정상 한국인의 혈장유리지방산치에 대하여

조헌일,백병용,한영희,안승운,유원상 충남대학교 의과대학 지역사회의학연구소 1976 충남의대잡지 Vol.3 No.2

Free fatty acid levels in plasma of normal Korean adults consist of 46 males and 9 females were measured by Dole and Meinertz modification at the department of internal medicine, Chungnam university hospital in the period of July to Sep, 1976. The results were as below : 1. Plasma FFA level of normal male adults were 683.6±193.9 μEq/L, of female 806.0±192.2μEq/L and of total were 710.0±207.4μEq/L. 2. Relatively high normal value were compared with other data and the possible causes of difference was discussed.

[심사평] 수필 연마를 통해 삶에 대한 조망이 펼쳐지는 기쁨

조헌,서숙 수필미학 2022 수필미학 Vol.38 No.-

Differences in Vancomycin Clearance between Trauma and Medical Intensive Care Unit Patients

조헌도,Suna Lee,SeungSooSheen,Young Hwa Choi 대한감염학회 2020 Infection and Chemotherapy Vol.52 No.1

Background: To identify the differences in the vancomycin pharmacokinetics between multiple trauma patients and medically ill patients in the intensive care unit (ICU) stratified by the use of continuous renal replacement therapy (CRRT), and the factors affecting vancomycin clearance (CLvan). Materials and Methods: All the included patients received at least three consecutive doses of vancomycin, then, therapeutic drug monitoring was conducted. Patients' serum vancomycin trough levels and other clinical variables were identified retrospectively. The vancomycin pharmacokinetics and associated factors were compared and analyzed between trauma ICU (TICU) and medical ICU (MICU) patients. Results: In the non-dialyzed group, the CLvan was higher among the TICU patients than the MICU patients. However, in the continuous renal replacement therapy group, there was no significant difference in the CLvan between the multiple trauma and medically ill patients. The only factor associated with CLvan in the non-dialyzed group was creatinine clearance; none of the factors was associated with CLvan in the CRRT group. Conclusion: In the case of non-dialyzed patients in the TICU, vancomycin dosages must be adjusted, depending on the patient's actual body weight changes. In the case of patients undergoing CRRT in both ICUs, vancomycin can be infused with fixed doses regardless of the patients' characteristics.

