• Journal of Chest Surgery
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• 제21권1호
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• pp.109-115
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• 1988

With the decreasing incidence of new cases and the highly effective results with antituberculous drug therapy, there is a marked decline in the need for surgery which was formerly such an important part in the successful program of management of this disease. During the period of two years and a half from Jun. 1984 to Dec. 1986, this study represents an analysis of 163 cases of several surgical management for eventual control of pulmonary tuberculosis at National Kon-ju tuberculosis Hospital. 1. Mode of surgical treatment was: Resection; 123 cases [Pneumonectomy: 83, lobectomy: 35, lobectomy plus segmentectomy; 4 segmentectomy: 1], thoracoplasty: 20 and others: 20. 2. Age distribution ranged 16and 68 with average of 34 years. Male and female ratio was 1.2: 1. 3. Surgical indications were: totally destroyed lung; 64, Destroyed lobe of segment; 13, cavity positive sputum; 10, cavity c negative Sputum; 6, Bronchostenosis c atelectasis; 2, empyema c or s BPF; 46, Aspergilloma; 8, Questions of Associated tumor; 4 and other 5. 4. Incidence of Complications was 10.4% and the mortality was 5.5 percent. The cause of mortality were analyzed. The main causes of death were respiratory insufficiency; 4, fulminant hepatitis; 1, hemorrhage; 1 and unknown; 1 in pneumonectomy, and asphyxia; 1 in lobectomy and sepsis; 1 in other procedure. 5. Conversion rare of positive sputum to negative state related to resectional surgery was 91.5%. In pneumonectomy, drug resistant group preoperatively showed 88.1% conversion rate postoperatively and drug sensitive group showed that 100% conversion rate. In lobectomy, both drug resistant and sensitive groups showed that 100% conversion rate postoperatively.

• 대한후두음성언어의학회지
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• 제10권2호
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• pp.102-118
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• 1999

In this study, the author developed a new animal model to examine morphological changes and functional recoveries after vertical hemilaryngeal transplantation in the canine. Seven vertical hemilaryngeal transplantations were carried out in the canine. After preparing the host dog removing right sided hemilarynx, hemilarynx of the donor dog was transplanted by hooking up the arteries, veins, nerves and hypopharyngeal mucosa. Especially, recurrent laryngeal nerve was anastomosed at the branch level(anterior and posterior) respectively. After 7 days, for the first evaluation of the transplantation, four out of seven dogs were considered successful. Three dogs survived more than one month, which is the critical period to evaluate the functional recovery after transplantations. After EMG examination, two dogs(#3, #5 dog) showed some functional recoveries. The five-transplanted hemilarynges were sectioned at the arytenoid cartilage region to examine the morphological changes. The results showed that the transplanted hemilarynx appeared normal as control in #5 dog. In addition, #2 dog showed fairly good condition even though died from asphyxia after 9 days out of transplantation. The other. three dogs(#3, #6, #7) showed various levels of atrophy and disappearance of the muscles and cartilages in their larynges. It can be suggested that this model could contribute an advance to preparing human laryngeal transplantation in the future.

• Journal of Chest Surgery
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• 제29권6호
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• pp.675-680
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• 1996

52세된 남자 환자가 2개월 전부터 시작된 연하곤란을 호소하면서 내원하였다. 방사선학적 검사상 상 당한 크기의 식도강내 종괴를 관찰할 수 있었으나 식도 내시경검사에서는 병 변을 확인할 수 없었다 수 술은 종괴의 크기가 클 뿐만 아니라 해투학적 특성에 대한 정 확한 술전 평가가 어려웠던 관계로 개홍술 을 퉁해 식도강내 거대 용종을 절제하였다. 유경성의 식도강내 용종은 매우드문 질환으로 비교적 천천 히 자라며 그 대부분은 윤상인두근 근처에서 기시하는 양성 식도종양으로 종종 매우 큰 크기로 발견된 다. 임상증상은 대부분의 경우 종괴가 자라 식도내강이 폐쇄되면서 생기나 비특이적이다. 때때로 종괴 가구강 속으로 역류하여 기도를 폐쇄하게 되면 치명적인 결과를 초래하기도하며 치료는 외과적 절제가 원칙이다.

