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RISS 인기검색어
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- 저자 : 정황규(Hwang Kiw Chung) (검색결과 3 건)
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유소아(幼小兒) 막흉(膜胸) 100례(例) 대(對)한 임상적(臨床的) 고찰(考察)
김종원,우종수,정황규,Kim, Chong Won,Woo, Jong Soo,Chung, Hwang Kiw 대한흉부심장혈관외과학회 1976 Journal of Chest Surgery (J Chest Surg) Vol.9 No.2
The author made clinical study of 100 cases of empyema in infancy and childhood that were treated at the Department of Chest Surgery, Busan University Hospital and Busan Children's Charity Hospital, from Jan 1962 to Nov. 1975. 1. In infancy and childhood, 62 cases out of my 100 cases of empyema were caused by .staphylococci and most of recent reports showed a gradual increase in number of staphylococcal empyema. 2. Most frequent lesion predisposing to empyema in infancy and childhood was pneumonia (72%), being remarkable in staphylococcal empyema (85.5%) to that of others. 3. Antibiotics sensitivity test for staphylococci revealed that the erythromycin was most susceptible (85. 5%). 4. The mortality rate was 6% in over all and the author believes that from the point of view of surgical treatment, failure of early continuous drainage on account of multiple thoracentesis for the early stage of empyema, and also early open thoracotomy procedure such as decortication were all the contributing factors to higher mortality in the empyema of infancy and childhood. 5. It may be concluded that the treatment of choice for empyema in infancy and childhood were early and prolonged continuous drainage of pus by closed thoracotomy with caution and administration of more susceptible antibiotics with nutritional support.
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開心術 患者의 術後 早期 右心臟 指數 및 血行動態에 關한 硏究
禹鍾守,丁晃奎 인제대학교 1986 仁濟醫學 Vol.7 No.1
저자들은 1985년 1월부터 9월까지 총 67례의 심장수술환자를 술전 Swan-Ganz Catheter을 이용하여 심장지수를 측정하고 술중, 술후 변화에 관하여 연구 관찰하였다. Nowadays the prognosis of open heart surgery is very much improved than before beginning era owing to progression of the technique of cardiopulmonary bypass, myocardial protection during operation and surgery technique. However, till now, remain many problems in the care of the postcardiac surgery patient whose heart was damaged in various aspect by exposure in special environment, so called ''operation.'' Here, author studied the right ventricular index and allied hemodynamic changes in early postcardiac surgery patient attempting to achieve more qualified postoperative care and early evaluation of postoperative improvement. The results study were summarized as follows: 1.In the preoperative examination of ASD, VSD and TOF the right ventricular indices were 4.5 ± 0.72 in ASD, 4.26±1.15 in VSD and 1.95±0.07 in TOF. In these findings, above normal ranges of ASD and VSD mean more or less left to right shunt but too much decreased TOF value means the shunt is only in the balanced level. The echocardiographic findings in various lesion of mitral valve before operation show decreased level of cardiac indices 2.23±7.97 in MS valve area less than 1.0 cm2 and 2.67±0.15 in the other valvar lesions. 2.In ASD patients the cardiac index before operation was 4.5 ± 0.72 and 36 hours after operation it decreased to the lowest level 2.6±0.67 and then increased in 72 hours to 3.0±0.56, 66.7% level of before operation (p<0.01). 3.Before surgery of VSD, the cardiac index was 4.26 ± 1.15 and in 48 hours after surgery it decreased to the lowest level 3.18±0.64 and in 72 hours it increased to 3.19±0.62, 74.9% level of before operation (p<0.01). 4.In TOF surgery, before operation the cardiac index was 1.95 ± 0.07 and 1 hour after operation it decreased lowest level after operation to 2.6±0.1 and then steadily increased till 72 hours to 3.3±0.26 but this finding didn't have any statistical significance . 5.In valve surgery patients, the cardiac index of before operation was in low normal limit 2.4±0.54 but in 6 hours after operation it increased to the lowest level after operation 2.45±0.29 and then steadily increased in 72 hours to 3.56±0.36, 145.30% level of before operation (p<0.01). 6.After surgery of VSD and valve disease there was no regular changes of cardiac indices with statistical significance in various time sequence according to the time length of cardiopulmonary bypass but in both esions the more lower level hypothermia during operation brought the lower level cardiac indices in the early postoperative period (p<0.05).
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