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김경태,이승홍,김환덕,허철회,김문철,조강희 인제대학교 1998 仁濟醫學 Vol.19 No.1
갈색세포종은 부신수질이나 paravertebral sympathetic chain을 따라 분포하는 chromaffin세포에서 발생하는 내분비질환이다. 악성인경우는 약5% 미만으로 작지만 Catecholamine의 과분비를 특징으로 다양한 임상증상이 나타나 마취유도, 기관내삽관, 체위변동, 종양조작시에 심혈관계의 혈역학적 변화로 심각한 합병증을 초래할 수 있다. 저자들은 갈색세포증 마취관리 3예를 문헌적 고찰과 함께 보고한다. Three patients underwent anesthesia for pheochromocytoma resection involving adrenal gland and extra-adrenal space. All three cases were diagnosed as pheochromocytoma by abdominal computed tomography, urinary VMA level and I-MIBG scan. Anesthesia was managed with glycopyrrolate and midazolam for premedication, pentothal sodium for induction, isoflurane-nitrous oxide-oxygen for maintensive, vecuronium for muscle relaxation, and nitroprusside for controlling severe hypertensive episode. We experienced marked fluctuation in blood pressure removal the surgical manipulation of the pheochromocytoma. Severe hypotension followed removal of tumor, which was correccted by vasoconstrictor(phenylephrine), rapid blood transfusion and infusion of crystalloids. Postanesthetic recovery course was uneventful and the patients discharged in good healthy condition.
도심 재개발 지역에서 도시조직 간 충돌에 관한 연구 - 서울 사대문 안을 중심으로 -
장성수(Chang, Sung-Su),김승회(Kim, Seung-Hoy) 대한건축학회 2019 대한건축학회논문집 Vol.35 No.12
Most of construction at urban area is now undertaking a redevelopment because currently the most of city is full. But the research about the collision of urban tissue at urban redevelopment area are very limited and there are many issues at urban redevelopment area. So the purpose of this study is to analyze the collision between different urban tissue at urban redevelopment area and suggest proper method for urban redevelopment. The area inside of four main gates, especially Chung Jin, Gong pyeong, Mu gyo- Da dong district are selected to analyze because the area inside of these gates is the oldest urban redevelopment area and each of them has a different redeveloped method. And current status of research area"s urban tissue and collision situation are analyzed by macro and micro scale of view. The results of this study were as follows; Ignoring the timeline of the urban redevelopment process can be a major issue in collision between urban tissue. Therefore, the consideration of intermediate stage of redevelopment process is needed by making public area, a temporal use of vacant lot and changing architectural elements can make a harmony between different urban tissue.