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이영복(Yoang Bok Lee),박종택(Jong Taek Park),한종 대한통증학회 1999 The Korean Journal of Pain Vol.12 No.2
N/A Background: The efficacy of nerve block on the progression of herpes zoster still remains controversy. The purpose of this study was to evaluate the efficacy of epidural blockade on the pain course of acute herpes zoster. Methods: Among 75 patients admitted with acute herpes zoster, 40 patients were treated with acyclovir and epidural block (epidural group), 35 patients were treated with acyclovir only (no block group). Follow up with patients was done for up to 3 months, either at the outpatient department or by telephone. The days required for pain relief were compared. We also investigated the factors associated with outcome. Results: Though statistically insignificant, patients in the epidural group tended to have faster pain relief. Patients with shorter symptom duration experienced significantly faster pain relief. But other factors such as sex, age, involved dermatome and other coexisting diseases (cancer, diabetes mellitus) were not associated with the outcome in this study. Conclusions: Though patients with epidural block leaded to have taster pair relief, more studies with larger patient population may be needed to confirm the efficacy of epidural block on herpes zoster.
이영복(Yoang Bok Lee),윤경봉(Kyung Bong Yoon),박정 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.2
Pain arising from pelvic viscera and perineum is frequently associated with discomfort and disability and caused by local trauma, inflammation and malignancy within the pelvis. Although various interventions have been proposed for the management of intractable perineal pain, their efficacy and applications are limited. The ganglion impar is a solitary retroperitoneal structure located at the level of the sacrococcygeal junction that marks the terminations of sympathetic chains. We propose that blockade of the ganglion impar is an effective method in the management of patient suffered from perianal pain due to advanced rectal cancer.
이영복(Yoang Bok Lee),윤경봉(Kyung Bong Yoon),윤경 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1
Headache is one of the most frequent discomforts in human. Its significance is often abstruse, as it may signal serious disease or represent only tension, fatigue, or a migrai- nous disorder. The International Headache Society(IHS) has developed a new classification and defini- tion system of headache. Retropharyngeal tendinitis is an accepted cause of headache in the list of IHS classification. We experienced and reported a case of retropharyngeal abscess with severe occipital headache.
이영복(Yoang Bok Lee),윤경봉(Kyung Bong Yoon),임영 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.2
Herpes zoster is an infection by the varicella zoster virus in a partly immune compro- mised person such as old age, cancer, immune deficiency disease. When either the upper lumbar or sacral segments are involved, serious urinary retention caused by central spread of herpes zoster from dorsal root ganglion can occur. The urinary disturbance appears to have been due to motor dysfunction of detrusor muscle, trigone muscle, and internal sphincter. We experienced two cases of zoster affecting different segments of the spinal cord and resulting in urinary retention
이영복(Yoang Bok Lee),김 찬(Chan Kim),최 령(Ryung 대한통증학회 1992 The Korean Journal of Pain Vol.5 No.1
In early stages, cancer is not usually painful. However, many patients with recurrent or met- astatic cancer eventually experience pain, which becomes progressively worse. Chemotherapy, sympathetic surgery, physical therapy and nerve block can be used to control cancer pain. A 60-year old patient had severe pain of the soft palate due to squamous cell carcinoma. We successfully treated this patient with maxillary nerve block using pure alcohol by a lateral ap- proach. Four months after maxillay nerve block, the patient is still pain free.
이영복(Yoang Bok Lee),윤경봉(Kyung Bong Yoon),이광 대한통증학회 1999 The Korean Journal of Pain Vol.12 No.1
Glossopharyngeal neuralgia is a rare syndrome that involves episodic bursts of pain in the sensory distributuion of the ninth cranial nerve. The nature of the pain is characterized by excruciating shock-like pain in the region of the tonsillar fossa or pharynx and can radiate to the ear or the angle of the jaw. Like trigeminal neuralgia, glossopharyngeal neuralgia typically responds to anticonvulsant agents such as carbamazepine. However, dose of carbamazepine needs to be increased gradually to avoid side effects, If the patient can not tolerate until effective carbamazepine level is reached, phenytoin can be administered intravenously at the same time that oral carbamazepine therapy is begun. We present fifty-three year old female patient suffering from glossopharyngeal neuralgia who did not respond to initial carbamazepine therapy, but responded to concomitant intravenous infusion of phenytoin.
다발성 늑골골절 환자에서 흉부 경막외 차단중 발생한 심정지
배세관(Sei Kwan Bae),이영복(Yoang Bok Lee),윤경봉( 대한통증학회 1997 The Korean Journal of Pain Vol.10 No.1
Rib fracture due to intense pain, may restrict patients from inadequate coughing. These conditions may produce varying degrees of complications such as atelectasis, pneumonia and arterial hypoxemia. Thoracic epidural analgesia has been used to treat pain associated multiple rib fractures because of its marked improvement in vital capacity and dynamic lung compliance. However, there are complications related to thoracic epidural analgegia which may include damage to spinal cord, perforation of dura, respiratory depression, decrease heart rate and arterial blood pressure. We experienced such a case of cardiac arrest during thoracic epidural analgegia while treating a patient for multiple rib fractures.
안면경련 환자에서의 안면신경 차단 - 27 예의 환장분석 -
김 찬(Chan Kim),이영복(Yoang Bok Lee),이효근(Hyo K 대한통증학회 1994 The Korean Journal of Pain Vol.7 No.1
N/A Twenty seven patients with hemifacial spasm were treated by facial nerve block at the fora- men stylomastoideum and O'Brien block from January 1992 to March 1994. There were 16 fe- male and ll male patients, a 1.5: 1 ratio respectively. Most patients were 40-60 years old. Among the 27 patients treated by nerve blocks, 26 responded well to the facial nerve block, in- cluding two cases of O'Brien block. One patient failed to respond to the facial nerve block. In- duced facial palsy disappeared within one or two months within the majority of patients. Among the 26 patients who received nerve block, 6 patients required a second block within 3 to 9 months. After successful nerve block, all patients were free of spasm for 1 to 16 months. Although the follow-up period was short in duration, these results suggest that facial nerve block is a satisfactory and reliable method in the treatment of facial spasm.
윤경봉(Kyung Bong Yoon),이영복(Yoang Bok Lee),김순 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.2
Although spinal anesthesia has long been considered a safe technique, it is not without risk or side effect. Cauda equina syndrome is a rare but serious complication of spinal anesthesia. We have experience a case of cauda equina syndrome after spinal anesthesia. A twenty year old healthy male patient complained of pain, numbness, tingling sensation and motor weakness on his right lower extremity 8 hours after subarachnoid blockade. On the following day, the pa- tient was noted to have a right Ll to S2 radiculopathy. Magnetic Resonance Imaging results were unremarkable. The patient sprained his ankle while trying to move down from the bed, so short leg splint was applied. Then he had additional right common peroneal nerve injury from the splint. His neurologic symptoms im- proved gradually thereafter, and three months postoperatively his electromyogram revealed improving stage from right common peroneal nerve palsy.