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Halothane 마취중 Vecuronium과 Pancuronium 투여가 심혈관계 및 회복시간에 미치는 영향
길기진,김종열,이정은,김혜자,최세진 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.2
This study was taken to abserve the effect on cardiovascular response and recovery time with pancuronium and vecuronium. The patients was composed of 20 healthly both sex adults who belong to class I of ASA physical status. Vecuronium 0.1mg/kg(N=10) and pancuronium 0.1mg/kg(N=10) was injected independently at 20 minutes after intubation by succinylcholine 1mg/kg and thiopental sodium. The results were as follow. 1. There were not a significant difference in arterial blood pressure and pulse rate before and after vecuronium injection. 2. After pancuronium administration, arterial blood pressure was not significant change but pulse rate showed significant increasing. 3. In the recovery time when T_1 was recovered to 25% after administration of muscle relaxants respectively, there were 26±7.2 min, vecuronium and 67±11.2 min, in pancuronium. 3. EKG was not change before and after vecuronium.
김기진(KJ Kim),길송학(SH Kil),전정일(CI Chun),류명열(MY Yoo) 대한산부인과학회 1970 Obstetrics & Gynecology Science Vol.13 No.4
The Breech presentation is the most common mal-presentation. From Jan. 1963 to Dec. 1968, 455 cases of Breech presentation were delivered at Dept. of OB&Gyne. St. mary`s Hosp. Catholic Medical College. 1. The incidence of Breech presentation was 3.98% of all deliveries. 2. The most frequent age group was 25~29 years of age. 3. The most frequent incidence of gestation week was between 37 and 40. 4. Among them (breech presentation) only 39.6% of breech presentation was recieved antenatal care. 5. The most common type of breech presentation was incomplete breech. 6. In case of infant body weight, weighing more than 2,500gr fetal death was 5.7% and most frequently occured weighing 3,500~3,999gr in body weight. 7. Cord prolapse was 6.4% of all cases and most frequently occured in multigravida, premature, and complete breech. 8. Partial breech extraction was most common type of delivery and 50.6% of all cases. 9. C/S` was performed in 29 cases and 6.4% of all cases. 10. Post-partum hemorrhage was one of the most common maternal complicution, but among them no one lost blood more tham 1000cc in amount. 11. Three cases of clavicle fracture, one case of humerus fracture and one case of Erb`s palsy were occured as a fetal complication. 12. The causes of fetal death was immature and premature, 74% of all cases, and in cases of full term baby, asphyxia was 6.4%, brain damage was 3.3% and 16.3% of unknown causes. 13. According to the breech score index which was studied in Temple University Medical Center in 1967 for our 276 cases weighing more than 2,500grams of infant, breech score index was below 4 in almost all cases of poor progression of labor and prognosis. 14.There was a trend to the high score in lower body weight, lower score in high body weight as a consequence of index scoring by infant body weight. 15. Duration of labor was shorter in high score group than low score group.
지주막하강내에 각종 진통제 주입이 수술후 진통효과에 미치는 영향
최세진,길기진 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.2
Intrathecal administration of opioid for pain relief became popular since Pert, et al (1973) reported the opioid receptor in spinal cord. It is obious now morphine has prolonged and profound analgesic effect with few complication but Meperidine has relatively shorted and profound analgesic effect. This study was taken to observe on effect of postoperative pain relief after intrathecal morphine (0.3mg) and meperidine (3mg) injection. We selected 40 patients, divided into 2 group to compare the effects respectively. Group Ⅰ : 20 patient receiving 0. 3mg intrathecal morphine. Group Ⅱ : 20 patient receiving 3mg intrathecal meperidine The results are as follow. 1) Duration of analgesia of group I was 23.5±5.6 hrs. and group Ⅱ 8.1±2.3 hrs. 2) The side effects of group I and Ⅱ were similar, but pruritis was noted twice as much group I than in group Ⅱ.
Succinylcholine으로 유발된 Fasciculation과 Myalgia에 대한 Diazepam과 d-tubocurarine 전처치의 비교효과
최세진,길기진,이정은 충남대학교 의과대학 지역사회의학연구소 1985 충남의대잡지 Vol.12 No.2
Succinylcholine-induced muscle pain well documented. It is common to use subparalyzing dose of a non-depolarizing muscle relaxant before succinylcholine and accepted in clinical practice forpreventing of succinylcholine-induced fasciculation and it's associated sequalae. But it is needed to give large dose of succinylchcline to offer adeguate relaxation for tracheal intubation in these pretreated cases. This present study was undertaken to compare the effect of diazepam with d-tubocurarine on succinylcholine induced side effects. Sixty cases were studied if four different groups. In 1st group : no pretreatment, 2nd group : diazepam(0.05mg./kg.), 3rd group : diazepam(0.1 mg./kg.), 4th group : d-Tc.(0.05mg./kg.). The following results were obtained : 1. Diazepam pretreatment groups had no significant changes for the prevention of muscle fasciculation following succinylcholine compare to control group, but prevention of muscle fasciculation by d-Tc. pretreatment were significant. 2. Conditions for intubation were excellent in all groups. 3. In the prevention of muscle pain, there was no significant difference between the control and diazepam pretreatment group but significant difference between the control and d-Tc. prtreatment. 4) There was no specific relationship between muscle fasciculation and muscle pain.
기관내 삽관과 d-Tubocurarine이 혈압 및 맥박에 미치는 영향
최세진,길기진 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.2
Transient increase in blood pressure and heart rate following laryngoscopy, endotracheal intubations are common. Tomori and Widdi can be found these response are associated with an increased impulse traffic in the cervical sympathetic efferent nerve fiber. These nervous activities were especially increased by mechanical stimulation of the epi-and laryngopharyngeal region. The present study was undertaken to observe the effect of d-Tubocurarine on the blood pressure and heart rate in endotrachel intubation. d-Tubocurarine is one of the non-deporalizing muscle-relaxants which is commonly used in clinical situation. The most common side effect of d-Tc in a dose-related falls in arterial pressure. Adult patients who had received elective surgery under general anesthesia with endotracheal intubation randomly selected in Chungnam University hospital. Sixty patients were selected for the response of d-Tc following intubation, and these were divided into 4 group each. Group Ⅰ : Served as a control group for intubation(n=15, no intravenous d-Tc) Group Ⅱ : Served as a intravenous d-Tc(3mg) injected group before intubation(n=15). Group Ⅲ : Served as a intravenous d-Tc(6mg) injected group before intubation(n=15). Group Ⅳ : Served as a intravenous d-Tc(9mg) injected group before intubation(n=15). The results were as follow. 1) The elevation of systolic B. P. following intravenous d-Tc injection before intubation was of less magnitude than in control group, (Statistically significant, esp. group Ⅳ). 2) The elevation of diastolic B.P. following intravenous d-Tc injection before intubation was of less magnitude than in control group (Statistically significant). 3) The elevation of heart rate following intravenous d-Tc injection before intubation was not significant compared with control group. It is suggested from the above results that the d-Tc intravenous injection before intubation decrease the magnitude of blood pressure elevation but not decrease the magnitude of H. R. elevation following intubation.