• Journal of Chest Surgery
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• v.37 no.11
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• pp.922-924
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• 2004

A 55 year old male was admitted for dyspnea. The patient was diagnosed as acute myocardiac infarction, and coronary artery bypass grafting was performed with cardiopulmonary bypass. At postoperative day ＃1, Systemic Inflammatory Response Syndrome was developed with fever, leukocytosis, tachycardia, tachypnea and low systemic vascular resistance. The patient was recovered after being treated with high dose of (36 $\mug/min)$ norepinephrine, and was discharged.

• Proceedings of the KTCVS Conference
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• 1995.10a
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• pp.10-10
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• 1995

• Proceedings of the KTCVS Conference
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• 1998.10a
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• pp.183-183
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• 1998

• Proceedings of the KTCVS Conference
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• 1998.10a
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• pp.15-15
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• 1998

• Proceedings of the KTCVS Conference
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• 1996.10a
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• pp.30-30
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• 1996

• Journal of Yeungnam Medical Science
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• v.11 no.1
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• pp.49-54
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• 1994

Postoperative brain damage is one of most serious complications of cardiopulmonary bypass (CPB). To prevent brain damage during CPB, adequate cerebral perfusion for cerebral oxygen demand should be maintained. This study monitored jugular venous oxyhemoglobin saturation ($SjO_2$), which reflects the overall balance of cerebral oxygen supply and demand, intermittently in 10 patients undergoing cardiac surgery. At the initiation of CPB, in spite of a significant decrease in mean arterial pressure, $SjO_2$ did not change, and it was stable during the hypothermic period of CPB. But a significan reduction in $SjO_2$ was observed during the rewarming period, and $SjO_2$ had an inverse linear correlation with esophageal temperature. Furthermore, the percent decrease of $SjO_2$ was related to rewarming speed. Therefore, therapeutic approaches for $SjO_2$ desaturation include slower rewarming, increasing cerebral blood flow, decreasing the cerebral metabolic rate for oxygen, increasing oxygen content, and increasing perfusion flow rate.

• Proceedings of the Korea Water Resources Association Conference
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• 2021.06a
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• pp.92-92
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• 2021

체외수정을 기반으로 이루어지는 성게의 수정 과정은 성게 주변에서 형성되는 복잡한 난류 흐름의 영향을 받게 된다. 성게 몸체의 하류부에 형성되는 재순환 영역 (recirculation zone) 내에는 다양한 난류 와류 흐름이 존재하며, 이들은 성게 몸체에서 방출된 정자와 난자의 충돌을 일으키고 수정 과정에 지대한 영향을 미친다. 즉, 성게의 수정 과정을 이해하기 위해서는 성게 주변의 흐름에 대한 유체역학적 관점에서의 분석이 수행되어야 한다. 본 연구의 목적은 성게 몸체에 의해 발생한 난류 흐름이 성게의 체외 수정에 미치는 영향에 대해 조사하는 것이다. 이를 위해 본 연구에서는 상용 프로그램인 오픈폼 (OpenFaom)을 활용하여 수치 모의를 수행하였다. 성게 주변의 유동장은 LES (Large Eddy Simulation)을 기반으로 모의하였고, 정자와 난자의 확산 궤적은 라그랑지안 입자 추적 (Lagrangian Particle Tracking) 알고리즘을 통해 구현하였다. 총 5개의 유속 조건 (0.025 - 0.20 m/s) 에 대해 모의를 수행하였으며 정자와 난자 사이의 거리를 바탕으로 수정률을 산정하였다. 정자와 난자의 뭉쳐있거나 퍼져있는 공간적인 분포 형태는 Standardized Morisita 지수를 통해 수치적으로 표현하였으며 이들과 수정률과의 관계를 규명하였다. 연구 결과에 따르면 성게 수정은 유속 조건이 0.1 m/s일 때 가장 빈번하게 발생하였으며, 성게 수정의 성공 여부는 크게 2가지 조건에 의해 결정되었다. 첫 번째로, Standardized Morisita 지수가 높을수록 다시 말해 생식세포들이 공간적으로 뭉쳐있어야 하며 두 번째는, 생식세포들을 충돌시킬 수 있는 원동력인 작은 와류가 존재해야 한다. 와류의 크기가 너무 크게 되면 생식세포들은 충돌하지 않고 확산만 되기 때문에 오히려 수정률이 감소하였다. 영역별로 분석한 결과에 따르면, 성게 몸체에 의해 형성된 재순환 영역이 수정과정에 있어 가장 지배적인 영역임을 확인하였다.

