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신균,유영숙,이광숙 啓明大學校 醫科大學 1982 계명의대학술지 Vol.1 No.1
Spontaneous pneumothorax is a common surgical problem. Eighty cases of spontaneous penumothorax encountered in the Department of Thoracic and Cardiovascular Surgery, School of Medicine, Keimyung University during the period from August 1978 to September 1982 were reviewed. The incidence was highest in the adult between 11 to 40 year of age, showing 58%. Three cases of bilateral spontaneous pneumothorax (3.7%) were noted. Primary spontaneous pneumothorax was the most common cause and was 58.7% of cases. Secondary spontaneous pneumothorax group was 33 cases (41.3%), of which 21 cases were tuberculosis, 6 chronic bronchitis with emphysematous bullae or blebs, 4 asthma and 2 lung cancer. Among 80 cases, the collapsed lung was re-expanded completely with absolute bed rest in 2 cases, neddle aspiration in 4 cases, closed thoracotomy in 73 cases and 9 cases were treated with ope thoracotomy with resection of the lesion. Closed thoracotomy was the main therapeutic approach of choice in the great majority (73 cases) of spontaneous pneumothorax with the recurrence rate of 18%. However, open thoracotomy was undertaken in patients with contineous air leakage over 15 days, recurrent episodes, bilateral peumothorax and large visible apical blebs or bullae.
이은호 ( Eun Ho Lee ),신균 ( Kyoon Shin ),김종욱 ( Joung Uk Kim ),박종연 ( Jong Yeon Park ),박룡철 ( Long Zhe Piao ),황규삼 ( Gyu Sam Hwang ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.5
Background: Marked changes in systemic hemodynamics during liver transplantation may lead to changes in cerebral hemodynamics and metabolism. Therefore, continuous monitoring of the jugular venous oxygen saturation (SjvO2) may help the anesthetic management of liver transplantation. Methods: We observed changes in SjvO2 using a double lumen oximetry catheter for continuous monitoring and analyzed the correlation between SjvO2 and hemodynamic measurements in thirty patients undergoing liver transplantation. Results: There were no significant changes in SjvO2 compared to initial SjvO2 during liver transplantation. SjvO2, however, increased from 72.5 to 79.6 % (P < 0.05), before and after reperfusion. There was a weak correlation between changes in SjvO2 and cardiac output (r = 0.38, P < 0.05), whereas no correlation was found among changes in SjvO2 and arterial carbon dioxide tension, mean arterial pressure, central venous pressure, or mixed venous oxygen saturation before and after reperfusion. Conclusions: SjvO2 that reflects changes in cerebral oxygen demand-supply balance was well maintained during liver transplantation except the reperfusion period. Continuous monitoring of changes in SjvO2 at this period may provide further insight to understand physiology of cerebral oxygenation during liver transplantation and merits further studies. (Korean J Anesthesiol 2006; 51: 578~83)