• 대한장애인치과학회지
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• 제14권1호
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• pp.22-25
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• 2018

레녹스-가스토 증후군은 다양한 종류의 발작이 복합적으로 나타나는 질환으로 치료가 어렵고, 예후가 좋지 않다. 복용 중인 약물에 의해 구강 내 치은 부종 등의 증상이 나타날 수 있고, 치태 축적에 의한 우식의 위험성이 높기 때문에 구강 위생 관리가 중요하다. 치과치료를 필요로 하는 경우, 발작의 정도, 복용 중인 약물 및 환아의 협조도를 고려해 치료계획을 세워야 한다. 발작의 정도가 심하고, 협조도가 좋지 않은 경우, 전신마취를 계획할 수 있으며, 이 때 의과적 자문을 반드시 고려해야 한다.

• Korean Journal of Acupuncture
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• 제21권4호
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• pp.157-165
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• 2004

Objectives : First, we analyze the contents of Dong-Eui-Bo-Gam. Second, from the view of the 'Hyung-Sang(形象:body form)' theory, we try to interpret the acupuncture points chosen in each chapter with a base on the contents of the book. Methods : We study on the on 'Hyung-Sang(形象: form)' theory of acupuncture points in each chapter on 'Shin(神)' and 'Hyul(血)' in Dong-Eui-Bo-Gam(東醫寶鑑). Results & Conclusions : The acupuncture points on epilepsy in 'Shin(神)' chapter are come from the purview of 'Shin(神)' type, fire-form, bird-form & the flushing and feeble of lower-abdomen. The acupuncture points on amnesia in 'Shin(神)' chapter are come from the purview of the powerful intestines and deficient heart-lung. The acupuncture points on dementia in 'Shin(神)' chapter are come more from the purview of 'Shin(神)' type, fire-form, bird-form. And the acupuncture points on sudden palpitation in 'Shin(神)' chapter are come from the purview of phlegen form syndromes. As the epistaxis and hematemesis on 'Hyul(血)' happen more the heat of fire than extravasated blood, the acupuncture points on epistaxis and hematemesis in 'Hyul(血)' chapter are come from the purview of 'Shin(神)' type, fire-form, bird-form and Yang-Myeong body. And as well as the acupuncture points on hematemesis in 'Hyul(血)' chapter are come possibly from the purview of 'Wind-form'. The acupuncture points on feeble hematemesis in 'Hyul(血)' chapter are come from the purview of 'The body form on the deficiency of medium energy'. And the acupuncture points on melena in 'Hyul(血)' chapter are come from the purview of 'Hyul(血)' type.

• Journal of Korean Neurosurgical Society
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• 제48권3호
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• pp.244-250
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• 2010

Objective : Adequate management of increased intracranial pressure (ICP) is critical in patients with traumatic brain injury (TBI), and decompressive craniectomy is widely used to treat refractory increased ICP. The authors reviewed and analyzed complications following decompressive craniectomy for the management of TBI. Methods : A total of 89 consecutive patients who underwent decompressive craniectomy for TBI between February 2004 and February 2009 were reviewed retrospectively. Incidence rates of complications secondary to decompressive craniectomy were determined, and analyses were performed to identify clinical factors associated with the development of complications and the poor outcome. Results : Complications secondary to decompressive craniectomy occurred in 48 of the 89 (53.9%) patients. Furthermore, these complications occurred in a sequential fashion at specific times after surgical intervention; cerebral contusion expansion ($2.2{\pm}1.2$ days), newly appearing subdural or epidural hematoma contralateral to the craniectomy defect ($1.5{\pm}0.9$ days), epilepsy ($2.7{\pm}1.5$ days), cerebrospinal fluid leakage through the scalp incision ($7.0{\pm}4.2$ days), and external cerebral herniation ($5.5{\pm}3.3$ days). Subdural effusion ($10.8{\pm}5.2$ days) and postoperative infection ($9.8{\pm}3.1$ days) developed between one and four weeks postoperatively. Trephined and post-traumatic hydrocephalus syndromes developed after one month postoperatively (at $79.5{\pm}23.6$ and $49.2{\pm}14.1$ days, respectively). Conclusion : A poor GCS score ($\leq$ 8) and an age of $\geq$ 65 were found to be related to the occurrence of one of the above-mentioned complications. These results should help neurosurgeons anticipate these complications, to adopt management strategies that reduce the risks of complications, and to improve clinical outcomes.

