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증례보고 : 우측 개흉술 중 발생한 발작 심실상성 빈맥 환자의 전-후 전극 위치의 이극 심장율동전환 치료경험
이지희 ( Ji Heui Lee ),김진강 ( Jin Kang Kim ),이현도 ( Hyun Do Lee ),손동일 ( Dong Il Sohn ),이소영 ( So Young Lee ),이수남 ( Su Nam Lee ),장호조 ( Ho Jo Jang ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.2
A 54-year-old male patient with squamous cell carcinoma of lung was scheduled for right lower lobectomy. He had suffered from diabetes mellitus during 8 years, but his preoperative electrocardiogram was normal sinus rhythm. During right thoracotomy, 2 times of unstable paroxysmal supraventricular tachycardia (PSVT) appeared but returned to normal sinus rhythm by carotid sinus massage. But, third unstable PSVT was not controlled by adenosine and anterior - lateral paddle positioned biphasic cardioversion. We changed anterior-lateral paddle position to anterior-posterior paddle position. And PSVT terminated abruptly and changed to sinus rhythm. So we present a case of unstable PSVT during right thoracotomy and treated with anterior-posterior paddle positioned biphasic cardioversion. (Korean J Anesthesiol 2006; 51: 246~51)
증례보고 : Osler- Weber- Rendu 증후군 환자의 전신마취 경험
이수남 ( Su Nam Lee ),김진강 ( Jin Kang Kim ),손동일 ( Dong Il Sohn ),이지희 ( Ji Heui Lee ),이용석 ( Yong Seok Lee ),이소영 ( So Young Lee ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.3
Hereditary haemorrhagic telangiectasia (HHT), or Osler-Weber-Rendu syndrome is an autosomal dominant disorder characterized by recurrent epistaxis, mucocutaneous telangiectasias, and visceral involvement including arteriovenous malformations that may develop in any organ, especially in the lung, brain, liver and GI tract. Early screening and regular follow up of patients with HHT are important to minimize the risk of development of serious sequelae. We report a case of 46-year-old female patient who had "suspected HHT" and review the literature on this rare disease. (Korean J Anesthesiol 2007; 52: 363~6)