• Journal of Chest Surgery
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• 제5권2호
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• pp.113-124
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• 1972

Clinical observations were performed on 150 cases of chest trauma, those were admitted and treated at the Department of Surgery, Korea University Woosok Hospital, during the past 8 years period from August 1965 to August 1972. 1. The ratio of male to female patient of chest trauma was 3.4:1 in male predominence and age from 20 to 50 occupied 62% of the total cases. 2. The most common cause of chest trauma was traffic accident in this series. Eighty-one cases[54%] were injured by traffic accident and total cases due to blunt trauma [non-penetrating injury] were 113 cases[75.4%]including the cases with traffic accident, and remaining 37 cases[24.6%] were due to penetrating injury including 25[16.6%] cases of stab wounds. 3. Hemopneumothorax were observed in 645/[96 cases] of the total cases, and etiologic distribution revealed 78.1% due to non-penetrating trauma and 20.8% due to penetrating injury. 4. Rib fracture was found in 50% of cases. Common injuries associated with rib fracture were lung, brain and liver. 5. Most common symptom was chest pain and respiratory difficulty, and common sign associated with chest injury was decreased respiratory sound and subcutaneous emphysema. 6. Conservative non-operative treatment was performed in 94 cases[62.6%] and 56 cases [37.4%] were treated with operative treatment including 31 cases[20.6%] with open thoracotomy. 7. Overall mortality was 9.3%[14 cases] and most common causes of death were due to brain edema,asphyxia and shock.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2012년도 춘계학술발표대회
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• pp.896-899
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• 2012

일반적으로 출생 후 1세 전후의 영유아들은 신체의 발달이 온전치 않아 수면중 질식사하는 영유아 돌연사증후군(SIDS)에 이를 수 있어, 보호자의 세심한 관심이 필요하다. 더욱이 보호자가 있더라도 오히려 더 높은 질식에 의한 사망률이 늘어나고 있다. 이를 위해서, 본 논문에서는 수면시 발생할 수 있는 질식사 방지를 위한 하드웨어 장치와 이와 연계된 스마트폰 앱(App) 시스템을 설계하고 구현한다. 제안된 시스템으로써 하드웨어 장치는 초음파 거리 센서(sonsor)를 이용하여 실시간으로 뒤집힘 여부의 정보를 수집하여 무선 통신을 통해 스마트폰 앱(App)에 전달한다. 또한 스마트폰 앱 시스템은 수집된 정보를 분석 판단하여, 비정상적인 상태의 영유아에 대해 긴급 경보와 긴급 전화를 자동 호출한다. 따라서 여러 위험에 노출되어 있는 영유아들의 수면중에 뒤척이다 엎드려 자는 경우, 호흡기를 막거나 가슴압박으로 인한 질식사를 미연에 방지한다. 향후, 본 논문에서 제안된 시스템은 졸음방지나 낙상방지시스템 같은 유비쿼터스 헬스케어(ubiquitous healthcare) 환경 구현에도 적용될 수 있다.

• 한국응급구조학회지
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• 제23권2호
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• pp.75-86
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• 2019

Purpose: It is crucial that 119 emergency medical technician (EMT) have adequate knowledge regarding forensic science. This study aimed to assess the forensic knowledge of EMTs in the Republic of Korea. Methods: This study was conducted on EMTs of five fire stations in D metropolitan city between August 6 and August 13, 2018. A questionnaire consisting of items on crime-related incident recognition (i.e., mechanical asphyxiation, trauma, sex crimes, and child abuse), forensic evidence management (i.e., evidence collection, preservation, and recording) was administered to the participants. Finally, 119 questionnaires were analyzed. Results: The ratio of correct answers for crime-related incidents recognition was 55.82%, which was lower than that for forensic evidence management(84.5%). In particular, the scores for the type of neck compression(16.5%) and wound assessment(44.0%) were low. The percentage of correct answers for forensic evidence management was 78.4% for evidence collection, 84.4% for evidence preservation, and 90.6% for evidence recording. Previous forensic education experience was not a significant variable. Conclusion: Specific and practical forensic science education on perception of crime-related incident, including asphyxia and wound identification, and forensic evidence collection is needed.

