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유지영 ( Ji Young You ),이재일 ( Jae Il Lee ),유지영 ( Ji Yeong Ryu ) 대한외상학회 2004 大韓外傷學會誌 Vol.17 No.2
Background: Trauma is a leading cause of morbidity and mortality for children. This study was conducted to describe the characteristics of pediatric trauma and to compare the differences of two groups based on age. Methods: We performed a retrospective analysis of pediatric patients under 7 years of age admitted to our emergency department after a trauma from January 2003 through June 2003. The patients were divided into two groups based on age: group A (infant/toddlers, 0~3 years) and group B (preschool children, 4~6 years). Results: The most common cause of trauma was slip down in both groups. Fall down and burn were more frequent in group A, automobile and bicycle accident were more frequent in group B(p=0.000). The most common place of trauma was house in both groups, but other places were more frequent in group B(p=0.000). The most common trauma related device was furniture/electronics in group A, sporting goods in group B(p=0.002). Conclusions: From this study, we found statistically significant differences between the groups. Knowledge of age-related characteristics could result in improved diagnosis, treatment, and prevention of these injuries.
중국산 바르는 관절약을 복용 후 발생한 살리실레이트 중독 2례
이수열,유지영,조규종,유지영,Lee, Soo-Youl,Ryu, Ji-Yeong,Cho, Gyu-Chong,You, Ji-Young 대한임상독성학회 2007 대한임상독성학회지 Vol.5 No.2
Because of the ready availability of aspirin, salicylate poisoning remains a common problem in many countries. Another potential source of salicylate poisoning is medicated oil containing methyl salicylate (oil of wintergreen). Methyl salicylate poses a much greater safety threat than aspirin tablets because of its liquid, concentrated form and high lipid solubility. Because of this danger, the toxic potential of medicated oil containing methyl salicylate should be fully appreciated both by physicians and by the general public. We encountered two cases of salicylate poisoning resulting from accidental ingestion of Chinese medicated oil. We report these cases along with a review of the literature.
김성환 ( Sung Hwan Kim ),유지영 ( Ji Young You ),유지영 ( Ji Yeong Ryu ) 대한외상학회 2005 大韓外傷學會誌 Vol.18 No.2
Backgrounds: Dog bite is the most common cause of animal bites. This study was conducted to analyze dog bite patients and to compare the differences of groups based on age. Methods: We performed a retrospective analysis of patients admitted to our hospital after dog bite injuries from January 2003 through December 2004. The patients were divided into two groups based on age; group A (children, < 15 years) and group B (adult, ≥ 15 years). Results: A total of 103 patients were enrolled in the study. Dog bite injury frequently occurred to children under 10 years of age (21%). Home was the most common place of dog bite in group A, but public place was the most common in group B (p=0.000). Face was the most frequent body region of dog bite in group A, but hand was the most frequent in group B (p=0.039). Conclusions: From this study, we found statistically significant differences between the groups. Knowledge about age-related characteristics could result in improved prevention and treatment of these injuries.
이창원,곽정근,박경춘,유지영,유지영,조규종,Lee, Chang-Won,Kwak, Jung-Keun,Park, Kyung-Choon,Ryu, Ji-Yeong,You, Ji-Young,Cho, Gyu-Chong 대한임상독성학회 2007 대한임상독성학회지 Vol.5 No.1
Certain parts of shellfish contain poisonous substances and cause intoxication. Tetramine toxin is found in the salivary gland of Neptunea. Three family members were admitted to the hospital with chief complaints of dizziness and blurred vision, gait disturbance, and spasms of the lower extremities after ingesting Neptunea. Physical examination revealed sluggish pupil light reflexes, but laboratory studies were normal. Symptoms were completely resolved within 24 hours after injection of atropine. We report a case of three patients with dizziness and blurred vision, gait disturbance, and spasms of the lower extremities due to Neptunea tetramine toxin.
응급실에서 정맥주사 시행 시 9.6% 리도카인 표면국소마취제의 진통효과
박덕 ( Duk Park ),유지영 ( Ji Yeong Ryu ),조규종 ( Gyu Chong Cho ),유지영 ( Ji Young You ) 대한외상학회 2007 大韓外傷學會誌 Vol.20 No.2
Purpose: A eutectic mixture of local anesthetics (EMLA(R)) cream has been used as a topical anesthetic to reduce the pain of procedures penetrating the skin. It is generally applied for 40 to 60 minutes before the painful procedure. Because of the long application period, EMLA(R) is not useful in the emergency department (ED). The purpose of this study was to determine whether a 20-minute application of 9.6% lidocaine would be useful in reducing the pain of routine peripheral intravenous cannulation in the ED. Methods: We examined 27 male and 19 female patients ages over 18 years of age who required intravenous cannula insertion. Intravenous insertion was performed on 46 patients: 24 patients in the placebo group (mean age: 40.0 years) and 22 in the 9.6% lidocaine group (mean age: 37.6 years). The 9.6% lidocaine or placebo gel was applied and covered with an occlusive dressing for 20 minutes. Pain was scored by the patients using a 0-to 10-cm visual analogue scale. Results: The patients in the 9.6% lidocaine group (mean pain score: 3.4) experienced less pain than those in the placebo group (mean: 5.3), and the difference was statistically significant (p=0.029). Conclusion: We concluded that a 20-minute application of 9.6% lidocaine is safe and effective for reducing pain associated with venipuncture. (J Korean Soc Traumatol 2007;20:115-118)