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서정수(Jeong-Su Seo) 산업기술교육훈련학회 2014 산업기술연구논문지 (JITR) Vol.19 No.4
It has been proven and checked by this experiment that the produced P.E.T. bottle and handle is of merchantable quality and practical use in the same process as carrying and using it where the transparency is requested among plastic covered containers and that is full of something and it needs to be considered as a few of experiments and structural analysis from the process of production to its recycling.
복강 내압 항진증이 내과계 중환자의 예후에 미치는 영향
김세중 ( Se Joong Kim ),서정수 ( Jeong Su Seo ),손명희 ( Myeung Hee Son ),김수연 ( Soo Youn Kim ),정기환 ( Ki Hwan Jung ),강은해 ( Eun Hae Kang ),이승룡 ( Sung Yong Lee ),이상엽 ( Sang Yeub Lee ),김제형 ( Je Hyeong Kim ),신철 ( C 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.1
연구배경: IAP의 증가는 혈류량을 감소시켜 여러 장기에 영향을 준다. IAH는 IAP가 12㎜Hg 이상 또는 APP가 60㎜Hg 이하로, ACS는 IAP가 20㎜Hg 이상이면서 동시에 하나 이상의 장기 손상이 있는 경우로 각각 정의한다. 저자들은 중환자에서 IAH 및 ACS의 유병률과 이들이 환자의 예후에 미치는 영향을 고찰하고자 하였다. 방법: 고려대학교 의료원 중환자실에 입원하는 내과계 환자를 대상으로 하여, APACHE II 및 III 점수, SAPS II 점수를 기록하였다. IAP는 삼중관 요도관을 통하여, 입원 7일째까지 매일 3회 측정하였고, 환자가 사망하거나 일반 병실로 전실 또는 요도관을 제거할 때까지 계속하였다. 환자의 예후는 28일을 기준으로 판단하였다. 결과: 총 111명 대상 환자들의 입원 1일 IAH 및 ACS의 유병률은 각각 47.7%, 15.3%였다. 사망군과 생존군 사이에 IAH의 유병률은 유의한 차이가 없었으나, ACS는 사망군에서 더 높았다 (p=0.004). 사망군에서 IAP는 더 높았고 (p=0.012), APP는 유의하게 낮았다 (p<0.001). 결론: 중환자에서 입원 1일에 측정한 IAP의 증가, APP의 감소 및 ACS 발생은 환자의 사망과 연관이 있을 것으로 판단된다. Background: Intra-abdominal hypertension (IAH) is defined as the presence of either an intra-abdominal pressure (IAP)≥12㎜Hg or an abdominal perfusion pressure (APP=mean arterial pressure-IAP)≤60㎜Hg. Abdominal compartment syndrome (ACS) is defined as the presence of an IAP≥20㎜Hg together with organ failure. The purpose of this study was to investigate the prevalence of IAH and ACS on the day of admission and the effects of these maladies on the prognosis of critically ill patients in the ICU. Methods: At the day of admission to the ICU, the IAP was recorded by measuring the intravesicular pressure via a Foley catheter. The APACHE II and III scores were checked and SAPS II was also scored during the days the patients were in the ICU. The primary end point was the prevalence of IAH and ACS at the day of admission and the correlation between them with the 28-days mortality rate. The measurement of IAP continued until the 7th day or the day when the patient was transferred to the general ward before 7th day, unless the patient died or a Foley catheter was removed before 7th day. Patients were observed until death or the 28th day. Results: A total of 111 patients were enrolled. At the day of admission, the prevalence of IAH and ACS were 47.7% and 15.3%, respectively and the mean IAP was 15.1±8.5㎜Hg. The rates of IAH for the survivor and the non-survivor groups were 56.5% and 71.4%, respectively, and these were not significantly different (p=0.593). Yet the rates of ACS between these two groups were significantly different (4/62, 6.5% vs. 13/49, 26.5%; Odds Ratio=5.24, 95% CI=1.58-17.30, p=0.004). Conclusion: In the present study, the prevalence of IAH was 47.7% and the prevalence of ACS was 15.3% on the day of admission. ACS was associated with a poor outcome for the critically ill patients in the ICU. (Tuberc Respir Dis 2006; 61: 46-53)
송현주 ( Song Hyeon Ju ),최문영 ( Choe Mun Yeong ),김미연 ( Kim Mi Yeon ),이영숙 ( Lee Yeong Sug ),김승정 ( Kim Seung Jeong ),최규복 ( Choe Gyu Bog ),윤견일 ( Yun Gyeon Il ),서정수 ( Seo Jeong Su ),강덕희 ( Kang Deog Hui ) 대한신장학회 2003 Kidney Research and Clinical Practice Vol.22 No.6
Spontaneous rupture of the kidney. W?nderlich syndrome, is a rare event but potentially life-threatening condition. The most comman causes are clear cell carcinoma, benign angiomyolipoma and vascular disease. Among this event, acute pyelonephritis is a very unusual cause. A 67-year-old diabetic woman was admitted with high fever and left flank pain due to acute pyelonephritis. She had uterine prolapse for 10 years with both renal hydronephrosis before this event. Abdominal ultrasonography and CT scan showed fluid collection around left kidney with a rupture of renal parenchyme at lower pole. The renal angiography showed displaced capsular artery due to subcapsular hematoma and decreased blood flow at lower pole. The percutaneous needle aspiration revealed blood collection around left kidney, which confirmed spontaneous rupture of the kidney. We report this case with a review of the relevant literature. (Korean J Nephrol 2003;22(6):757-762)