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급성 근골격질환에 있어서 피록시캄 근육주사제의 임상적 연구 : An Open, Non-Comparative Trial
윤승호,이광진,김학영,문형석,조성일 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.1
The authors have conducted a clinical study to evaluate the efficacy and toleration with newly developed piroxicam injectable (I. M.) to thirty-one cases of the patients of musculoskeletal disorders during five months from Oct. 1986 to Feb. 1987. Treatment for the patients was initiated with two amples of piroxicam 20mg I. M. daily for first two days and followed administration one ample of 20mg piroxicam daily for three to seven days. Results were as follows: 1. Out of 31 cases, male were 16 (50.5%), female 15(49.5%), and predominant age group was 20-29 years old 11(35.4%). 2. Major indications were sprained ankle and sprained PIP joint disorders 11(35.7%), 12(38.7 %), respectively. 3. Overall efficacy, more than good was 83.8% by patients and 96.8% by physician. 4. Overall tolerance, more than good was 90.3% by patients and 90.3% by physician (excluded four cases). 5. Side effects were seen in 4 patients such as I case of constipation, 2 cases of abdominal pain and 1 case of vomiting. 6. Conclusion: The piroxicam I. M. was very effective and well tolerated for the treatment of musculoskeletal disorders and side effects were few and generally mild.
Medial Antebrachial Cutaneous Neuropathy Caused by Venipuncture
Hak Young Rhee,Yu Yong Shin,Dong Ha Kim 대한통증연구학회 2021 International Journal of Pain Vol.12 No.1
We report a case of medial antebrachial cutaneous neuropathy caused by venipuncture in the antecubital fossa of the arm as seen in the electrophysiological findings. A 53-year-old woman, who presented with an acute development of pain in the left forearm corresponding to the area of the medial antebrachial cutaneous nerve (MACN) territory after venipuncture for routine blood sampling, was admitted to our hospital. Nerve conduction studies performed 21 days after the symptom onset demonstrated decreased amplitude in sensory nerve action potential of the left MACN compared with that of the right side.
Effect of Ageing on Pulmonary Inflammation in a Murine Model of Acute Asthma
( Ji Young Kang ),( Chin Kook Rhee ),( Chan Kwon Park ),( Seong Joon Kim ),( Seok Chan Kim ),( Soon Seog Kwon ),( Young Kyoon Kim ),( Hwa Sik Moon ),( Jeong Sup Song ),( Sung Hak Park ),( Sook Young L 대한결핵 및 호흡기학회 2011 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.112 No.-
뒷머리뼈우묵 거미막낭종 환자에서 발생한 단독 혀밑신경병증
이학영 ( Hak Young Rhee ),최혜연 ( Hye Yeon Choi ),김성훈 ( Sung Hun Kim ),김상범 ( Sang Beom Kim ),신원철 ( Won Chul Shin ) 경희대학교 경희의료원 2010 慶熙醫學 Vol.26 No.1
Arachnoid cysts are most frequently found in the middle cranial fossa, followed by the posterior cranial fossa. Majority of the cysts are clinically silent and found incidentally. But they can be symptomatic when compressing the brain tissue or disturbing the CSF circulation. We report a case of an arachnoid cyst of posterior fossa presenting with hypoglossal neuropathy.
