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최기훈,안희철,안무업,정재봉,김성은,배지훈,서정열,조준휘,박찬우,옥택근,Choi Gi Hoon,Ahn Hee Cheol,Ahn Moo Eob,Chung Jae Bong,Kim Sung Eun,Bae Ji Hoon,Seo Jeong Yeol,Cho Jun Hwi,Park Chan Woo,Ok Taek Gun 대한임상독성학회 2004 대한임상독성학회지 Vol.2 No.1
In emergency department, the clinicians occasionally meet some patients with toxicity caused by ingestion of unknown wild edible greens or herbal agents. Due to there was few quantitative or qualitative studies about the mechanism or clinical features of these materials, it' s hard to approach to the patients and start the initial management in emergency department. Authors experienced the case of poisoning by Scopolia Japonica ingestion. We report this case with review of Scopolia Japonica.
최기훈 ( Gi Hoon Choi ),최광민 ( Goang Min Choi ),김형수 ( Hyoung Soo Kim ),조성준 ( Seong Joon Cho ),류세민 ( Se Min Ryu ),안희철 ( Hee Cheol Ahn ),서정열 ( Jeong Yeol Seo ) 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.5
연구배경: 농흉을 치료하는데 VATS가 도입된 후 VATS의 유용성에 대해 많은 연구의 결과들이 보고 되고 있으며 실제로 치료 프로토콜에도 변화를 가져 왔으나 아직까지는 문헌상의 보고가 양적으로 충분하지 못하며 기존의 치료방법에 비해 VATS의 장점 역시 명확하게 검증되어 있지 못한 상태이다. 방법: 의무기록과 흉부 방사선 사진을 검토하여 기존의 치료 환자 군과 VATS 환자 군을 비교하였다. 2001년 1월부터 2003년 12월까지 한림대학교 춘천성심병원에 농흉으로 입원하여 기존의 방법으로 치료받은 환자들을 A군으로 하고 2003년 12월부터 2006년 8월까지 농흉으로 흉강경 수술을 받은 환자들을 B군으로 나누어 입원기간, 흉관 유지 기간, 백혈구증가증이 있던 기간, 발열이 있던 기간, 항생제 사용기간을 비교하였다. 그리고 흉막비후, 갈비가로막각이 각각 치료 전후 어떻게 변하였는지 비교하여 보았다. 결과: A군은 15명으로 남자가 11명 여자가 4명이었고, 평균 나이는 58.2±15.7세 이었고, B군은 11명으로 남자가 9명, 여자가 2명이었으며 평균 나이는 51.6±9.5세 이었다. B군에서 입원 기간(16.6±7.4일, A군은 33.7±22.6일; p=0.014)과 흉관 유지 기간 (10.5±5.7일, A군은 19.5±14.4; p=0.039), 백혈구증가 기간(6.7±6.5일, A군은 18.8±13.2일; p=0.008), 발열 기간(0.8±1.8일, A군은 9.4±9.2일; p=0.004), 항생제 사용기간 (B군 14.9±6.4일, A군 25.4±13.9일; p=0.018)이 A군에서보다 통계적으로 유의하게 감소하였다. 그러나 흉막비후, 갈비가로막의 둔함의 정도는 통계적으로 유의한 변화는 없었다. 결론: 농흉에서 흉강경을 이용한 치료를 하면 기존의 방법에 비해 입원 기간, 흉관 유지기간, 백혈구증가증 기간, 발열 기간, 항생제 사용기간을 단축시킬수 있어 환자의 증상을 더 빨리 개선시키며, 흉관을 조기에 제거할 수 있고 입원기간을 단축시킨다. Background: Since video-assisted thoracoscopic surgery (VATS) was introduced as a new treatment modality for empyema thoracis, numerous reports have suggested that VATS is a more effective treatment method than the traditional methods that mainly use antibiotics and drainage apparatus. However, no confirmative evidence of the superiority of VATS over the traditional method has been provided yet. Methods: We attempted to evaluate the efficacy of VATS for the treatment of empyema thoracis by reviewing past medical records and simple chest films. First, we divided the patients into two groups based on the treatment method: group A of 15 patients who were treated with the traditional method between January 2001 and December 2003, and group B of 9 patients who were treated with VATS between December 2003 and August 2006. The final outcomes used in this study were the number of days of hospital stay, chest tube duration, leukocytosis duration, febrile duration, and intravenous antibiotics usage duration. In addition, radiological improvements were compared. Results: The mean age(±standard deviation) of 11 men and 4 women in group A was 58.2±15.7 years, and of 9 men and 2 women in group B was 51.6±9.5 years. Group B had a significantly shorter hospital stay (16.6±7.4 vs. 33.7±22.6 days; p=0.014), shorter chest tube duration (10.5±5.7 vs. 19.5±14.4 days; p=0.039), shorter leukocytosis duration (6.7±6.5 vs. 18.8±13.2 days; p=0.008), shorter febrile duration (0.8±1.8 vs. 9.4±9.2 days; p=0.004), and shorter duration of intravenous antibiotics usage (14.9±6.4 vs. 25.4±13.9 days; p=0.018). However, radiological improvements did not show any statistical differences. Conclusion: Early application of VATS for empyema thoracis treatment reduced hospital stay, thoracostomy tube duration, leukocytosis duration, febrile duration, and antibiotics usage duration in comparison with the traditional methods. The early performing of VATS might be an effective treatment modality for empyema thoracis. (Tuberc Respir Dis 2006; 61: 463-472)
파킨슨병 환자의 진전이 한의학적 치료로 호전된 치험 1례
김은지,황동규,최기훈,홍은기,Kim, Eun-ji,Hwang, Dong-gyu,Choi, Ki-hoon,Hong, Eun-gi 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.2
Objective: To describe the effects of traditional Korean medicine (TKM) on a patient diagnosed with Parkinson's disease. Methods: The patient was treated with Korean medicine, including pharmacopuncture, acupuncture, and Chungpajunsin-bang. The Unified Parkinson's Disease Rating Scale (UPDRS) and modified Hoehn and Yahr staging (H-Y stage) were used to measure changes in amplitude and improvements in the patient's symptoms. Results: After treatment with the Korean medicine, according to the UPDRS and H-Y stage assessments, the patient's tremor improved, with the tremor amplitude decreasing from 30 cm to 5 cm. Conclusions: We suggest that TKM could be effective in reducing tremor in Parkinson's disease.