• Journal of Chest Surgery
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• v.43 no.6
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• pp.804-807
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• 2010

Blunt bronchial injuries rarely occur in children. This can be a life threatening condition and respiratory management is important for successful treatment. We present here a pediatric patient who had traumatic bronchial transection with difficult airway management. Surgical treatment was carried out under ventilatory support using extracorporeal membrane oxygenation (ECMO) in the emergency room. During the application of ECMO, systemic heparization was unnecessary and. there were no thrormbotic complications. In conclusion， ventilatory SUpport using ECMO is useful for treating selected patients with blunt trauma regardless of using heparin.

• Journal of Chest Surgery
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• v.36 no.9
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• pp.638-645
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• 2003

The purposes of this study were to evaluate the effect of myocardial protection with our cold blood cardioplegic solution and to observe the relationship between ultrastructural study and other evaluation methods and its effectiveness. Material and Method: We evaluated the changes of myocardial ultrastructure using semi-quantitative scoring system, CK-MB fraction, SGOT and LDH1/LDH2, and EKG in 18 patients undergoing valvular heart surgery and coronary artery bypass grafting (CABG). Right atrial auricular biopsies were taken before the cardiopulmonary bypass (CPB) and shortly after the end of CPB. Myocardium-related serum enzymes ＆ EKG were checked for 3 days of postoperative period and their postoperative peak enzyme value and observed new Q wave ＆ ST segment elevation in EKG were choosen. Result: There were 8 males and 10 females, and their mean age was 55.6$\pm$13. Eight patients underwent valvular heart surgery and ten coronary artery bypass grafting, The mean CPB time was 119$\pm$29 minutes and the mean aortic cross-clamp (ACC) time was 75.4$\pm$24 minutes. Before the start of CPB, the mean mitochondrial score was 4.28$\pm$0.53 and after the end of CPB, it significantly increased to 2.35$\pm$0.79. There was no evidence of perioperative myocardial infarction in terms of myocardiumrelated serum enzyme value and Q wave and ST change in EKG. There was no significant relationship between pre-CPB and post-CPB mitochondrial score and the mean time of CPB and ACC, and the mean value of postoperative peak CK-MB, SGOT and LDH1/LDH2, but there was relatively positive correlation of CPB time with peak LDH1/LDH2. Conclusion: Despite the apparent satisfactory results in myocardium-related serum enzymes ＆ EKG, with this study using the cold blood cardioplegic solution, there were many changes in myocardial ultrastructures, and more studies are needed to obtain further information.

• Journal of Chest Surgery
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• v.30 no.2
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• pp.131-136
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• 1997

The hemodynamic effects of thyroid hormones which is well established, affect myocardial contractility, heart rate, and myocardial oxygen consumption. The alterations in thyroid function test are frequently seen in patients with nonthyroidal illness and often correlate with the severity of the illness and the prosnosis. In this study, thyroid hormone changes were investigated in 20 patients who received cardiopulmonary bypass(CPB). All patients showed a state of biochemical euthyroidism preoperatively: The results were as follows : 1. Serum triiodothyronine(73) reached to its nadir(30.05 $\pm$ 17.5ng/dl, p(0.001) at 10 minutes after the start of CPB and remained low(p(0.05) throughout the study period. 2. Serum thyroxine(74) concentr tion slightly decreased after CPB, but maintained within normal range. 3. Serum free thyroxine(W4) concentration slightly increased after CPB, but maintained within normal range. 4. Serum thyroid stimulating hormone(TSH) concentration increased 10 minute after CPB, reached to its nadir(3.37 $\pm$ 0.81u1U/m1, p(0.001) at 2 hours after CPB. After then, serum TSH concentration decreased and reached its normal levels at 24 hours after CPB. 5. The patients whose postoperative recovery was uneventful(Group 1) had higher serum 73 levels than those who had postoperative complications(Group 2)(p<0.05). Group 1 showed elevating patterns of serum 73 in the fourth day after operation, whereas group 2 did not show such an elevating pattern. These findings are similar to the euthyroid sick syndrome seen in severely ill patients and indicate that patients undergoing open heart surgery have suppression of the pituitary-thyroid axis.