양측 부신절제술후 연속적으로 병발된 폐효모균증 및 폐결핵
이원영 ( Won Young Lee ),조영석 ( Young Suk Cho ),김미영 ( Mi Young Kim ),안리숙 ( Rhee Sook Ahn ),송소향 ( So Hyang Song ),이숙영 ( Sook Young Lee ),김영균 ( Young Kyoon Kim ),김관형 ( Kwan Hyung Kim ),박성학 ( Sung Hak Park ) 대한결핵 및 호흡기학회 1995 Tuberculosis and Respiratory Diseases Vol.42 No.1
급성호흡곤란증후군 환자에 있어서 B-type Natriuretic Peptide의 유용성
이진국 ( Chin Kook Rhee ),주영빈 ( Young Bin Joo ),김석찬 ( Seok Chan Kim ),박성학 ( Sung Hak Park ),이숙영 ( Sook Young Lee ),고윤석 ( Yoon Seok Koh ),김영균 ( Young Kyoon Kim ) 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.62 No.5
연구배경: B-type natriuretic peptide(BNP)는 심인성 및 다른 쇼크 상태를 포함하는 심혈관 질환에서 사망을 예측하는 좋은 인자 중의 하나로 알려져 있다. 그러나, 급성호흡곤란증후군환자에서 이런 관계가 잘 알려져 있지 않는 바, 저자들은 BNP가 급성호흡곤란증후군 환자에서 사망을 예측할 수 있는 지를 연구하였다. 방법: 본 연구는 전향적 관찰로 시행되었다. 급성호흡곤란증후군으로 진단된 환자들에게 심초음파 검사를 시행한 후, 좌심실 구획률이 50% 미만이거나 확장성 심부전 양상을 보인 환자들을 제외하였다. 2003년 12월부터 2006년 2월까지 총 47명의 환자가 채택되었다. 등록된 환자들은 24시간 내로 BNP를 포함한 여러 검사실 수치를 얻었으며, APACHE (Acute Physiology and Chronic Health Evaluation) II 점수를 구하였다. 결과: BNP와 APACHE II 점수 평균값은 생존자군과 사망자군에서 유의한 차의를 보였다(BNP: 219.5±57.7 pg/mL vs 492.3±88.8 pg/mL; p=0.013, APACHE II 점수: 17.4±1.6 vs 23.1±1.3, p=0.009). BNP는 혈중 크레아티닌 수치와 양의 상관관계를 보였으나(r=0.374, p=0.01), 좌심실 구획률과는 유의한 관계가 없었다. Receiver operating characteristic 곡선상, BNP 수치를 585 pg/mL로 잡았을 때 사망을 예측하는데 있어서 94%의 특이도를 보였으며, APACHE II 점수의 경우에는 15.5를 기준으로 하였을 때 87%의 민감도를 보였다. 이 두 요소를 결합하여 ``아파치II 점수+11×logBNP`` 수치를 계산하여 기준점을 46.14로 했을 경우, 사망 예측에 있어서 민감도 63%, 특이도 82%의 결과를 얻을 수 있었다. 결론: 좌심실 기능 부전을 보이지 않는 급성호흡곤란증후군 환자에서 BNP 수치는 생존자군과 사망자군에서 유의한 차이를 보였으며 사망을 예측할 수 있었다. 향후 급성호흡곤란증후군 환자에 있어서 BNP와 관련된 연구가 더 필요하다고 생각된다. (Tuberc Respir Dis 2007; 62: 389-397) Background: B-type natriuretic peptide (BNP) has been shown to be strong mortality predictors in a wide variety of cardiovascular syndromes. Little is known about BNP in patients with acute respiratory distress syndrome (ARDS). We studied whether BNP can predict mortality in patients with ARDS. Method: Echocardiographic study was done to all patients with ARDS, and we excluded patient with low ejection fraction (less than 50%) or showing any features of diastolic dysfunction. 47 patients were enrolled between December, 2003 and February, 2006. Parameters including BNP were obtained within 24h hours at the time of enrollment. Result: Mean BNP concentrations and APACHE II scores differed between the survivors and nonsurvivors (BNP, 219.5 ± 57.7 pg/mL vs 492.3± 88.8 pg/mL; p=0.013, APACHE II score, 17.4 ± 1.6 vs 23.1 ± 1.3, p=0.009, respectively). With the use of the threshold value for BNP of 585 pg/mL, the specificity for the prediction of mortality was 94%. The threshold value for APACHE II of 15.5 showed sensitivity of 87%. ``APACHE II + 11×logBNP`` showed sensitivity 63%, and specificity 82%, using threshold value for 46.14. Conclusion: BNP concentrations and APCHE II scores were more elevated in nonsurvivors than survivors in patients with ARDS who have normal ejection fraction. BNP can predict mortality. Further study should be done.