• 제목/요약/키워드: Blood gas analysis

검색결과 221건 처리시간 0.028초

폐 동정맥루[치험 1례] (Pulmonary Arteriovenous Fistula - A Case Report -)

  • 정신현
    • Journal of Chest Surgery
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    • 제25권3호
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    • pp.315-320
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    • 1992
  • Pulmonary arteriovenous fistula is a rare congenital vascular malformation resulting from abnormal capillary development with incomplete formation of vascular septum normally dividing the primitive connections between the venous and arterial plexuses. Recently we have experienced a case of the bilateral pulmonary arteriovenous fistula in 7 years-old female patient. On admission, clinical manifestations were cyanosis of lips, clubbing and cyanosis of digits, and exertional dyspnea. The PO2 in arterial blood gas analysis was 43.3mmHg. In left upper and right lower lobe pulmonary arteriovenous fistulas were confirmed by bilateral pulmonary angiography. Left upper lobectomy and wedge resection of right lower lobe were performed respectively. Postoperative results were good.

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Compositional Analysis of Naphtha by FT-Raman Spectroscopy

  • 구민식;정호일
    • Bulletin of the Korean Chemical Society
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    • 제20권2호
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    • pp.159-162
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    • 1999
  • Three different chemical compositions of total paraffin, total naphthene, total aromatic content in naphtha have been successfully analyzed using FT-Raman spectroscopy. Partial least squares (PLS) regression has been utilized to develop calibration models for each composition from Raman spectral bands. The PLS calibration results showed Blood correlation with those of gas chromatography (GC). Using PLS regression, the spectral information related to each composition has been successfully extracted from highly overlapped Raman spectra of naphtha.

pH-ISFET 마이크로프로브의 製作과 그 生醫學的 應用 (Fabrication and Its Biomedical Application of the pH-ISFET Microprobe)

  • 이광만;손병기
    • 대한전자공학회논문지
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    • 제25권11호
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    • pp.1335-1341
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    • 1988
  • A pH-ISEFET microprobe for in vivo measurements has been fabricated by combining ISFET (SL-IIS) chip and capillary thin film reference electrode. A two-step TCE oxidation for the gate oxide layer and multilayer encapsulation using silicone rubber and epoxy were specially used for the improvement of the stability and temperature dependence of the ISFET's. The measured sensitivit, response time and temperature dependence of the pH-ISFET microprobes are 50 mV/pH, less than one second, and - 0.01 pH/$^{\circ}$ , respectively. By operating continuously more than 40 days, a long term stability of 0.016 pH/day is obtained. The result of pH monitoring of femoral arterial blood in a rabbit is fairly good agreement with the value of blood gas analysis.

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청색증을 동반한 다발성 폐동정맥루 치험 1례 (Multiple Pulmonary Arteriovenous Fistula combined with Cyanosis Report of one Case)

  • 조규도
    • Journal of Chest Surgery
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    • 제18권4호
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    • pp.806-811
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    • 1985
  • Pulmonary arteriovenous fistula is a rare congenital vascular malformation in the lung, resulting from erroneous capillary development, with incomplete formation or disintegration of the vascular septa that would normally divide the primitive connection between the venous and arterial plexus. The pathogenesis of its symptom is that unoxygenated and desaturated arterial blood enter into the pulmonary venous system directly. Recently we have experienced a case of multiple pulmonary arteriovenous fistula in a 15 year old male patient, who presented the symptom of cyanosis and dyspnea on exertion. The operation revealed well circumscribed and multilobulated aneurysmal lesion in left lower lobe with its subpleural and posterolateral basal location, and another aneurysmal lesion in inferior lingular segment of left lung. There was no abnormal connection between the fistula and systemic circulation. The left lower lobectomy was performed along with local extirpation of the inferior lingular segment of left lung. Both lesions showed angiomatous dilatation of the various sized vessels embedded in the parenchyma microscopically. Postoperative clinical course disclosed much improvement in symptoms and in the value of blood gas analysis. The patient was discharged without any complication.

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Acute cocaine intoxication in a body packer

  • Park, Mee-Jung;Lim, Mi-Ae;Chung, Hee-Sun
    • 분석과학
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    • 제19권1호
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    • pp.103-106
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    • 2006
  • A 35-year-old Perubian who suffered from grand mal seizures died in the aircraft on his way from the United States to Hongkong via Incheon international airport of Korea. While performing the autopsy, 115 packs made with double layer of transparent film and black plastic bag containing cocaine were found in the ileum and large intestine. Among of them, 3 packs were ruptured. To determine the concentration of cocaine and its metabolites, blood, urine, bile, liver, spleen, heart, kidney, brain and gastric contents were taken and toxicological analysis was performed. Gas chromatography/mass spectrometry (GC/MS) following liquid-phase extraction using chloroform:isopropanol (=9:1) and derivatization with bis(trimethylsilyl)-trifluoroacetamide (contains 1% trimethylchlorosilane) was performed. High levels of cocaine, benzoylecgonine (BE) and ecgonine methylester (EME) were found in the postmortem blood (0.96, 3.09 and $5.59{\mu}g/mL$) and urine (32.85, 145.35 and $53.17{\mu}g/mL$), respectively. Cocaine and its metabolites were also detected in all other biological specimen.