• 한국산학기술학회논문지
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• 제13권2호
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• pp.685-693
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• 2012

본 연구는 노인요양시설의 노인 연하곤란 조기 발견 및 중재를 목적으로 연하곤란 사정도구를 개발하고 개발된 사정도구를 중심으로 제작된 중재프로그램 적용 효과를 평가하기 위해 실시하였다. 연구대상은 사정도구의 동시타당도 및 신뢰도 검증을 위해 노인요양시설 9곳에 근무하는 간호사 18명을 편의추출하였으며 중재 프로그램 효과 검정을 위해 노인요양시설 4곳의 입소자 50명을 대상자로 선정하여 실시하였다. 연구 결과 연하곤란 사정도구와 중재프로그램 적용 후 실험군의 체중은 증가하였으며(t=4.913, p=.000), 연하 총 시간은 감소하였다(t= -4.557, p=.000). 따라서 본 연구에서 도출된 연하곤란 사정도구와 중재프로그램을 노인요양시설에 적용한다면 노인의 삶의 질 증진과 흡인성 폐렴, 질식과 같은 응급 상황은 감소할 것이다.

• 대한장애인치과학회지
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• 제8권1호
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• pp.22-25
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• 2012

1. 저산소성 허혈성 뇌병변 환아에서 뇌손상으로 인한 혀내밀기 습관에 의해 외상성 혀궤양이 발생할 수 있으며 Riga-Fede disease로 진단할 수 있다. 2. Riga-Fede disease의 종래의 치료 방법은 하악 유전치의 날카로운 부분을 갈아주는 것, 절단면의 복합레진 수복, 발치 등이 있으며 이번 보고에서는 보존적이며 가역적인 방법인 tongue protector를 제안하였고 혀궤양의 치료 및 혀내밀기습관 개선에 효과적인 것으로 나타났다.

• 대한장애인치과학회지
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• 제9권2호
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• pp.127-130
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• 2013

Hypoxic ischemic encephalopathy (HIE) is an important cause of permanent damage to central nervous system cells, most cases with oxygen deprivation in the nenonate due to birth asphyxia. Survival children with HIE develop problems such as cerebral palsy, mental retardation, learning difficulties, and other permanent neuro-developmental disabilities. This article report two cases of the children with HIE who had be traumatized on their teeth from oropharyngeal airway (OPA) in the emergency situation. The patients with the disease accompanying seizure or convulsion, needs special consideration for the prevention from dental trauma in emergency airway management.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제25권4호
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• pp.375-378
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• 1999

우수한 항생제 요법이후 치성 감염으로 인한 Ludwig's angina의 합병증으로 인한 사망은 극히 드문 것으로 알려져 왔다. 본 교실에서는 고혈압의 기왕력을 지닌 57세 여환이 하악 전치부의 치근단 농양을 원인으로 하는 좌측 협간극의 감염으로 인하여 개구장애와 동통을 주소로 내원하여 입원치료중, Ludwig's angina 및 심경부감염으로 확산되고 입원 10일째 패혈증과 성인 호흡장애 증후군(ARDS)및 산발성 혈관내 응고증(DIC)의 진단하에 사망한 증례를 통하여 패혈증의 소견과 진단 및 그에 따른 처치 등에 대한 지견을 얻었기에 진단과 예방에 도움을 주고자 문헌고찰과 함께 보고하는 바이다.