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- 저자 : 황은구 ( Eun Gu Hwang ) (검색결과 5 건)
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단순 흉부 둔상시 늑골촬영에서 미발견된 늑골골절의 진단: 초음파검사의 유용성
김요한 ( Yo Han Kim ),황은구 ( Eun Gu Hwang ),이송암 ( Song Am Lee ),이진웅 ( Jin Woong Lee ),이창희 ( Chang Hee Lee ),최영칠 ( Young Chil Choi ) 대한외상학회 2004 大韓外傷學會誌 Vol.17 No.1
Background: Rib fractures are the most common injuries resulting from blunt chest trauma. The sensitivity of conventional radiogrphy in showing the rib fracture is limited especially in whom involving the cartilage part of the rib. We investigated the rib fractures, those overlooked on conventional radiography, with the use of ultrasonography in minor blunt chest trauma. Materials and Methods: From september 2002 to March 2004, 40 patients (21 women and 29 men, mean age 43.3±15.1,range 16~85 years), with minor blunt chest trauma showing no evidence of rib fractures on conventional radiography, were admitted for examination with ultrasonography. Logistic regression analysis was done to outlined the clinical predictors of these incidious rib fractures. Results: A total of 15 (35%) patients showed rib lesions, whereas 25 (65%) patients had no evidence of rib lesions. Fractures of rib associated with a periosteal hematoma was the most common finding in ten (66.7%) patients followed by the rib fracture of the rib alone in four (26.7%) patients and subperiosteal hematoma alone in one (6.6%) patient. A total of eight (53.3%) patients had bony rib fractures, whereas seven (46.7%) patients had chondral rib fractures. Age (p=0.280), gender (p=0.431), type of etiology (p=0.823), duration of pain (p=0.470) and site of trauma (p=0.923) did not appear as significant predictors for these rib fractures. However, involved part of the rib showed a significant correlation with either age (p=0.043) or duration of pain (p=0.036). Bony rib fractures significantly occurred in elderly patients, and the duration of pain in patients with bony rib fractures was significantly longer than that of the patients with chondral rib fractures. Conclusions: Ultrasonography is a useful imaging method in showing the rib fractures those overlooked on conventional radiography in minor blunt chest trauma, and no significant clinical feature exists as a predictor for these insidious fractures. However, bony rib fractures significantly occur in elderly patients and result in a longer duration or pain.
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A case of lung abscess caused by Burkholderia cepacia in healthy child
이정화,이소희,홍성진,최영철,황은구,Lee, Jung Hwa,Lee, So Hee,Hong, Seong Jin,Choi, Young Chil,Hwang, Eun Gu The Korean Pediatric Society 2007 Clinical and Experimental Pediatrics (CEP) Vol.50 No.1
B. cepacia는 그람 음성 호기성 세균으로서 주로 면역 기능 저하 환자들에서 기회 감염의 중요한 원인균으로 알려져 있다. 이 세균은 매우 병원성이 강하여 침습적인 괴사성 감염을 일으키며 사망에까지 이르게 할 수 있다. B. cepacia는 여러 항생제에 높은 저항성을 보이므로 한 가지 항생제의 단독 요법보다는 여러 항생제의 병용용법을 사용해야 한다. 저자들은 건강한 소아에서 자연 발생한 B. cepacia에 의한 폐농양을 경험하였고 meropenem과 trimethoprim/sulfamethoxazole 병용 요법과 수술적 치료를 통해 성공적으로 치유한 1례를 보고하고자 한다. Burkholderia cepacia is a Gram-negative aerobic bacillus known to cause opportunistic infections in the immune-compromised hosts. This microorganism is strongly virulent and causes a necrotising invasive infection that may lead to death. As B. cepacia is highly resistant to various antimicrobials, combination antimicrobial therapy must be used instead of monotherapy. We report a successful treatment of lung abscess that was naturally caused by B. cepacia in a healthy child, through combination antimicrobial therapy of meropenem and trimethoprim/sulfamethoxazole and operative management.
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김요한 ( Yo Han Kim ),이송암 ( Song Am Lee ),황은구 ( Eun Gu Hwang ),이진웅 ( Jin Woong Lee ) 대한외상학회 2004 大韓外傷學會誌 Vol.17 No.2
Background: Sternal fracture may be associated with myocardial contusion even in patients without associated with significant injuries. The aims of this study are to determine the role of echocardiogram(ECHO) in treatment of sternal fracture and to suggest the indication of ECHO. Material and Method: We reviewed the records of 50 consecutive patients presenting with sternal fracture after blunt chest trauma. The relationships between ECHO, creatine kinase MB isoenzyme(CK-MB), electrocardiogram(EKG) were assessed in reference to myocardial contusion. Results: Twelve patients(24%) had one or more abnormal cardiac tests but only 4(8%) had clinically symptomatic myocardial contusion. Eight(22.9%) out of 35 ECHO studies revealed pericardial effusion which was not associated with the severity of all other associated injuries. The incidence of an abnormal ECHO finding in patients of isolated sternal fracture was similar to that of the patients who suffered multiple injuries. In 4 patients with pericardial effusion, this finding was not associated with any other abnormal tests and was regarded as of no clinical cardiac significance. On the other hand, a myocardial contusion was shown by ECHO study only while EKG and CK-MB tests remained normal in that patients. Conclusion: We suggest that the ECHO should be used as a diagnostic and triage tool in every patient with sternal fracture associated with other injuries. However patients with benign epicardial effusion can be discharged as soon as their clinical condition improves regardless of other associate injuries.
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고립성 폐 결절로 나타난 경화성 혈관종의 폐엽 절제술에 의한 치험 1예 : A case report
황은구,이송암,황재준,김상윤,권혁중,김요한 건국대학교 의과학연구소 2004 건국의과학학술지 Vol.13 No.-
Patient was sixty-eight years old female. She was transferred to our department to resect the solitary pulmonary nodule on right lower lobe. Intraoperative frozen-section revealed bronchioloalveolar carcinoma. So, we performed right lower lobectomy and mediastinal lymph node dissection. Permanent pathologic diagnosis of this patient was sclerosing hemangioma. We report experience of treatment of sclerosing hemagioma presenting solitary pulmonary nodule by lobectomy with the review of literatures.
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