• Title/Summary/Keyword: 경막하

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Convergence study of Comparison of prognosis between Adult and Elderly patients with Traumatic Acute Subdural Hematoma: Retrospective survey research (성인과 노인에서 외상성 급성 경막하 혈종의 예후 비교에 대한 융합적 연구: 후향적 조사 연구)

  • Lee, Seung-Woo;Woo, Sang-Jun;Kim, Eun-A
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.411-422
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    • 2020
  • Purpose: The purpose of this study is to compare the prognosis of traumatic acute subdural hematoma between adults and the elderly to provide appropriate nursing according to age. Methods: A retrospective medical records research study was conducted on 239 patients(adults 104, elderly 135) at Gwangju C university hospital. For data analysis, χ2 test, independent sample t-test, one-way ANOVA were used. Results: There was no difference between GCS at discharge(t=-0.03, p=.978) and GOS at discharge(t=0.17, p=.863). But there were differences in gender(χ2=4.19, p=.041), history(χ2=20.78, p<.001), GCS at admission(t=-2.22, p=.028), pupil reflection at admission(t=8.04, p=.005), pH(t=-3.30, p=.001), serum blood glucose(t=-0.85, p=.040), complications(χ2=6.450, p=.011) between adults and elderly. Conculsion: When nursing patients with traumatic acute subdural hematoma, it is thought that patients assessment and nursing care considering the clinical characteristics according to age can be provided. Future research needs to develop educational materials for medical staff.

Epidural hematoma treated by aspiration of accompanying cephalhematoma in a newborn infant (신생아에서 동반된 두혈종 흡인으로 치료된 경막외출혈 1례)

  • Oh, Ki Won;Kim, Heng Mi
    • Clinical and Experimental Pediatrics
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    • v.50 no.11
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    • pp.1125-1128
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    • 2007
  • Epidural hematoma is relatively rare in newborn infants and frequently associated with instrumental deliveries or other complications during labor and delivery. Although surgical evacuation has been the most common therapy, many other procedures have been described. Although many epidural hematomas require surgical evacuation rather than nonsurgical management, conservative or aspiration of hematoma have been attempted. In the case of EDH associated with cephalhematoma, aspiration of cephalhematoma could be attempted because frequent features of these combination were communication between these hematoma. We report a case of successful nonsurgical management of epidural hematoma through the aspiration of accompanying cephalhematoma in a 5-day-old newborn infant.

Morphometric Analysis of Distances between Sacral Hiatus and Conus Medullaris Using Magnetic Resonance Image in Korean Adult (자기공명영상을 이용한 한국 성인의 엉치뼈틈새와 척수원뿔 사이 거리 연구)

  • Park, Tai Soo;Hwang, Byeong-Wook;Park, Sang-Joon;Baek, Sun-Yong;Yoon, Sik
    • Anatomy & Biological Anthropology
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    • v.29 no.4
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    • pp.145-154
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    • 2016
  • The purpose of this study was to provide basic biometric data on Korean adults through magnetic resonance imaging (MRI)-based measurements of the distances between the apex of sacral hiatus (SH) and the termination of dural sac (DS), and between SH and conus medullaris (CM) because they are critical to the performance of epidural neuroplasty. A total of 200 patients(88 males and 112 females) with back pain, who had no spine fracture, significant spinal deformity, and spondyloisthesis were selected for this study. The subjects were of mean age 54.3 (20~84) years and mean height 161.3 cm (135~187). T2-weighted MRI images were used for correlation analysis to evaluate the relationships between the distances, and variables such as sex and height. In all patients, the mean distance between SH and DS was $62.8{\pm}9.4mm$ and the mean distance between SH and CM was $232.2{\pm}21.8mm$. The minimum distance and the maximum distance between SH and DS were 34.8 mm and 93.9 mm respectively, and the minimum distance and the maximum distance between SH and CM were 155.0 mm and 284.0 mm respectively. In female patients, both the distances between the SH and DS, and between SH and CM were shorter when compared to those of the male patients(p<0.05). Both the distances between SH and DS and between SH and CM showed a significant correlation with height(p<0.01). The results of this study will provide a useful biometric data on the distances between SH and DS and between SH and CM in Korean in ensuring clinical safety and in the development of more effective catheterization techniques for epidural neuroplasty in Korean.

Spinal Intradural Schwannoma with Torsion: A Case Report (염전을 동반한 척추 경막 내 신경집종: 증례 보고)

  • So Jeong Lee;Sang Yoon Kim;Young Jin Kim;Kyeong-Wook Yoon
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1466-1471
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    • 2020
  • Intradural schwannoma accompanied with torsion is rare. Intradural lumbar schwannoma was found in a 63-year-old man presenting with right sacral pain radiating to the lower extremity. This mass showed minimal enhancement on MRI. The tumor's location changed each time on MRI and CT-myelography. The patient underwent surgical resection and the cauda equina, linked to this schwannoma, was severely twisted.

The Synthesis of Hardener for Photography and Hardening Test (사진용 경막제의 합성과 경막시험)

  • Kim, Yeoung-Chan
    • Journal of the Korean Applied Science and Technology
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    • v.15 no.3
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    • pp.33-37
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    • 1998
  • The hardening test of gelatin with 2,4-dichloro-6-hydroxy-1,3,5-triazine mono sodium salt was studied at pH 5, 7, 8 and about increasing temperature, respectively. The hardener was prepared by the reaction of cyanuric chloride with sodium hydroxide, disodium hydrogenphosphate-12-water and trisodium phosphate-12-water in the presence of water. The product was identified by elemental analyzer. IR spectrophotometer. Novel hardener can be used in photographic emulsion and showed very good hardening effect.

A Case with Subdural Hemorrhage as the First Symptom of Extrahepatic Biliary Atresia (경막하 출혈에 의하여 발견된 선천성 담도폐색증 치험 1예)

  • Choi, Kum-Ja
    • Advances in pediatric surgery
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    • v.1 no.1
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    • pp.63-67
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    • 1995
  • Although bleeding was reported before as the first symptom in a few cases of biliary atresia, this association is not generally known. We treated 115-day-old female with extrahepatic biliary atresia presented with subdural hemorrhage rather than with prolonged jaundice. Four years after craniectomy and Kasai's hepatic portojejunostomy, she looks happy without jaundice nor brain damage sequela even though she had recent episode of esophageal variceal bleeding.

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Thoracoscopy in Pleural Disease (흉막질환에서 흉강경(비데오흉강경술)의 역할)

  • Kim, Kwang-Taik
    • Tuberculosis and Respiratory Diseases
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    • v.47 no.6
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    • pp.727-734
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    • 1999
  • 본원의 비데오 흉강경술 경험과 문헌에서 볼 때, 흉막강 질환에서 흉강경술의 역활은 수기가 국소 또는 경막하 마취 혹은 전신 마취에서 가능하고 작은 구경의 흉강경으로 전 흉막강을 관찰할 수 있으므로 진단 및 치료 효과가 우수하였다. 흉막강 질환에서의 주요 적응증은 흉수, 농흉, 기흉, 흉막 종양, 흉막의 외상, 흉막강내 이물의 진단 및 치료되고 있다. 흉막강내 각종 수기에 사용하는 기구의 개발과 수기의 발전으로 흉막강내 질환에 대한 치료 성적은 전통적인 개흉수술에 비교하여 우수한 결과를 나타내고 있다.

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