http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
요추 압박 골절의 골 시멘트를 이용한 척추성형술 치료 후 발생한 폐동맥 시멘트 혈전증: 증례보고
차용한 ( Yong Han Cha ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.3
Purpose: Pulmonary cement embolization after vertebroplasty is a well-known complication. The reported incidence of pulmonary cement emboli after vertebroplasty ranges frome 2.1% to 26% with much of this variation resulting from which radiographic technique is used to detect embolization. Onset and severity of symptoms are variable. Case description: We present the case of a 83-year-old women who underwent fourth lumbar vertebroplasty and subsequently had dyspnea several days later. Posteroanterior chest radiography showed multiple linear densities. Computed tomography of thorax revealed also multiple bilateral, linear hyperdensities within the lobar pulmonary artery branches are detected in axial and coronal views. Literature Reviews: Operative management of vertebral compression fractures has included percutaneous vetebroplasty for the past 25 years. Symptoms of pulmonary cement embolism can occur during procedure, but more commonly begin days to weeks, even months, after vertebroplsty. Most cases of pulmonary cement emboli with cardiovascular and pulmonary complications are treated nonoperatively with anticoagulation. Endovascular removal of large cement emboli from the pulmonary arteries is not without risk and sometimes requires open surgery for complete removal of cement pieces. Conclusion: Pulmonary cement embolism is a potentially serious complication of vertebroplasty. If a patient has chest pain or respiratory difficulty after the procedure, chest radiography and possibly advanced chest imaging studies should be performed immediately. [ J Trauma Inj 2015; 28: 202-205 ]
중증 외상 환자의 골반골절에서 경피적 혈관 색전술과 Young과 Burgess 분류의 상관관계
차용한 ( Yong Han Cha ),설영훈 ( Young Hoon Sul ),김하용 ( Ha Yong Kim ),최원식 ( Won Sik Choy ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.3
Purpose: Immediate identification of vascular injury requiring embolization in patients with pelvic bone fracture isn’t an easy task. There have been many trials finding indicators of embolization for patients with pelvic bone fracture. Although Young and Burgess classification is useful in decision making of treatment, it is reported to have little value as indicator of embolization in major trauma patients. The aim of this study is to find out Young and burgess classification on predicting vessel injury by analzyng pelvic radiograph taken from major trauma patients with pelvic bone fracture. Methods: Among major trauma patients with injury severity scores (ISS) higher than 15 who visited our emergency room from January 2011 to June 2014, 200 patients were found with pelvic bone fracture in trauma series and thus pelvic CT angiography was taken. Setting aside patients with exclusion criteria, 153 patients were enrolled in this study for analysis of Young and Burgess classification. Results: The most common mechanism of injury was lateral compression in both groups. There was no statistical significant difference in Young and Burgess classification (p=0.397). The obturator artery was the most commonly injured artery in both groups. Six patients had more than one site of bleeding. Conclusion: Prediction of transcatheter angiographic embolization using Young and Burgess classification in severe trauma patients is difficult and requires additional studies. [ J Trauma Inj 2015; 28: 144-148 ]
남해안 양식산 농어 , Lateoabrax japonicus 치어에서 분리한 병원성 Staphylococcus epidermidis 에 관한 연구
양한춘(Han Choon Yang),최상덕(Sang Duk Choi),차용백(Yong Baeg Cha),조재권(Jae Kwon Cho) 한국어병학회 1997 한국어병학회지 Vol.10 No.1
Major object of this study was to investigate the causative organism of th e diseased cultured fingerling of sea bass, L japonicus. The experimental results are summarized as follows ; Staphylococcus epidermidis, isolated from the liver, kidney, spleen and brain, was considered to be the causative organism. External symptoms of this disease were congestion and hemorrhages in eyes. Anatomical symptoms were hemorrhage of brain, congestion of liver, and slight swelling of kidney and spleen. Growth of the isolates was good on BHIA, HIA and Staphylococcus No. 110. The growth occurred at a range(optimum) of 10∼45℃(35∼40℃), 0∼9% (1∼3%) of NaCl concentration and pH 4∼10(8). DNase and coagulase production of all isolated strains were nagative, but was positive in hemolysis. Urease was positive reaction, and novobiocin resistance was nagative. Acid was produced anaerobically from glucose and maltose. Acid was produced aerobically from glucose, galactose, sucrose, maltose and dextrine. But gas was not produced from any carbohydrates. When the isolated strain was injected intramuscularly on fingerling of sea bass, L japonicus, it had virulence at 1.7×10^(10) viable cells/㎖ for all fish examined but no virulence at 1.7×10⁴ viable cells/㎖. Bacitracin, Erythromycin and Nofloxacin were observed as bacteriostatic agents to the strain, but Colistin, Gentamicin and Nalidixic acid were not. There were remarkable congestion of the brain, regressive necrosis of the liver, and showed necrosis of the epithelial cells of renal tubules in kidney tissues.
