국포장기술사회는 지난 7월 20일(수) 제11대 회장 선출을 안건으로 임시총회를 개최했다. 이 자리에서 제10대 김충일 부회장이 제11대 회장으로 선임되었다. 김충일 신임 회장은 앞으로 3년간 (사)한국포장기술사회를 이끌게 된다. 김충일 신임 회장에게 취임 소감과 향후 계획 등에 대해 들어보았다.
급성 허혈성 뇌졸중에 있어서 혈전 용해제 적용 기준의 위반에 따른 예후 및 합병증에 대한 평가
김신철,천일영,김명천,고영관 대한응급의학회 2002 대한응급의학회지 Vol.13 No.3
Purpose: In many other countries, based on research, recombinant tissue plasminogen activator (r-tPA) has been approved for the treatment of acute ischemic strokes. However, in Korea, little research has been done till now, in spite of using r-tPA widely. We sought to assess the feasibility and the efficacy of treatment and to evaluate the prognosis and complications at the violation of using r-tPA. Our study was compared with other previous studies. Methods: A retrospective review is presented of 25 the cases of patients with acute ischemic stroke treated with r-tPA according to the National Institutes of Neurological Disorders and Strokes (NINDS) protocol. We classified the groups by protocol violation (time, blood pressure, and computed tomography). We then analyzed neurologic outcomes by using the National Institutes of Health Strokes Scale (NIHSS) and complications based on whether or not intracerebral hemorrhage (ICH) had occurred. Results: Of the 25 patients (mean age: 57 males: 19), 6 had time violation (onset time>180 min), 4 had blood-pressure violation (systolic BP> 185 mmHg), 5 had CT violation (low density at initial CT). The NIHSS score improved in 64% of all patients after 24 hours. However, improvement was lower in the case of deviation present than it was in the case of deviation absent (time, blood pressure, and CT, respectively, 20%, 50%, and 40%; p-value respectively 0.0274, 0.8350, and 0.4125). ICH occurred in 6 cases, but in cases of deviation present, ICH occurred at a greater frequency. Conclusion: Our safety and feasibility of outcome compared favorably with NINDS and other previous studies. In addition, we confirmed that the presence of protocol deviation was associated a poor outcome.