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이봉화(Bong Hwa Lee),노경빈(Kyung Bin Noh),송재승(Jae Seung Song),이찬영(Chan Young Lee),윤종현(Chong Hyun Yoon) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.2
N/A The clinical presentation, pathology and appropriate surgical management were analyzed in a review of seven cases of symptomatic congenital large solitary hepatic cysts encountered surgically at the National Medical Center from Jan. 1, 1975, through Dec. 31, 1985. The results were as follows; 1) The age distributions were between 40 and 70 years old except one case of infant. 2) There were six cases of female and one case of male, so female predominence was noted. 3) The mean size of cysts was 12.5+2.65 cm. 4) The five cases of cysts were located in Rt. Lobe, one case in Lt.and one on both. 5) The treatment of congenital cysts included external drainage, fenestration, unroofing and excision. 6) Histopathologically, the lining of the cysts was of cuboidal epithelium. 7) The results of the surgical treatment were most often satisfactory except one expired case of hepatic failure. The above results suggest that symptomatic solitary hepatic cysts, of which diameter is over 10 cm, can be safely treated surgically such as unroofing or excision.
홍기천,노경빈,이성웅,장창순,노준양,이두선 대한응급의학회 1993 대한응급의학회지 Vol.4 No.1
It is important work in the department of emergency medicine to manipulating data for the emergency patients. We developed a computer program for effectively managing data of the emergency patients and department on Dec. 1991, and began to build database on Jan. 1992. This program offers the various tools and functions for manipulating data, for quickly finding and displaying the information as you need, and for obtaining the basic results and analyses for quality assurance. The program was coded in a programming mode of FoxPro 2.5, and runs on IBM-PC-compatible computers. The systemic configurations to use properly, requires DOS 5.0 in O.S(operating system), 4 Megabytes or more in RAM(Random Access Memory), 100 Megabytes or more in Hard Disk capacity, at least 10 Megabytes in available disk space, and intel-80386(32 bits) in computer processing chip. The 8 bits combination codes are applied to write "Hangeul"(Korean language character). This program provides the various functions as the followings. 1. Be able to input, output, and search data as you need. 2. Be able to obtain the various reports by analysing the patient data. 3. Be able to retrieve the article data in Journal of Korean Society of Emergency Medicine, American Journal of Emergency Medicine, and Annals of Emergency Medicine as keywords, authors, etc. 4. Be able to manage the departmental data. By examples, manager of the emergency members, scheduler of the department, and collection book of the common senses in emergency medicine. 5. Other programs, which to reset and back up the selected data files for safely maintaining program, are supplied 6. Be able to study and prospectively analyze the clinical data by inserting the predefined optional programs. We expect the more advanced and beneficial program to manage data for the emergency patients and department.
한상원,노준양,이성웅,노경빈,김영형 대한외상학회 1994 大韓外傷學會誌 Vol.7 No.1
Intestinal injuries from the abdominal trauma are relatively uncommon, but may become more frequent with the increased use of seatbelts. Delay in diagnosis of small bowel injury lead to increased morbidity and mortality. Although the diagnostic peritoneal lavage may be the best way to diagnose the small bowel injury, the CT scan is widely used in case of blunt abdominal trauma. Early detection of small bowel injury in CT scan may contribute to reduce the morbidity and mortality. We reviewed 93 patients who had intestinal injuries between August, 1989 and July, 1993. The CT scan could not show the differences regarding the perforation size, the injury frequency, the associated mesentery injury, time lag between the trauma and the CT scanning. But there was significant differential findings related to the injury site. Jejunal injury mostly showed the extravasation of contrast dye, and ileal injury showed the mesentery thickening. In addition, 11 cases of the CT scan were missed initially, but 9 of them showed suggestive intestinal injury retrospectively. To obtain the early and important information from the CT scan, optimal CT techniques and careful interpretation must be required.
김윤식,홍윤식,노준양,이성웅,노경빈 대한외상학회 1993 大韓外傷學會誌 Vol.6 No.1
Trauma is rapidly becoming one of the most important and serious challenges for the public health in modern societies. In the U.S.A., the trauma is the top ranking cause of death for the age groups younger than 44 and the fourth ranking cause of death for all age groups. In Korea also, trauma is emerging as an exigent social problem due to the significant economic losses caused by the yearly increase in trauma patients and trauma related deaths. Adequate response to the challenge presented by trauma must be based on intensive and scientific analysis of the problem, which require a systemic recording of the data on the trauma patients. Various objective indices designed for the systematic recording and analysis of the trauma data have been developed and are widely in use in the advanced countries; however, not much effort has been made in such area in Korea. In 1985, the Committee on Trauma Research in the U.S.A., proposed the following five areas for trauma: epidemiology, prevention, biomechanics, acute care and rehabilitation. An EMS trauma system includes the facilities, personnel, transportation, communication, education, training and evaluation. An index must be developed for the purpose of accurate recording and effective evaluation of the data. The present article describes an electronic data processing program developed for the purpose of facilitating evaluation of trauma patients by providing a comprehensive system of classification of patient data. Such classification system would exped!te accurate recording and automatic evaluation of data and thereby promote quality assurance and appropriate analysis of data. 1. Classification of data Categories are established for classifying the demographic data, prehospital data, clinical data, laboratory data, trauma outcome data and other data. Demographic data includes patient identification, the date and time of arrival at the emergency room, cause and type of injury, preinjury status of patient and the use of protective gears. Prehospital data includes the time of injury, mode of transportation and emergency care given before the arrival at the hospital. Clinical data includes vital signs, pertinent history, Glasgow Coma scale, results of procedures and clinical impression according to the International Classification of Diseases. Laboratory data includes the results of variable tests; blood alcohol, serum electrolytes, BUN, Creatinine, blood sugar and arterial blood gas analysis. Trauma outcome data includes final deposition, health outcome results, the stay in hospital and ICU, complications and disabilities. 2. Reclassification of basic reference data The basic reference datas: external cause of injury or poisoning code within the International Classification of Diseases frame work, Abbreviated injury scale, Anatomic profile are classified and modified. 3. Menu for recording of data A menu is designed for each category in order to reduce the occurrence of mistakes in the process of the data entry. 4. Evaluation of data analysis and quality assurance. Revised trauma score (RTS), Injury Severity Score (ISS), RRE chart, TRISS metho-dology and ASCOT were evaluated by author designed computerized program, Also, z and W value were evaluated.