신통축어탕(身痛逐瘀湯)이 Hydrogen Peroxide에 의해 손상(損傷)된 배양(培養) 척수감각신경세포(脊髓感覺神經細胞)에 미치는 영향(影響)
이계승,나영훈,차용석,허윤,김도환,한상혁,박병민,이인,문병순,Lee, Kye-Seung,Na, Young-Hoon,Cha, Yong-Suk,Heo, Yun,Kim, Do-Hwan,Han, Sang-Hyok,Park, Byong-Min,Lee, In,Moon, Byung-Soon 대한한방내과학회 2001 大韓韓方內科學會誌 Vol.22 No.4
Objectives : This study was carried out to examine toxic effect of Sintongchukeo-tang on cultured mouse spinal sensory neurons inhibited by neurotoxicity induced by hydrogen peroxide. Methods : MTT assay, NR assay, LDH and neurofilament assay were performed after spinal sensory neurons were preincubater with various concentrations of Sintongchukeo-tang water extract before treatment of cells with hydrogen peroxide. Results : Hydrogen peroxide induced ceil degeneration such as the decrease of cell viability was measured by MTT and NR assay in the cultured mouse spinal sensory neurons. Sintongchukeo-tang water extract was effective in the decrease of LDH activities of neurons produced by hydrogen peroxide. Sintongchukeo-tang water extract was effective in the increase of amount of neurofilaments damaged by hydrogen peroxide. Conclusions : From the above results, it is suggested that hydrogen peroxide induces the inhibition of cell viability in cultured mouse spinal sensory neurons and Sintongchukeo-tang water extract was effective in cultured neurons damaged by hydrogen peroxide.
김하용 ( Ha-yong Kim ),차용한 ( Yong-han Cha ),김우석 ( Woo-suk Kim ),최원식 ( Won-sik Choy ) 대한골절학회 2021 대한골절학회지 Vol.34 No.2
소아 족관절 골절은 경비골 원위부의 골간단, 성장판 및 골단에 대한 손상으로 정의된다. 소아 족관절 골절은 손상 기전이 성인과 유사하다고 하더라도 골단판이 경골과 비골의 원위부에 위치하기 때문에 골절의 형태뿐만 아니라 치료 방법이 성인과 다르다. 소아의 인대는 성장판 연골보다 강해서, 성인에서 염좌를 일으킬 정도의 부하가 소아에서는 주로 성장판 골절을 일으키고, 사춘기에는 원위 경골 성장판의 폐쇄가 진행되는 동안 이행기 골절이 발생된다. 진단을 위해서는 방사선 검사가 필수적이고 인대 손상이 의심될 때에는 스트레스 사진이나 초음파, 자기공명영상 촬영이 사용될 수 있다. 치료의 목표는 관절면 일치(articular congruity)와 골 정렬을 회복하여 기능을 보존할 뿐만 아니라 골단판을 보호, 유지시키는 것이다. 성장판 골절은 해부학적 정복 후에도 조기 성장판 폐쇄가 흔하게 발생하고 각변형과 부정유합, 수상 후 관절염 등의 합병증이 발생할 수 있어 이에 대한 보호자 설명과 장기 추시가 필수적이다. Pediatric ankle fractures are defined as damage to the metaphysis, epiphyseal plate, and epiphysis of the distal tibia and fibula. Although the injury mechanism could be similar, the fracture patterns and treatment of pediatric ankle fractures are different from those of adults. In children, growth plate injuries are more common with a force that would cause sprains in adults because the ligaments are stronger than the growth plate cartilage in children. In the adolescent period, unique fractures, called “transitional fractures”, occur while the physis is closed. For a diagnosis, plain images of the anteroposterior, lateral, and mortise views are essential. Stress radiographs, ultrasound, and magnetic resonance imaging can be used for suspected ligament injuries. The treatment goal is to restore the articular congruity, normal bony alignment, and preserve the epiphyseal plate to ensure normal growth. Pediatric ankle fractures frequently lead to premature physeal arrest, angular deformities, malunion, and post-traumatic arthritis even after anatomic reduction. Treating surgeons should follow-up children for a sufficient time and explain to the caregiver the possible complications before treatment.