수술후 급성신부전의 임상적 고찰

조헌,장성호,임혜자,김난숙,이경섭 대한마취과학회 1995 Korean Journal of Anesthesiology Vol.28 No.3

Postoperative acute renal failure is a major problem in surgical patients and may result from varieties of prerenal, renal, and postrenal causes. Mortality of this disorder was distressingly high despite improvement in dialysis and intensive general care. Clinical data from 31 patients with postoperative acute renal failure treated between 1989 and 1993 were reviwed. The results were summerized as follows: 1) There were 16 men and 15 women with a median age of 49 years. Twenty one(6896) of 31 patients were over 50 years old. 2) General surgery 14 cases(45%), cardiac surgery 11 cases(35%), neurologic surgery 3 cases, orthopedic surgery 2 cases and gynecologic surgery 1 case were performed. 3) Preoperative clinical characteristics were over 50 years old in 21 cases(68%), antibiotics in 9 cases(29%), infections in 6 cases, hypertention in 5 cases, diabetes mellitus in 4 cases, radiocontrast agent in 3 cases, jaundice in 3 cases, cardiovascular disease in 3 cases, emergeney operation in 10 cases(32%), and trauma in 4 cases. 4) Perioperative hypotension was 9 cases(29%) and massive blood transfusion was 20 cases(65%). Fourteen of the 31 patients(45%) received intraoperative diuretics, and twenty of 31 patients(66%) received diuretics within 24 hours after operation. 5) Enflurane(66%) was the most commonly used anesthetic, followed by intravenous anesthetics(16%), isoflurane(10%), and halothane(10%). 6) When acute renal failure was diagnosed, urinalysis showed gross or microhematuria in 27 cases (87%), pyuria in 10 cases(32%), and proteinuria in 21 cases(68%). Urine specific gravity in 7 patients(23%) were below 1.010. Routine CBC showed anemia less than 10 g/dl in 16 cases(52%), and thrombocytopenia less than 50,000/mm in 10 cases(32%). During postoperative period blood chemistry showed elevated BUN in most of the cases. BUN levels in 20 cases(65%) were above 60 mg/dl and serum creatinine levels in 26 cases(84%) were above 3mg/dl. Serum sodium levels in 4 cases were below 125 mEq/L and serum potassium levels in 11 cases(35%) were above 6 mEq/L. 7) Nineteen(61%) of 31 patients were nonoliguric type, nine(29%) were oliguric type and three(10%) were anuric type. Fourteen(45%) of 31 patients underwent hemodialysis. 8) Postoperative complications were developed in 25 cases(81%) and pulmonary complications were most common. 9) Median time interval between onset of acute renal failure and death was 18 days(rang to 45 days) and. median time to recovery was 24 days(range, 3 to 72 days). 10) Twenty(6496) of 31 patients were died. Main causes of death were respiratary failure, cardiac failure and sepsis. The high mortality rate was seen in patients with abdceninal operation(79%), postoperative complications(80%), over 50 years old(71%) and oliguric(78%) or anuric(100%) renal failure.

노인환자에서 질식 자궁절제술중 발생한 심한 저혈압의 증례 보고

조헌,장성호,임혜자,공명훈,윤희동,김난숙 대한마취과학회 1994 Korean Journal of Anesthesiology Vol.27 No.12

An anesthesiologist should keep in mind the various risk factors during anesthetic man- agement of geriatric patients. Unlike young patients, elderly patients may manifest more than one pathophysiologic process associsted with progressive degenerative changes in various organs. The successful anesthetic management requires detailed information about the cause and severity of the underlying disease, thorough understanding of geriatric specific hemodynamic particularities, and more careful monitoring by experienced personnel. We experienced a case of profound hypotension during general anesthesia for vaginal hysterectomy in a 67 year-old female patient. Anesthesia was induced with thiopental-vecuronium and was maintained with nitrous oxide, oxygen and enflurane. One hundred and five minutes after the induction, profound hypotension and bradycardia with S-T segment depression developed without specific events and were corrected by vigorous therapeutic managements. She discharged from the hospital on 7th postoperative day without complications.

전신마취후 발생한 사지부전마비 경험 1 례

조헌,장성호,임혜자,채병국,윤희동,공명훈 대한마취과학회 1994 Korean Journal of Anesthesiology Vol.27 No.3

We experienced a case of postoperative quadriparesis secondary to operative position in a patient with pre-existing, asymtomatic,cervical neurilemmoma. The patient was admitted with chronic otitis media for mastoidectomy on right side. There was no specific event throughout operation and anesthesia but developed quadriparesis one hour after arrival on ward. With magnetic resonance imaging, the patient was dignosed to have cervical neurilemmoma. On seventh postoperative day the patient had second operation,cervical laminectomy and tumor removal. Ten days after second operation he was discharged without any complication. Eight months later he had mastoidectomy on the left side and was discharged without any sequale.

시차는 있어도 오차는 없다

조헌 수필미학 2014 수필미학 Vol.5 No.-

팔개 군에 둘러싸인 북청고을과 그 방언에 대한 영향 조사

조헌 겨레어문학회 2006 겨레어문학 Vol.37 No.-

색난<SUP>色難</SUP>, 효도의 어려움

조헌 수필미학 2023 수필미학 Vol.41 No.-

학술발표회 발표문 : 동천구곡 경관의 3D재현 -GIS활용기법을 중심으로-

조헌 경상대학교 경남문화연구소 2006 慶南文化硏究 Vol.27 No.-