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한주랑,Han, Ju-Rang 한국가톨릭의료협회 2004 Health & mission Vol.2 No.-
교회를 중심으로 가정간호사업이 활성화되고 있는 독일과 미국의 사례를 살펴보고, 가톨릭 병원에서 추진하고 있는 본당연계 가정간호의 현황을 알아봄으로써, 본당과 연계된 가정간호사업이 우리의 전통과 조직 안에서 어떻게 활성화될 수 있는지 생각해 보는 계기를 마련하고자 한다.
심정지후 발생한 중증 저산소성 허혈성 뇌병증환자(Hypoxic Ischemic Encephalopathy)의 성공적인 소생
박규남,최세민,이운정,한주랑,박승현,김세경 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.1
Prediction of individual outcome after cardiopulmonary resuscitation of major medical, ethical, and socioeconomic interest but uncertain. We experienced the case that the patient got complete neurologic recovery after the 123th day from cardiac arrest, who had been suspected to go with poor prognosis because she got the findings of Glasgow Coma Scale 4, severe diffuse encephalopathy on encephalogram and generalized tonic-clonic seizure at the 4th day. Recently, a 29 year-old women who sustained from respiratory arrest induced presumably by sedative and anticonvulsant therapy for control of seizure that happened during local lidocaine anesthesia for mamoplasty was transfered to our emergency medical center from local private plastic office. Arrest time was about 20 minutes. On hospital arrival, she had a pulseless bradyasystole and no respiration. but spontaneous circulation was restored at 10 minutes after CPR started. We started cerebral oriented resuscitation including mild ;hypothermia(34℃), hemodilution, calcium channel blocker infusion. On hospital day 4, patients glasgow coma scale(GCS) was 4. On hospital day 7, Brain Magnetic Resonance Imaging(MRI) showed high signal intensity on T2W1, involving the bilateral basal ganglia. After contrast administration, marked enhancement can be seen at the lesion site. Patients glasgow coma scale(GCS) increased step by to 5 on 8th day, 7 on 14th day, 10 on 15th day, 13 on 17th day, 15 on 20th day, 40 days later the patient was discharged with minor neurologic abnormality including hand tremor, dysphonia, amenorrhea and Mini Mental State Examination (MMSE) score(26). Long-term Follow up revealed that all neurolgic functional abnormality including hand, dysphonia, amenorrhea and MMSE score(26) is completely recovered on 123th day after episode of cardiopulmonary arrest.