http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 권장구 (검색결과 4 건)
- 무료
- 기관 내 무료
- 유료
-
권장구,황성규,박연묵,김승래 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.6
1) 혈액응고이상의 빈도는 28.6%였으며, 의식이 GCS 9∼15인 군에서 24.2%, GCS 3∼8인 군에서 36.8%였다. 2) 치료결과가 좋지 못한 GOS 1∼3인 군에서 검사상 이상소견이 많았으며 특히 platelet count는 치료 결과가 나쁜 군에서 현저히 감소되어 있었다. 3) 두개강내 혈종이 없는 환자들에서 의식이 나쁜 군의 환자가 좋은 군의 환자에 비하여 혈액 응고의 이상이 유의성 있게 높았으며, 의식이 나쁜 군에서는 혈종이 없는 군에서 혈종이 있는 군보다 혈액응고 기전의 이상이 유의성있게 높았다. 4) 혈액응고의 이상이 있는 군과 없는 군간에 GCS에 따른 GOS은 유의성있는 상관관계가 없었다. 5) platelet count와 FDP를 제외한 전검사에서 3일만에 실시한 추적검사에서 거의 정상으로 회복되었다. Abnormal coagulation is a frequent complication in patients with head injury. Hemostasis in 56 patients with head injuries, not associated with serious systemic injuries, was screened using platelet count, bleeding time, prothombin time, thrombin time, activated partial thrombin time, fibrinogen level, fibrin degradation product(FDP), protamin sulfate test, ethanol gelation test, and d-dimer test. Frequency of coagulopathy was 28.6% in all patients, 24.2% in the group of Glasgow Coma Scale(GCS) 9~15, and 36.8% in GCS 3~8. Patients with poor outcome, who had Glasgow Outcome Scale(GOS) 1~3, had higher frequency of abnormal laboratory results. Particularly, platelet was significantly reduced in the group of GOS 1~3 than GOS 4~5. In the patients without intracranial hematona, fequency of coagulopathy was significantly higher in the patients with poor outcome than favorable outcome. In the group of GCS 3~8, patients with hematoma had significantly higher frequency of coagulopathy than patients without hematoma. Coagulopathy did not significantly changed the outcome of the patients. Most of the results of the tests except platelet count FDP returned to normal limit on the follow-up tests done 3 days later.
-
권장구,이상평,김대현,황성규,함인석,박연묵,김승래 대한신경외과학회 1990 Journal of Korean neurosurgical society Vol.19 No.7
경북대학교 병원에 입원된 출혈을 일으킨 남, 녀 305명의 뇌동맥류 환자중 뇌실질내혈종 형성의 임상소견을 가진 34명에 대해서 임상적으로 분석, 검토하였다. 혈종 형성의 발생빈도는 11.1%였으며 2.1대 1의 비로서 남자에서 많았고 50세전, 후의 년령에서 높은 발생 빈도를 나타내었다. 부위별로는 중대뇌 동맥류 (38.6%)에서 가장 높은 발생 빈도를 나타내었으며 다음이 전교통 동맥류의 순이었고, 혈종은 주로 측두엽(88.2%) 내에서 형성되었다. 뇌혈종의 발생은 단 1회의 출혈시보다 2회 이상의 출혈을 일으킨 동맥류 환자(20.3%)에서 많았으며 혈종량은 30∼40㎖ (32.4%)에서 가장 많았다. 응급개두술에 의한 혈종의 제거와 동맥류에 대한 수술도 함께 시도한 치료의 결과는 퇴원시를 기준으로 하였을 때 Good과 Fair의 상태로 회복된 것이 모두 29.4%이었으며 사망률은 61.8%였다. 사망의 원인은 주로 혈종의 크기에 의한 직접적인 영향과 혈관 연축에 의한 경색으로 분석되었다. Analyses and studies have been made on 34 cases of the combined ICH, showing mass effect among 305 male and female ruptured intracranial aneurysmal patients who were admitted to Kyungpook National University Hospital from Mar. 1984, through Feb. 1990. The incidence of the large ICH was 11.1% with 2.1 to 1 ratio of male to female. The highest age incidence of the hematoma was in the 40 to 60 years bracket. The most frequent site of the aneurysm combined with the large ICH was at MCA aneurysm, 38.6%, followed by at A-com artery aneurysm, 4.8%. The most frequent location of the hematoma was in temporal lobe, 88.2%. The rate of combined large ICH was 203% in multiple aneurysmal bleeding patients who revealed higher incidence of the hematoma than the single bleeding patients. In amount of the hematoma, 30-40 ㎖ bracket ranked top occupying 32.4% of all cases. After surgical treatment, 29.4% patient was improved to the good and fair on discharge. The rate of mortality was 61.8%, which was mainly due to direct effect of hematoma and cerebral infarction caused by vasospasm.
-
이상평,권장구,황성규,함인석,박연묵,김승래,이상흔,박준식,조태환 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.6
The technique and results of infratemporal fossa approach of jugular foramen neuroma and clivus chordoma are presented. The infratemporal fossa approach allowed radical removal of jugualr foramen neuroma and effective palliative removal of clivus chordoma. The basic features of infratemporal fossa approach are permanent anterior displacement of the facial verve, subtotal petrosectomy and obliteration of the middle ear cleft.
-
이상평,권장구,강병직,황성규,함인석,박연묵,김승래 대한신경외과학회 1990 Journal of Korean neurosurgical society Vol.19 No.7
Among 202 aneurysmal patients with SAH who were admitted to Kyungpook National University Hospital from Jan. 1984 through Jan. 1988, the incidence of ventricular dilatation confirmed by postoperative follow-up brain CT scannings was 32.2%(65 cases). And 33 cases(19.3%) was in mild ventricular dilatation, 9 cases(4.5%) was in moderate and 23cases(11.4%) in severe who needed the shunting procedure were analysed. The incidence of ventricular dilatation to the site of aneurysm was highest in A-com A. aneurysm(42.2%), followed by P-com A. aneurysm(36.4%) and MCA aneurysm(11.3%). The incidence of ventricular dilatation and the need for shunting was higher in multiple bleeding patients than the single. The good risk patients had meaningfully lower incidence of ventricular dilatation than the poor risk group. In the delayed surgical group showed significantly more numbers of ventricular dilatation needing the shunt than the cases in early group.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
