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Doppler 심 초음파에 의한 폐 동맥 혈류 측정에 있어서 관찰 View 에 따른 비교
김태호(Tae Ho Kim),최신환(Sin Whan Choi),장용준(Yong Jun Jang),류호준(Ho Jun Ryoo),심상준(Sang Jun Shim),류왕성(Wang Seong Ryu),유언호(Un Ho Ryoo) 대한내과학회 1989 대한내과학회지 Vol.37 No.5
N/A The analysis of pulmonary blood flow by Doppler echocardiography is very useful in evaluating various cardiac patients with pulmonary hypertension. How- ever, determinations of pulmonary arterial blood flow can vary markedly when measured from different sites. One hundred subjects (90 normal subjects, 10 C.O.P.D. patients) underwent Doppler and two-dimensional echocardiographic examination of the pulmonary artery from multiple views to determine the variability in the magnitude of Doppler determined peak velocity, acceleration time of pulmonary arterial blood flow and pulmconary arterial diameter. The results were as follows: 1) The maximun diameter of the pulmonary artery was 2.0±0.5cm (mean±S.D) and was measured from the parasternal right ventricular outflow tract (PRVOT) view (78), the subcostal short axis (SCSAX) view (65) and the parasternal short axis (PSAX) view (51) in turn. 2) The peak. velocity of pulmonary blood flow was mostly detected from the PRVOT view (59%) and sometimes from the PSAX view (17%). 3) The highest flow velocity of the pulmonary artery was recorded from the SCSAX view in 24 patients including 8 C.O,P,D patients. 4) Our results indicate that the PRVOT view was most useful in evaluating the image and blood folw pattern of the pulmonary artery, and in some cases (such as C.O.P,D), the SCSAX view was much better than any other view.
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최광식,최원일,김철수,박일권,정영진,장석준,심상준,신상철,Choi, Kwang-Sik,Choi, Won-Il,Kim, Chul-Su,Park, Il-Kwon,Chung, Yeong-Jin,Jang, Seok-Jun,Shim, Sang-Jun,Shin, Sang-Chul 한국응용곤충학회 2006 한국응용곤충학회지 Vol.45 No.3
층층나무를 가해하는 단식성 해충인 황다리독나방(Ivela auripes)의 생활사를 실내 항온조건과 야외에서 조사하였다. 실험실 $24{\pm}1^{\circ}C$ 항온조건에서 1령 유충부터 번데기까지의 총 발육기간은$26.3{\pm}0.3$일이었고 성충의 수명은 $4.4{\pm}0.2$일이었다. 야외에서 채집된 번데기와 실험실 항온 조건에서 사육된 번데기의 발육 일수는 유의한 차이를 보이지 않았다. 실험실에서 사육된 암컷 한마리당 산란수는 야외에서 채집된 개체들의 산란수에 비해 낮았다. 포충망을 이용한 모니터닝이 유아등 모니터닝에 비해 효율적이었다. 황다리독나방의 성충우화시기는 6월 초순부터 하순이었으며 50% 누적 우화시기는 6월 17일이었다. Life history of Ivela auripes (Lepidoptera: Lymantriidae), a pest of Cornus controversa, was investigated both in laboratory and field condition. At $24{\pm}1^{\circ}C$, developmental period from larvae to adult and adult life span was $26.3{\pm}0.3$ and $4.4{\pm}0.2$ days, respectively. Developmental period of pupae reared in the laboratory was not significantly different from those collected in the field. Female moths reared in the laboratory laid significantly less eggs than those emerged from the pupae collected in the field. Light trap catches was less effective than direct monitoring in the field. The two monitoring results showed that adult moth emerged from early June to late June, and the time of 50% cumulative emergence was 17 June.
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슬관절 인공관절 치환술 후 배액관의 위치에 따른 출혈량 및 임상결과 비교
최영준(Young-Joon Choi),이기원(Ki-Won Lee),이현일(Hyun-Il Lee),조완종(Wan-Jong Cho),황도연(Do-Yon Hwang),심상준(Sang-Jun Shim),조형권(Hyung-Kwon Cho) 대한정형외과학회 2015 대한정형외과학회지 Vol.50 No.4
목적: 슬관절 인공관절 전치환술 후 배액관의 위치에 따른 외부 배액량, 혈액 손실량 및 임상 결과를 비교하고자 하였다. 대상 및 방법: 양측 슬관절 인공관절 전치환술을 같은 날 동시에 시행받은 환자 100명을 대상으로, 실험 1에서는 50명에서 편측은 관절강 내에, 반대측은 피하지방층에 배액관을 삽입하여 수술 후 외부 배액량과 통증 정도, 관절 운동 범위, 합병증의 빈도를 비교하였다. 실험 2에서는 또 다른 50명에서 양측 모두 관절강 내에 배액관을 삽입하여 총 혈액 손실량을 산출하여 실험 1의 환자 50명과 비교하였다. 결과: 실험 1에서 외부 배액량은 피하지방층에 배액관을 삽입한 군이 관절강 내에 삽입한 군보다 유의하게 적었으나(p<0.001), 통증의 정도는 수술 후 2일경에만 두 군 간 유의한 차이를 보였다. 실험 2에서 총 혈액 손실량을 비교했을 때 두 군 간 유의한 차이를 보이지 않았다. 결론: 피하지방층에 배액관을 삽입한 군의 외부 배액량은 관절강 내에 삽입한 군보다는 적었으나 배액관의 삽입 위치에 따른 총 혈액 손실량은 유의한 차이를 보이지 않았으며 임상 결과의 큰 차이가 없어 피하지방층에 배액관 삽입의 큰 이점은 관찰되지 않았다. Purpose: The aim of this study was to compare the drainage amount, total blood loss, and clinical results between two different positions of suction drainage after total knee arthroplasty. Materials and Methods: A total of 100 patients who underwent one stage bilateral total knee arthroplasty were enrolled. In experiment 1 with 50 patients, we compared the drainage amount, pain, range of motion, and complications of the leg whose suction drain was inserted into the joint cavity with those of the contralateral leg whose suction drain was inserted in subcutaneous tissue. Another 50 patients of experiment 2 had suction drainage in the joint cavity of both legs and the total blood loss (sum of drainage output, exudates, and hematoma of subcutaneous tissue and joint) was calculated and compared with that of experiment 1. Results: In experiment 1, the drainage amount was less in the leg with suction drainage in subcutaneous tissue compared with the contralateral leg with suction drainage in the joint cavity (p<0.001). However, the postoperative joint pain was significantly different only on post-operative day 2 between two legs. In experiment 2, there was no significant difference in the total blood loss between the two groups. Conclusion: Although the drainage amount was less in the leg whose suction drain was kept in subcutaneous tissue compared with the contralateral leg whose suction drain was in the joint cavity, the total blood loss and the clinical results were not significantly different according to the position of the suction drain. Therefore, we can conclude that the subcutaneous position of the suction drain did not yield superior results.
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