http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
급성심근경색증에서 Urokinase 정맥 투여에 대한 임상적 경험
임도선(Do Sum Lim),김영훈(Young Hoon Kim),나승운(Seung Woon Rha),안정천(Jeong Cheon Ahn),송우혁(Woo Hyuck Song),박창규(Chang Gyu Park),서홍석(Hong Seog Seo),심완주(Wan Joo Shim),오동주(Dong Joo Oh),노영무(Young Moo Ro) 대한내과학회 1997 대한내과학회지 Vol.53 No.1
N/A Objectives: The most important therapeutic strategy in acute myocardial infarction(AMI) is early recanalization of infarct-related artery(IRA). In Korea the commonly used method for recanalization is urokinase infusion in early phase of disease. But total dosage and method of urokinase infusion are still arbitary. Thus this study was undertaken to evaluate the patency rate of infarct-related artery by urokinase in AMI patients. Methods: 42 acute myocardial infarction patients were treated with intravenous urokinase(40.000U/kg in 32 patients, 3,00,000U in 10 patients). IRA patency was evaluated with coronary angiography at 90 minutes and 7-10 days after intravenous urokinase. The clinical findings and coronary angiographic findings according to dose of urokinase or pain to time for urokinase injection were analysed prospectively. Results: Mean pain to Door time was 251 minutes and door to urokinase time was 74 minutes. Early patiency of IRA was 61.8%(21/42) and no difference was observed between the dosage of intravenous urokinase. In open IRA group(21 patients) the reocclusion was not observed at 7-10 days later. The ejection fraction on admission was similiar in patent or non-patent IRA group, but follow up ejection fraction was significantly lower in closed IRA group than open IRA group(P=0.0185). Life- threatened bleeding complications were developed in 2 cases(4.8%, I intracranial hemorrhage, 1 gastrointestinal bleeding). Conclusion: IRA patency was achieved in 61.8% of acute myocardial infarction by intravenous urokinase as evaluated by coronary angiography. The patency of IRA at 90 minutes was important in preserving the global left ventricular function in early recovery phase of acute myocardial infarction. But large, prospective study may be needed to determine optimal and effective intravenous urokinase dosage in acute myocardial infarction.
증례보고 : 우측 개흉술 중에 긴장성 기흉으로 인해 발생한 심정지
유승문 ( Seung Moon Ryu ),나효석 ( Hyo Seok Na ),배진호 ( Jin Ho Bae ),홍종면 ( Jong Myeon Hong ),임승운 ( Seung Woon Lim ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.6
Tension pneumothorax during one-lung ventilation is an insidious, life threatening emergency. Even though early diagnosis and rapid intervention are necessary to prevent mortality, treatment may be difficult because of the clinical diagnosis-mediastinal shift, hypoxemia, hypotension and increased airway pressure may be confusing in the operative setting. We present here the case of a patient who underwent right thoracotomy with one-lung ventilation and the patient developed left tension pneumothorax with resulting cardiac arrest. (Korean J Anesthesiol 2006; 51: 756~9)
증례보고 : Amiodarone 사용 후 발생한 독성 간염
김선중 ( Seon Jung Kim ),구본욱 ( Bon Wook Koo ),배진호 ( Jin Ho Bae ),임승운 ( Seung Woon Lim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.53 No.4
Although amiodarone is a widely used and effective long-term antiarrhythmic drug, it is known to have life-threatening adverse effects, including acute hepatotoxicity. Although the occurrence of acute hepatotoxicity after amiodarone administration is rare, it can be fatal. However, this phenomenon has not been well studied. Here, we describe a 39 year old woman with atrial fibrillation and supraventricular tachycardia who developed acute toxic hepatitis within 8 days of amiodarone administration at the recommended dosage. The drug was withdrawn and the laboratory findings progressively returned to normal. (Korean J Anesthesiol 2007; 53: 528~31)
증례보고 : 예상 못한 측두하악관절의 해부학적 변이로 인해 마취 유도 중에 발생한 개구 장애
배진호 ( Jin Ho Bae ),나효석 ( Hyo Seok Na ),김건 ( Geon Kim ),김경원 ( Kyoung Won Kim ),임승운 ( Seung Woon Lim ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.6
A 36-year-old woman with an unremarkable medical history presented for laparoscopic cholecystectomy. Routine preoperative assessment of the patient`s airway revealed normal jaw opening. Upon induction of anesthesia, her jaw locked in a nearly closed position. X-ray and MRI of the temporomandibular joints that were taken postoperatively showed normal findings except for the steeper posterior angles of the articular eminences. During the next induction of anesthesia, intubation was readily accomplished by opening the mandible with a forward pulling of the chin. (Korean J Anesthesiol 2006; 51: 738~41)