혈액·수액용 PVC 백에서 용출된 DEHP의 검출 분석 방법 비교; 기체 크로마토그래프와 분광 광도계 (Comparison of Analytical Methods for DEHP Migration from PVC Bags for Blood Storage and Infusion; By Gas Chromatography and UV-vis Spectrophotometry)

  • 김정환;김성훈;최형기;이창형
    • 분석과학
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    • 제15권1호
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    • pp.72-79
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    • 2002
  • Di-(2-ethylhexyl)phthalate (DEHP) 가 가소제로 첨가되 있는 poly(vinylchloride) (PVC) 제품의 사용중에는 DEHP가 방출되어 나올 가능성이 있다. 이때 추출되는 DEHP의 정량적인 측정법에는 여러가지가 있으나 그 방법에 따라 용출량에 많은 차이가 발생하기 때문에 측정방법과 결과에 대한 비교분석은 시급한 과제라 할 수 있다. 이를 평가하기 위하여 PVC를 주원료로 하는 혈액백과 수액백에서의 DEHP 용출에 관한 연구를 기체 크로마토그래프와 분광광도계를 이용한 두 가지 방법으로 수행하였다. 5종류의 PVC 백을 실험 재료로 선택하여 $40{\times}10{\times}0.4mm$ 크기의 시편을 제조하고 이를 용출액에 담가 1시간동안 DEHP를 용출하였다. 기체 크로마토그래프로 DEHP 를 검출한 결과 시료에 따라 $23.2{\sim}70.9{\mu}g/mL$ 의 DEHP가 용출되는 것을 알 수 있었다. 반면 PVC백 안에 용출액을 주입하여 1시간 동안 DEHP를 용출시키고 분광 광도계를 이용하여 DEHP를 검출한 결과 $24.8{\sim}41.3{\mu}g/mL$의 DEHP가 용출되었다. 용출 조건과 실험방법에 따라 서로 다른 수치를 보임을 알 수 있었고 단위 시간 단위 면적 당 용출되는 DEHP의 양은 일정하다는 전제 하에 두 실험의 결과를 비교하고 환산하는 식을 구하여 적용한 결과 두 측정방법에서 얻어진 용출량이 거의 일치하였다.

The Effect of Pulsatile Versus Nonpulsatile Blood Flow on Viscoelasticity and Red Blood Cell Aggregation in Extracorporeal Circulation

  • Ahn, Chi Bum;Kang, Yang Jun;Kim, Myoung Gon;Yang, Sung;Lim, Choon Hak;Son, Ho Sung;Kim, Ji Sung;Lee, So Young;Son, Kuk Hui;Sun, Kyung
    • Journal of Chest Surgery
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    • 제49권3호
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    • pp.145-150
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    • 2016
  • Background: Extracorporeal circulation (ECC) can induce alterations in blood viscoelasticity and cause red blood cell (RBC) aggregation. In this study, the authors evaluated the effects of pump flow pulsatility on blood viscoelasticity and RBC aggregation. Methods: Mongrel dogs were randomly assigned to two groups: a nonpulsatile pump group (n=6) or a pulsatile pump group (n=6). After ECC was started at a pump flow rate of 80 mL/kg/min, cardiac fibrillation was induced. Blood sampling was performed before and at 1, 2, and 3 hours after ECC commencement. To eliminate bias induced by hematocrit and plasma, all blood samples were adjusted to a hematocrit of 45% using baseline plasma. Blood viscoelasticity, plasma viscosity, hematocrit, arterial blood gas analysis, central venous $O_2$ saturation, and lactate were measured. Results: The blood viscosity and aggregation index decreased abruptly 1 hour after ECC and then remained low during ECC in both groups, but blood elasticity did not change during ECC. Blood viscosity, blood elasticity, plasma viscosity, and the aggregation index were not significantly different in the groups at any time. Hematocrit decreased abruptly 1 hour after ECC in both groups due to dilution by the priming solution used. Conclusion: After ECC, blood viscoelasticity and RBC aggregation were not different in the pulsatile and nonpulsatile groups in the adult dog model. Furthermore, pulsatile flow did not have a more harmful effect on blood viscoelasticity or RBC aggregation than nonpulsatile flow.

