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떨림과 경직이 발생한 척추수술후증후군 환자에서 척수자극술에 의한 치료 경험 -증례 보고-
김영재,김명훈,임세훈,이정한,이근무,정순호,최영균,신치만,Kim, Young Jae,Kim, Myoung Hun,Lim, Se Hoon,Lee, Jeong Han,Lee, Kun Moo,Cheong, Soon Ho,Choe, Young Kyun,Shin, Chee Mahn 대한통증학회 2006 The Korean Journal of Pain Vol.19 No.1
Tremor is a rhythmic, involuntary and oscillatory movement of body parts, and it is the most common movement disorder. Spasticity is also one of the movement disorders that is commonly accompanied with Complex Regional Pain Syndrome; however, the basic nature of spasticity has not yet been proved. A 25-year-old male patient had two operations and he was being treated because of a back injury that occurred 4 years ago. He suffered from pain, tremor and spasticity on both his lower legs, and his symptoms were diagnosed as failed back surgery syndrome. The tremor and spasticity were aggravated despite of continuous treatments. We then treated him with spinal cord stimulation. His pain, tremor and spasticity disappeared after spinal cord stimulation.
증례보고 : 신장이식수술 중 발생한 반대측 본연 신장의 자발성 파열
정순호 ( Soon Ho Cheong ),조재흥 ( Jae Heung Cho ),김영환 ( Young Hwan Kim ),임세훈 ( Se Hun Lim ),이정한 ( Jeong Han Lee ),이근무 ( Kun Moo Lee ),최영균 ( Young Kyun Choi ),김영재 ( Young Jae Kim ),신치만 ( Chee Mahn Shin ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.3
Spontaneous rupture of a kidney can occur as a complication of an acquired cystic kidney lesion. Herein, one case of a spontaneous rupture of a contralateral native kidney, due to the rupture of a cystic lesion during kidney transplantation surgery, is described. The patient was a 24 year old female admitted for left kidney transplantation due to chronic renal failure. During the operation, her arterial blood pressure and central venous pressure gradually decreased after anastomosis of the renal vessel, but without significant bleeding in the operative field or any suspected cause of the decreasing arterial blood pressure. On the first postoperative day, she underwent an abdominal CT, where a retroperitoneal hematoma was found. Therefore, a right nephrectomy was performed. She also had a right perirenal hematoma due to the rupture of cystic lesion in the native kidney. While a spontaneous rupture of the kidney is very rare, especially during the perioperative period, it is important to consider this complication when evaluating the corresponding clinical picture. (Korean J Anesthesiol 2007; 53: 355~8)
임상연구 : 마취 방법이 대장 절제술 후 장운동에 미치는 영향
이근무 ( Kun Moo Lee ),배우종 ( Jong Woo Bae ),김영환 ( Young Hwan Kim ),임세훈 ( Hoon Se Lim ),이정한 ( Jeong Han Lee ),정순호 ( Soon Ho Cheong ),최영균 ( Young Kyun Choe ),김영재 ( Young Jae Kim ),신치만 ( Chee Mahn Shin ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.6
Background: Gastrointestinal bowel movements are reduced by opioid-based anesthesia. Remifentanil is commonly used as total intravenous anesthesia. This study compared to the effect of various anesthetic methods on gastrointestinal bowel movement after colon surgery. Methods: Ninety patients were allocated randomly into three groups. Thirty patients received intraoperative inhalation anesthesia (desflurane + N2O, Group I), 30 patients received intraoperative total intravenous anesthesia (propofol + remifentanil, Group II), and 30 patients received intraoperative epidural anesthesia (epidural lidocaine + propofol, Group III). All patients received postoperative epidural analgesia with a mixture of ropivacaine and morphine. The time to the first passage of flatus, hospital stay and visual analog pain scale were recorded. Results: There was no significant difference in first passage of flatus among groups (Group I: 92.7 ± 19.6, Group II: 86.9 ± 19.4, Group III: 81.9 ± 12.8 hours, P = 0.063). There were no significant difference in the hospital stay and visual analog scale among the three groups. Conclusions: Total intravenous anesthesia with remifentanil did not reduce the gastrointestinal bowel movements compared with those of inhalation or epidural anesthesia. (Korean J Anesthesiol 2006; 51: 659~62)