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- 저자 : 박종빈 ( Chong Bin Park ) (검색결과 4 건)
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박종빈,송현,송명근,김재중,이재원,서동만,손광현,Park, Chong-Bin,Song, Hyun,Song, Meong-Gun,Kim, Jae-Joong,Lee, Jay-Won,Seo, Dong-Man,Sohn, Kwang-Hyun 대한흉부심장혈관외과학회 1997 Journal of Chest Surgery (J Chest Surg) Vol.30 No.2
현재 심장이식은 말기 심부전환자에게 확정적인 치료방법으로 받아들여지고 있다. 사람에게 최초의 성공적인 심장이식은 1967년에 시행되었으며, 국내에서는 1992년 11월에 처음으로 시행되었다. 국내에서 1992년 처음으로 시행된 이후, 50례 이상이 시행되었다. 아산재단 서울중앙병원에서는 1992년 11월 이후 20례의 동소심장이식이 시행되었다. 본 연구의 목적은 본원에서 시행된 20례의 심장이식환자의 조기성적과 추적경과를 분석함에 있다. 이식환자 평균연령은 39$\pm$11.8 (20~58)세이었으며, 평균 추적관찰기간은 11.4$\pm$11.2 (1~41)개월이었고, 모두 현재까지 생존하고 있다. 혈액형은 14명에서 일치하였고 6명에서 적합하였다. 수술전 심장질환으로는 확장성 심근병증이 16례, 판막질환이 2례, 허혈성 심근병 증이 1례, 거대세포 심근염이 1례였다. 수혜자와 공여자간의 조직적합이식항원(HLA)교차반응검사는 18례에서 가능하였고, 16례에서 T세포와 B세포 모두에서 음성이었고, 2례에서 warm B세포에 양성이 의심되었다. A, B, DR의 6개의 유전자좌중 8명에서는 1개의 유전자좌에서, 5명은 2개의 유전자좌에서, 1명은 3개의 유전자좌에서 일치를 보였다. \ulcorner자당 동종이식 급성거부반응 평균횟수는 2.8$\pm$0.5 (0~6)회 이었으며, 치료가 요구되는 평균횟수는 1.0$\pm$0.9 (1~3)회이었다. 수술로부터 치료가 요구되는 급성거부 반응까지의 평균기간은 35.5$\pm$20.4 (5~60)일이었다. 1례에서 급성 체액성거부반응이 의심되었으며 성공적으로 치료되었다. 심초음파나 MUGA주사로 측정된 좌심실구혈율은 심장이식후 평균 17.5$\pm$6.8 (9~32)%에서 58.9$\pm$2.0 (55~62)%로 증가하였다. 5명의 환자에게 24시간 이상 일시적 심박동보조가 요구되었으나 모두 일주일내에 정상 동성 리듬으로 회복되었다. 한 명에서는 이식후 140일째 완전 방실 블럭이 나타나 영구적 심박동조율기가 요구되었다. 또 한 명의 환자에게서 이식직후 Cyclosporine연관성 신경독성이 나타났으나 수술후 27시간후에 회복되었다. 서울중앙병원에서 심장이식수술은 발전단계에 있으며 조기 결과는 외국의 잘 정립된 병원의 결과와 비견되지만 장기 추적결과는 재평가되어야 하겠다. 심장이식은 말기 심부전환자에게 성공적인 치료방법이 되리라 사료된다. Heart transplantation is now accepted as a definitive therapeutic modality in patients with terminal hear failure. The first successful heart transplantation in humans was done in 1967 and the first case in Korea was performed in november, 1992. Since the first case in 1992, more than 50 cases have been performed in Korea. A total of 20 patients underwent orthotopic heart transplantation since November, 1992 in Asan Medicla Center. The purpose of this study is to evaluate the early results and the follow-up course of 20 cases of heart transplantation done in Asan Medical Center. The average age of 20 patients was 39.9$\pm$11.8 years old(20~58). The mean follow-up duration was 14.4$\pm$11.2 months(1~41). All patients are alive till now. The blood type was identical in 14 and compatible in 6 patients. ihe original heart disease was dilated cardiomyopathy in 16, valvular heart disease in 2, ischemic cardiomyopathy in 1, and giant cell myocarditis in 1 patient. HLA cross matching for recipient and donor was done in 18 cases and the results were negative for T-cell and B-cell in 16 patients, pos tive for warm B-cell in 2 patients. Among 6 loci of A, B, and DR, one locus was matched in 8 cases, 2 loci in 5 cases, and 3 loci matched in 1 case. The number of acute allograft rejection averaged 2.8$\pm$0.5 (0~6) per case and the number of acute allograft rejection requiring treatment averaged 1.0$\pm$0.9 (1~3) per case. The time interval from operation to the first acute rejection requiring treatment was 35.5$\pm$20.4 days (5~60). Acute humoral rejection was suspected strongly in 1 case and was successfully treated. The left ventricular ejection fraction measured by echocardiography and/or MUGA scan was dramatically increased from 17.5$\pm$6.8 (9~32)% to 58.9$\pm$2.0 (55~62)% after heart transplantation. Temporary pacing was needed in 5 patients over 24 hours but normal sinus rhythm appeared within 7 days in all cases. One patient has been taken permanent pacemaker implantation due to complete AV block appearing 140 days after heart transplantaion. One patient had cyclosporine-associated n urotoxicity during the immediate postoperative period and was recovered after 27 hours. The heart transplantation of Asan Medical Center is on a developing stage but the early result is comparable to that of well established centers in other countries, even though the long-term follow-up result must be reevaluated. We can conclude that the heart transplantion is a promising therapeutic option in patients with terminal heart failure.