Transfusion-associated Circulatory Overload after Rapid Whole Blood Transfusion in a Dog

  • Kang, Seongwoo;Kim, Hyunwoo;Bae, Junwoo;Kim, Woosun;Ahn, Soomin;Yang, Hayoung;Lee, Sang-Kwon;Choi, Jihye;Chae, Joon-Seok;Park, Bae-Keun;Kim, Hyeon-Cheol;Choi, Kyoung-Seong;Park, Jinho;Kim, Suhee;Do, Yoonjung;Yoo, Jae Gyu;Yu, DoHyeon
    • 한국임상수의학회지
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    • 제34권5호
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    • pp.356-358
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    • 2017
  • A dog (neutered male Schnauzer, 11 years old, 8 kg) presented with recurrence of immune-mediated hemolytic anemia. Rapid whole blood transfusion was initiated, and then sudden tachycardia and dyspnea were observed. Invasive arterial blood pressure, arterial blood gas analysis, and thoracic radiograph indicated transfusion-associated circulatory overload (TACO). Persistent high blood pressure of 160-205 mmHg was observed; the thoracic radiograph revealed interstitial infiltration and a fissure line, which suggested pulmonary edema and pleural effusion. Despite furosemide administration and nasal oxygen supplementation, hypertension and respiratory distress were not completely controlled. Finally, cardiac arrest occurred and the patient expired due to TACO 24 hours after the transfusion.

개 파보바이러스성 장염에서 산-염기 장애의 진단 (Diagnosis of Acid-Base Disorders in Canine Parvoviral Enteritis)

  • 정석영;김요한;김두
    • 한국임상수의학회지
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    • 제28권4호
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    • pp.352-356
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    • 2011
  • Abstract: This study was aimed to diagnose acid-base disorders of dogs with canine parvoviral enteritis (CPE) and data to establish a rational fluid therapy regimen for patients with CPE. A total of 43 dogs which had clinical signs of CPE and had detected canine parvovirus by polymerase chain reaction, were bled anaerobically from jugular vein at the time of admission. Blood chemical test, determination of electrolytes and blood gas analysis were conducted, and calculated values were obtained from each measured items. The values of blood chemical and electrolytes of dogs with CPE were various depending on the degree of clinical signs, and these tests were not specific to diagnose for CPE. Hypochloremia (20.9%), hyperchloremia (11.6%), hypokalemia (7.0%), hyperkalemia (11.6%), hyponatremia (9.3%) and hypernatremia (18.6%) were diagnosed as abnormalities of electrolytes from 43 dogs with CPE. The 29 out of 43 dogs (67.4%) were metabolic acidosis and 3 dogs (7.0%) were metabolic alkalosis. The acid-base status of 11 dogs out of 43 dogs (25.6%) was normal.

인공폐(산화기) 제작과 실험 (Design & Animal Experiment of Artificial Oxygenator)

  • 김형묵
    • Journal of Chest Surgery
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    • 제15권2호
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    • pp.259-265
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    • 1982
  • We have designed a new type of bubble oxygenator (KOREA-KIM VENOTHERM OXYGENATOR) made of PVC sheet and deforming mesh incorporated in the heat exchanger, and evaluated in experimental animal for the analysis of it`s efficiency. The Oxygenator has low priming volume with high flow rate up to 6 L/rain, and efficiency of heat exchanger was excellent as 1-$1.5^{\circ}C.$ using total cardiopulmonary bypass method under moderate to deep hypothermia. Average priming volume of 1317 ml with 30% hemodilution method was perfused with an average of 1.1-3.0 L/min.$M^2$of arterial blood and pure oxygen at a rate of 2-3.4 L/min for 49.6 minutes continuously in average. During total cardiopulmonary bypass, average $PaO_2$ was $159.8{\pm}60$mmHg, $PaCO_2$ $41.0{\pm}3$mmHg respectively under $SaO_2$ over 96% with systolic arterial pressure of 70 mmHg and CVP of 5-10 cm$H_2O$. Plasma free Hemoglobin was $7.0{\pm}4$ mg/dl with 25% drop of hemoglobin and hematocrit at the end of cardiopulmonary bypass. This KKV Oxygenator was observed to have excellent capabillty of oxygen and carbon dioxide gas transfer with small amount of blood trauma, and the efficiency of heat exchanger was satisfactory during cooling and rewarming of the bubbled blood. Disadvantages have included the somewhat poor deforming effect due to loose PVC fiber mesh, the extracompact character of Teflon filters, and the rough inner surface of the heat exchanger copper pipes.

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