• 혜화의학회지
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• 제9권1호
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• pp.711-724
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• 2000

I reached following conclusion through a bibliographic study about the drug dependence. 1. The drug dependence is the case that taking drugs continually in order to get around discomfort and get mental drug efficacy. that is also the state of poisoning that shows compulsions that using all means to get drugs. the drug dependence is coincident with alcolism in Oriental Medicine. 2 Medicinal matters that causes the drug dependence consist of two field. one is licit drugs, including a tranquilizer, a sleeping pill, anti-anxiety drug, alcohol, caffeine, tobacco, etc. the other is illict drugs, including opium products, psychostimulant, a hallucinogen, aromatic agent(adhesives, LSD, etc.) 3. Drugs that causes dependences has the habit which causing mental dependences and the medicinal poisining which causing physical dependences. 4. A syndrome of abstain from the drug which rides on all kinds of drugs is analogous to depressive psychosis, epilepsy, insanity, depressive syndromes, disorder of internal organs, histery, dizziness, etc. 5. The drug dependence causes visceral dysfunction, that is chiefly inflammatory lesion of brain, heart lung etc. (inflammatory lesions os mainly due to infect.) and injuries liver which removes toxic agents and kidney which is an excretory organ. 6. The treatment of the drug dependence, which needs at first check the medical record and the syndrome, is consist of the expectant treatment and isolating treatment as a rule and sometimes mental therapeutics is going on at the same time. 7. The oriental medical cure of the drug dependence needs more concrete study.

• 대한임상독성학회지
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• 제16권2호
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• pp.102-107
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• 2018

Purpose: This study examined the association between smoking and delayed neuropsychological sequelae (DNS) in acute carbon monoxide (CO) poisoning. Methods: Patients admitted to the medical center emergency department from March 2016 to March 2017 because of CO poisoning were examined retrospectively. The patients were divided into two groups: DNS and Non-DNS group. Multiple factors were analyzed to explain DNS, which was assessed by motor disturbances, cognitive impairment, dysphagia, Parkinson-like syndromes, epilepsy, and emotional lability in CO poisoning. Results: A total of 120 patients were included. The factors related to DNS were smoking (pack-years) (p=0.002) and initial carbon monoxide-hemoglobin level (p=0.015). On the other hand, after multivariate logistic regression analysis, smoking (Odds ratio 1.07; 95% CI, 1.02-1.13; p=0.004) was the only factor associated with DNS. Conclusion: Smoking is a very reliable factor for predicting the occurrence of DNS. A history of smoking in patients who suffer from CO intoxication is important. If a patient smokes, treatment should be started actively and as soon as possible.

• Journal of Yeungnam Medical Science
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• 제24권2호
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• pp.107-118
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• 2007

기질적 뇌병변에 의한 부분 간질환자에서 수면이 간질파의 발생에 미치는 영향을 밝히기 위하여 본 연구를 시행하였다. 기질적 뇌병변에 의한 부분 간질환자 16명과 뇌병변이 없는 34명을 대상으로 50% 수면박탈 후에 통상적인 각성뇌파와 수면뇌파를 동시에 기록하였다. 각성 간질파 지수, 수면 간질파 지수 및 수면에 의한 간질파 지수의 증가율을 구한 후에 기질적 병변의 유무, 발작 및 간질의 종류, 야간 수면 발작의 유무, 이차적 전신성 발작의 유무, 항경련제의 복용 여부, 환자의 나이 및 간질의 발병 연령과 유병 기간에 따른 유의한 차이가 있는지 분석하였다. 1. NREM 수면 기간에 간질파의 발생이 유의하게 증가하였으나 기질적인 뇌병변의 유무에 따른 차이는 없었다(p<0.05). 2. 수면 기간 중 간질파의 증가는 이차적 전신발작의 빈도, 간질 및 발작의 종류, 야간 수면 발작의 빈도, 항경련제 복용에 따른 유의한 차이가 없었다. 3. 전체 50명 가운데 13명(26%) 에서는 수면 상태에서만 간질파가 관찰되었고, 1명(2%) 에서는 각성 상태에서만 간질파가 관찰되었다. 4. 대상 환자 50명 가운데 44명(88%)에서 수면 간질파 지수가 높았고, 5명(10%)에서는 각성 간질파 지수가 높았다(p<0.01). 이상의 결과로 볼 때 기질적 뇌병변을 가진 부분 간질환자에서 통상적인 외래 뇌파검사의 진단율을 높이고 간질파를 활성화시키기 위해서는 수면박탈 후에 각성 상태뿐만 아니라 NREM 수면 상태의 뇌파를 기록하여야 할 것이다.