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드롭랜딩 동작 시 시각제한에 따른 운동역학적 변인 비교분석
박종빈(Park, Jong-Bin),홍성혁(Hong, Sung-Hyuk),안승찬(Ahn, Seung-Chan),남기정(Nam, Ki-Jeong),이종훈(Lee, Chong-Hoon) 한국체육과학회 2019 한국체육과학회지 Vol.28 No.6
The purpose of this study is to find out if there are significant differences in muscle activity in the eccentric muscle group(rectus femoris, gastrocnemius) when landing in the three visual conditions(both eye block, dominant eye block, non visual block). The subjects of the study randomly selected 10 male students attending S University of Seoul who have no musculoskeletal disorders that limit them from making drop-landing moves. For the measurement of the study, this study compared the maximum potential using the Telemyo 2400T System (Noraxon.USA). The results of the first study showed that the muscle activity of the renal muscle group (retus femoris, gastrocnemius) on landings did not differ significantly, depending on the visual changes. Second, according to visual variables, the average value of muscle activity of the retus femoris was higher both eye blocking condition than dominant eye blocking condition and the dominant eye blocking condition was higher than the visual non-blocking condition. Third, according to visual variables, the average value of muscle activity of the gastrocnemius muscle showed higher visual non-blocking conditions than the both eye blocking conditions, and the both eye blocking conditions were higher than the dominant eye blocking conditions.
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원위 대퇴골 골절의 보존적 치료 후 발생한 슬와동맥의 거대 가성동맥류 -증례 보고-
조원철 ( Won Chul Cho ),박종빈 ( Chong Bin Park ),최영준 ( Young Jun Choi ),이현일 ( Hyun Il Lee ),원희재 ( Hee Jae Won ),황재광 ( Jae Kwang Hwang ) 대한골절학회 2016 대한골절학회지 Vol.29 No.2
A pseudoaneurysm is a contained arterial disruption in the intimal and medial layers of an arterial wall. It may originate from a perforation caused by traumatic or iatrogenic injury or the dehiscence of a surgical anastomosis. Because of its insidious onset and delayed presentation, orthopaedic surgeons should be aware of the possibility of such a lesion after an initial trauma. We report on a case of a delayed huge pseudoaneurysm of the popliteal artery that occurred 11 months after conservative treatment of a supracondylar fracture of the femur in order to keep in mind the possibility of the delayed presentation of vascular injury after a distal femur fracture.
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인공 대동맥 판막 기능 부전으로 나타난 과호산구 증후군
최태혁 ( Tae Hyuck Choi ),이주용 ( Ju Yong Lee ),정상식 ( Sang Sig Cheong ),최윤석 ( Yoon Suck Choi ),홍현일 ( Hyun Il Hong ),박종빈 ( Chong Bin Park ),강길현 ( Gil Hyun Kang ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
Idiopathic hypereosinophilic syndrome (HES) refers to a group of leukoproliferative disorders characterized by unexplained persistent eosinophilia associated with damage to several organ. Cardiac involvement is the major source of morbidity and mortality. There have been several case reports that showed various types of cardiac involvement including native or prosthetic valve dysfunction with this syndrome. However, there has been no report involved mechanical aortic valve. We, for the first time, report a case of a 58-year-old man with idiopathic hypereosinophilic syndrome manifested by prosthetic mechanical aortic valve dysfunction that was successfully treated by valvular replacement, steroid and hydroxyurea therapy.(Korean J Med 69:S974-S978, 2005)
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