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중심정맥관과 관련하여 미숙아에서 발생한 심장압전 2례 보고
양세령 ( Se Ryung Yang ),신훈범 ( Hoon Bum Shin ),이나미 ( Na Mi Lee ),이대용 ( Dae Yong Yi ),김혜리 ( Hyery Kim ),윤신원 ( Sin Weon Yun ),채수안 ( Soo Ahn Chae ),임인석 ( In Seok Lim ),최응상 ( Eung Sang Choi ) 대한주산의학회 2015 Perinatology Vol.26 No.3
Although central catheter-related complications are frequently reported and are inevitable in the neonatal care unit, the incidence of pericardiac tamponade is low but may be fatal. Index of suspicion, prompt diagnosis, and urgent pericardiocentesis are crucial for lifesaving. We encountered two premature cases of central venous catheter-related pericardial tamponade. The first case was a 4-day-old male premature infant (gestational age [GA], 33+5 weeks; birth weight [BW], 1,864 g), and the second case was a 4-day-old female premature infant (GA, 28+6 week; BW, 1,050 g). Each infant had an indwelling central venous catheter since birth and at the third day of hospitalization. The conditions of the babies suddenly deteriorated, but both babies were successfully resuscitated with urgent echocardiography and prompt pericardiocentesis.
경부 CT검사시 선속경화현상 감소를 위한 환자 자세 및 영상 평가
정우준(Woo Jun Jeong),신훈(Hoon Sin),오용운(Yong Woon Oh),김진배(Jin Bae Kim),조인완(In Wan Cho),구상진(Sang Jin Gu),유병헌(Byeong Heon Yoo) 대한CT영상기술학회 2009 대한CT영상기술학회지 Vol.11 No.1
Purpose The goals of this study was to examine the changes of beam hardening effect in shoulder and to evaluate the change of image quality which follows in positional change in patients with neck diseases. Materials and methods 30 patients with neck diseases were included in this study and 16-slice MDCT (Sensation 16, Siemens, Erlangen, Germany) was undergone. Positions of patients had changed with time such as neutral position with(group N), position with raising left arm (group S), and position with getting off everted both arms maximally(group P). ROI (1cm in area) located at supraclavicular fatty tissue for measuring CT noise was measured(3 times) and an average was recorded. For analysis of radiation exposure, parameters were fixed and scanned topograms of changed positions were compared with CTDIvol values measured at same position. Two investigators assessed image qualities, which were graded to unacceptable, suboptimal, adequate, good, excellent diagnostic quality. Results In CT noise, group S and group P showed 23% and 19% decrement rather than those of group N respectively. In radiation exposure, group S and group P showed 12% and 11% decrement rather than those of group N respectively. In 30 patients, image qualities of group N, group S, and group P were analyzed to unacceptable(n=0, 0, 0), suboptimal (n=0, 28, 2), adequate (n=24, 26, 3), good (N=28, 6, 22), and excellent diagnostic quality (n=8, 0, 33). Conclusion Appropriate positional change in neck CT scanning is useful method for obtaining images of improved quality and reducing beam hardening effect by shoulder.