50세 이상의 연령에서 전방십자인대 재건술의 임상적 결과
이광원,김용인,서동욱,차용한,김갑중,최원식,Lee, Kwang-Won,Kim, Yong-In,Seo, Dong-Wook,Cha, Yong-Han,Kim, Kap-Jung,Choy, Won-Sik 대한정형외과스포츠의학회 2010 대한정형외과스포츠의학회지 Vol.9 No.2
목적: 50세 미만 및 50세 이상의 환자에서 전방 십자 인대 재건술 시행의 임상적 결과를 후향적으로 비교 분석하고자 하였다. 대상 및 방법: 2004년 7월부터 2008년 4월까지 전방 십자 인대 재건술을 시행 받은 환자 중 50세 이상(평균 55.1세) 18예, 50세 미만(평균 31.2세) 198예를 대상으로 하였으며, 평균 추시 기간은 50세 이상이 24개월, 50세 미만 군이 26개월 이었다. 임상적 평가는 Lysholm 점수 및 IKDC (International Knee Documentation Committee) 평가 기준을 사용하였고 전방 전위 정도는 KT-2000 관절 계측기를 이용하였으며 두 군간의 최종 추시 시의 결과를 비교 분석하였다. 결과: Lysholm 점수는 50세 이상 군에서는 69.5점에서 93.6점으로 호전되었으며, 50세 미만 군에서는 69.0점에서 92.6점으로 호전되었다(p<0.05). IKDC 평가 기준에 의한 최종 평가상 50세 이상 군의 83% (15예)에서 거의 정상(B) 이상의 결과를 보였고, 50세 미만군의 86% (170예)에서 거의 정상(B) 이상의 결과를 보였다(p<0.05). KT-2000 관절 계측기를 이용한 전방 전위 검사 상 건측과의 평균 전위차가 50세 이상 군에서는 술전 7.4 mm에서 최종 추시 시 2.2 mm로 감소하였고, 50세 미만 군에서는 술 전 7.1 mm에서 최종 추시 시 2.0 mm으로 감소하였다(p<0.05). 결론: 50세 이상 군과 50세 미만 군에서의 전방 십자 인대 재건술의 임상적 결과는 두 군 간에 유의한 차이가 없었으며, 50세 이상 환자에서도 만족할 만한 전방 십자 인대 재건술의 결과를 얻을 수 있었다. Purpose: To compare the clinical results after reconstruction of the anterior cruciate ligament (ACL) between above the 50 years old patients and below the 50 years old patients retrospectively. Materials and Methods: The results obtained 18 patients above 50 years old (mean age 55.1) and 198 patients below 50 years old (mean age 31.2) who underwent reconstruction of the ACL between July 2004 and April 2008. Clinical evaluation was performed with the International Knee Documentation Committee (IKDC) and Lysholm knee score scale. Anterior displacement of knee was measured by KT-2000 arthrometer. Results: Lysholm scores improved from 69.5 to 93.6 in patients above 50 years old, from 69.0 to 92.6 in patients below 50 years old (p<0.05). According to IKDC score, results more than nearly normal was 83% (15 cases) in patients above 50 years old, 86% (170 cases) in patients below 50 years (p<0.05). The mean difference of anterior displacement measured by KT-2000 was decreased from 7.4 mm to 2.2 mm in patients above 50 years old, from 7.1 mm to 2.0 mm in patients below 50 years old (p<0.05). Conclusion: There was no significant difference between the patients above 50 years old and below 50 years old. In patients above 50 years old, the reconstruction of ACL obtained satisfactory results.