서혜부 이하 혈관재건술에 있어서 이식편 개존에 영향을 미치는 인자에 대한 분석

손재호,권우형,서보양,권굉보,박원규 대한혈관외과학회 2004 Vascular Specialist International Vol.20 No.1

급성사지허혈증에 대한임상적 고찰

김광한,권우형,이동식,서보양,권굉보 대한혈관외과학회 2003 Vascular Specialist International Vol.19 No.2

백서의 정맥혈전 모델에서 장기간의 혈전노출이 정맥변 변화에 미치는 영향

황종성,권우형,박영도,서보양,권굉보 대한혈관외과학회 2004 Vascular Specialist International Vol.20 No.1

대퇴-대퇴동맥간 우회술에서 이식편의 개존율

김상우,권우형,임명국,서보양,권굉보 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.2

Purpose and Method: To access the value and results of femoro-femoral bypass for the treatment of unilateral iliac artery occlusion, the clinical data of 53 patients who underwent femoro-femoral bypass graft at Yeungnam University Hospital between January 1994 to December 2000 were analyzed retrospectively. The influence of variables (such as, age, sex, preoperative symptom, risk factors and associated medical illness, status distal artery, preoperative ABI) on the long term patency was evaluated by univariate statistical analysis. Result: The patients were 47 males and 6 females ranging from 37 to 84 years of age. The mean age was 65, with the highest incidence among people in their 60s, followed by those in their 70s and then in their 50s. Associated disease were hypertension in 28 case (52.8%), diabetes mellitus in 10 cases (18.8%), cardiac disease in 19 cases (32.0%) and cerebrovascular disease in 4 cases (7.5%). History of smoking was noted in 77.4% of the cases. Focal stenosis of donor site iliac artery has been found in 2 cases and combined distal outflow occlusion has been found in 21 cases, 2 donor site iliac artery ballon angioplasty was performed preoperatively and 14 adjuvant procedures (9 femoro-popliteal bypas, 2 femoro-tibial bypass, 3 profundoplasty) was performed simultaneously during the operation. Cumulative 1,3,5,-year primary and secondary patency rates of all femoro-femoral bypass were 87.0%, 76.6%, 68.1% and 91.7%, 85.7%, 73.5%. There was no operative mortality and major perioperative complications. Univariate analysis showed that the patients without distal arterial occlusion had significantly better 1-, 3-, and 5-year primary patency rates (93.0%, 89.0% and 74.2% versus 76.6%, 45.9% and 45.9% and 45.9%, P=0.02) compared with the patients with distal arterial occlusion. No significant effect was exerted by all other variables on long term results. Conclusion: These results suggest that femoro-femoral bypass is a sate and durable operation that results in good patency in a good runoff.

혈관내막과증식의 in vivo Model에서 Gabexate Mesylate의 퉁가 Matrix Metalloproteinase의 활성 및 혈관평활근세포 증식에 미치는 영향

양호철,권우형,서보양,권굉보 대한혈관외과학회 2003 Vascular Specialist International Vol.19 No.1

개인의의 개방병원 참여에 대한 의견

김석범,권굉보,강복수,김기홍 한국의료QA학회 1998 한국의료질향상학회지 Vol.5 No.1

A mailed survey with structured questionnaire was conducted to study the demand of private physicians who were operating their own clinics in the community to be a attending physician at the general hospital. The responding proportion was 21.6 percent of the 960 private physicians. A total of 207 responders : 65.2 percent wanted to be a attending physician. In particular, the physicians who were male, young, surgeon and teaching hospital careered after specialist were more highly motivated. The major activities what they wanted as a attending physician were medical care for the admission patients. They responded that the hospital charges for the medical services and the responsibility of malpractice issues should be fairly shared by attending physician and hospital according to their contributions. There is growing consensus that the need of attending physician at the general hospital will become wide spread, but little organizational preparation to assure the quality of medical care of attending physicians including training of resident physicians and students. In addition, the effective reimbursement system should be develop to compensate appropriately according to the medical achievement of the attending physicians.

