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조준휘,김성환,박찬우,정해혁,한선숙,정재봉,배지훈,서정열,최영미,안희철,안무업,유기철,이강현 대한응급의학회 2003 대한응급의학회지 Vol.14 No.1
Frostbite is the most common local injury resulting from exposure to a cold environment. In the emergency department, the treatment of frostbite includes rewarming, prevention of infection, and wound management. However, systemic complications, such as rhabdomyolysis and acute renal failure, may develope in patients with wide and deep frostbite. We report a case of frostbite with acute renal failure which was successfully treated by early hemodialysis.
대량 폐동맥 혈전색전증으로 인한 심정지 환자의 심폐소생술 : 혈전용해제 사용 경험 2 예 The Use of t-PA in 2 Cases
조준휘,황성오,김성환,이강현,이진웅,이서영,박해상 대한응급의학회 2002 대한응급의학회지 Vol.13 No.1
The massive pulmonary thromboembolism is serious illness that can lead to death within an hour after its occurrence. The incidence of cardiac arrest caused by massive pulmonary thromboembolism has been known as about 7%. Invasive therapeutic modalities to treat massive pulmonary thromboembolism during cardiac arrest including thoracotomy or cardiopulmonary bypass have been shown little effect. administration of a thrombolytic agent is an alternative choice of treating massive pulmonary thromboembolism during cardiac arrest. This report describes our experience of cases with massive pulmonary thromboembolism that were treated with administration of a thrombolytic agent during CPR.
Clinical Manifestations of Superior Mesenteric Venous Thrombosis in the Era of Computed Tomography
조준휘,최재정,엄은혜,정성민,신용찬,정성원,김재일,최평화,허태길,이명수,전흥만 대한혈관외과학회 2018 Vascular Specialist International Vol.34 No.4
Purpose: Thrombosis of the portal vein, known as pylephlebitis, is a rare and fatal complication caused by intraperitoneal infections. The disease progression of superior mesenteric venous thrombosis (SMVT) is not severe. This study aimed to determine the clinical features, etiology, and prognosis of SMVT. Materials and Methods: We retrospectively reviewed the medical records of 41 patients with SMVT from March 2000 to February 2017. We obtained a list of 305 patients through the International Classification of Disease-9 code system and selected 41 patients with SMVT with computed tomography. Data from the medical records included patient demographics, comorbidities, review of system, laboratory results, clinical courses, and treatment modalities. Results: The causes of SMVT were found to be intraperitoneal inflammation in 27 patients (65.9%), malignancy in 7 patients (17.1%), and unknown in 7 patients (17.1%). Among the patients with intraperitoneal inflammation, 14 presented with appendicitis (51.9%), 7 with diverticulitis (25.9%), and 2 with ileus (7.4%). When comparing patients with and without small bowel resection, the differences in symptom duration, bowel enhancement and blood culture were significant (P=0.010, P=0.039, and P=0.028, respectively). Conclusion: SMVT, caused by intraperitoneal inflammation, unlike portal vein thrombosis including pylephlebitis, shows mild prognosis. In addition, rapid symptom progression and positive blood culture can be the prognostic factors related to extensive bowel resection. Use of appropriate antibiotics and understanding of disease progression can help improve the outcomes of patients with SMVT.
C-단백 결핍에 의한 응고항진으로 발생한 폐동맥 혈전색전증
조준휘,박찬우,조병렬,최대희,조성준,이성호,황성오,안희철,안무업,서정열,유기철 대한응급의학회 2003 대한응급의학회지 Vol.14 No.1
A pulmonary thromboembolism usually results from a serious complication of deep venous thrombosis (DVT). However, several prothrombotic genetic risk factors are known to predispose a patient to thrombotic events, with manifestation at a young age. Protein C and S deficiencies are known to increase the risk of venous thrombosis and pulmonary thromboembolism. We report a case of a young patient with protein C and S deficiencies suffering from a massive pulmonary thromboembolism.
조준휘,곽민수,홍성철 한국공업화학회 2015 한국공업화학회 연구논문 초록집 Vol.2015 No.0
Polyolefin is one of the most widely used materials due to its low cost and excellent properties. However, applications of polyolefin are limited because of its low functionality. In this study, grafting of functional compound onto polyolefin was examined through model reactions. Pentadecane, a model compound of polyolefin, was grafted through solution reaction with dibenzyl trithiocarbonate (DBTTC). The characteristics of the grafted compounds were investigated by using proton nuclear magnetic resonance spectroscopy, mass spectrometry and elemental analysis. The effect of the reaction temperature on the grafting efficiency was also studied.