응급의학과에서의 인공호흡기 처치

이삼범,도호석,도병수,이창현,심민철,권굉보 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

Study Objectives : To investigate and resolve the problems related with ventilator management in ED(emergency department). At present the ventilator is essential equipment of ED on university hospital and emergency center in Korea. Design : Retrospective consecutive case series. Setting : University teaching hospital Type of participants : All patients admitted and recieved ventilator management in ED of yeungnam university hospital from Jan. 1994 to jul. 1995. Methods and interventions : Charts of all patients were reviewed to determine the frequency, the types and causes of respiratory failure, the death rate, the mean duration of admission, the complications, and CPR(cardiopulmonary resuscitation) related with ventilator management in ED. We also identified the problems related with ventilator management by ED physicians and nurses through the answers to seven questions that suggested by us about ventilator management in ED. Measurements and main result : There were 34,751 admissions through ED during the study period. Of these 160 patients managed with ventilator in ED. The frequency of ventilator management in ED is increased at 1995(0.73%) that compared with 1994(0.32%). Non-trauma(113 cases) and hypoxic respiratory failure(83 cases) patients are more common than trauma(37 cases) and ventilatory failure Total CPR rate related with ventilator management are 25.3%. The mean duration of admission are 12.56±20.28 days, and the death rates are 45.3%. The incidence of complications occurred during ventilator management in ED are 37 cases. About seven questions suggested by us to 30 ED staffs(ED physician, nurses and paramedics), most frequent answer is the difficulty of keeping ventilator in ED because other department rent ventilator from ED and lost a part of ventilator. Conclusion : As the use of ventilator in ED is increased the emergency physician should be well trained for the indications, complications, setting mode and general problems of machine occurred during ventilator management in ED patients.

대구 상인동 가스참사로 본 지역 응급의료체계에 대한 고찰

이삼범,도호석,도병수,이창현,심민철,권굉보 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

Disaster may be defined as a sudden calamitous event associated with great damage or destruction. A more common definition, among emergency-preparedness planners, is a medical occurrence that overwhelms medical care systems and facilities. Most regional disaster plans are formulated to respond to disasters of moderate size. At 07:50 A.M. on 28 April 1995, gas explosion was happened at Sangin-Dong where was going to be under construction of subway in Taegu, Korea. 102 victims had died and 178 victims had moderate or minor injuries. Problems in the organization at the scene, triage, field management, transport to the hospital, and the communication contributed to the confusion in the management of victims. An analysis of this disaster allows several lessons to be learn about perimeter control, command functions, crowd control, and transportation priorities. It will benefit disaster planners in other communities.

Perioperative Pulmonary Management

Koing Bo Kwun Korean Society of Critical Care Medicine 2003 Acute and Critical Care Vol.18 No.1

No abstract available.

Korean Aspect of the Medical Problems of the Aged

Kwun,Koing Bo,Chung,Jong Hak 영남대학교 의과대학 1985 Yeungnam University Journal of Medicine Vol.2 No.1

우리 나라에서는 과거 20년간 경제사정이 호전되고 과학기술이 발달됨에 따라 국민 평균수명이 크게 연장 되었으며, 따라서 노인인구도 증가하게 되었다. 이와 같은 인구분포의 변화로 야기되는 여러 가지 문제중, 노령인구의 보건의학적인 현실성을 고찰하였다. 한국의 65세 이상 노인인구는 162만명으로 전체 인구의 4.0%를 차지하여 과거에 비하여 빨리 증가하였으나 8.9%, 10.3%, 15.8%의 일본, 미국 및 영국에 비해서는 아직 훨씬 낮은 편이다. 65세 이상 노인들의 25%이상에서 진료를 요하는 높은 질환율을 나타내었으며, 질병별로는 순환기계질환 30.9%, 호흡기계질환 17.1%, 소화기계질환 8.6%, 정신장애 8.4%, 악성신생물 7.0% 등의 순이었다. 의료수혜 현황으로는 의료보호와 의료보험을 합하여 51%의 노인인구가 전액 혹은 일부 의료비 보조혜택을 받을 수 있으나 보험수혜노인의 수진율은 극히 낮아 (1981년에 2.0%) 노인들의 진료 기피의 한국적 특색을 보여주고 있다. 노인들에 많은 성인병들은 만성진행형이어서 조기진단, 전문적관리 및 장기진료가 필요하나, 노인전문 진료기관, 장기수용시설 및 전문인력은 전무한 실정이다. 급속히 증가하는 노인인구의 보건을 위하여 양로시설과 장애노인수용소의 조속한 확충과 가정방문 간호원제도, 노인의료수혜 확장, 무료 신체검사, 성인병 예방운동 등 정부차원의 제도적 개선과 적극적 지원이 지금부터라도 시행되어야 되겠다.