• 제목/요약/키워드: LOWER LIMB

검색결과 917건 처리시간 0.03초

2세 이하의 대동맥교약증 (Surgical Treatment of Coarctation of Aorta Less Than 2 Years Old)

  • 홍은표
    • Journal of Chest Surgery
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    • 제26권8호
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    • pp.604-608
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    • 1993
  • Coarctation of aorta is rather common congenital cardiovascular disease in the western contries, but it is known to be less than 2 % in Korea. From June 1986 to December 1992, seven patients of surgically treated coarctation of aorta who were less than 2 years old, were experienced at Department of Thoracic and Cardiovascular Surgery, Yeungnam University Hospital. The patients included six male and one female, with ages in the range of one month and 24 months. Four patients were preductal type and three juxtaductal. Associated cardiac anomalies were present in all patients and they were PDA[6 cases], ASD[3], VSD[2], bicuspid aortic valve[2], aortic stenosis[1], mitral regurgitation[1], and tricuspid regurgitation[1]. The operative procedures were four end to end anastomosis and three subclavian flap aortoplasty. Mean aortic cross clamping times were 37.3 minutes in patients with end to end anastomosis and 30.3 minutes in patients with subclavian flap aortoplasty. There were two operative deaths in patients who were treated with subclavian flap aortoplasty and pulmonary artery banding. One patient who had been treated with subclavian flap aortoplasty was complicated with postoperative mild paraplegia in lower limb. Pulmonary artery banding has been disappointing in our patients, and the data was suggestive that earlier total repair of complicated coarctation might improve survival.

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화병과 주요우울장애가 병발한 근위축성측삭경화증 환자 1례(例) 증례보고 (One case Report with a Amyotrophic lateral sclerosis(ALS) patient who has Hwabyung and Major Depressive Disorder)

  • 김상호;박종훈;박소정;변순임;황의완;김종우
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.159-169
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    • 2005
  • Amyotrophic lateral sclerosis (ALS) is characterised by progressive impairment of motor functions up to a complete loss of autonomy, and most of ALS patients are associated with the total preservation of mental state like depression. A patient in this case report had ALS and during progress of ALS had undergone depression and Hwabyung's Symptoms. This patient was treated with herb medication, acupuncture, psychotherapy(relaxation & councelling) primarily. During the 18 days of treatment from admission, the patient experienced much improvement of depression and Hwabyung's Symptoms. and ALS's symptom like weakness & numbness of lower limb had improved considerably, too.

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의인성 쿠싱증후군에 대한 한방 증례 보고 (A Case Report about latrogenic Cushing Syndrome)

  • 이보람;강유경;정해룡;김경민;조성우;김원일
    • 대한한의학방제학회지
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    • 제23권1호
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    • pp.133-140
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    • 2015
  • Objectives : The purpose of this study is to report the improvement of a patient diagnosed as iatrogenic Cushing syndrome treated with herbal medicine. Methods : We treated a patient diagnosed as iatrogenic Cushing syndrome with s Wiryeong-tang gagam and Sinbeopbanha-tang for 10days. While being treated with herbal medicine, the patient got acupuncture treatment two times a day. Results : After treatment, weakness of lower limb and tremor got improved. Vomiting and disgusting also got better. Conclusion : Using herbal medicine may improve various symptoms of iatrogenic Cushing syndrome effectively.

비증(痺證)으로 변증한 횡단성 척수염 환자에 대한 증례 보고 (Clinical Study on a Case of Transverse Myelitis)

  • 김정은;김수민;윤현민;안창범;장경전;김철홍;김재홍;김원일
    • 대한약침학회지
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    • 제11권2호
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    • pp.141-149
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    • 2008
  • Objectives This report intended to estimate effect taken by using Oriental medical method on the patient with Tranverse Myelitis. Methods From 28th April, 2006 to 19th June, 2006. The patient dignosed as a Transverse Myelitis receive acupuncture, moxibustion, cupping and physical therapy and herbal medication by estimating arthralgia syndrome(痺證). Results The patient's incipient symptoms-both lower limb paresthesia and weakness, voluntary urination and defecation-all were improved. Conclusions This study demonstrates that oriental medical treatment has respectable effect in improving as though we didn't exclude effect of western medical therapy on the patient with transverse myelitis. More research of transverse myelitis is needed.

발 보조기 착용이 요통환자의 골반 변위와 통증 변화에 미치는 영향 (The Effect of Low Back Pain and Pelvic Displacement on Foot Orthosis)

  • 이완희;박대성
    • 대한물리치료과학회지
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    • 제12권4호
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    • pp.57-67
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    • 2005
  • The purpose of this study is to investigate the effect of low back pain(LBP) and pelvic displacement on foot orthosis. Before and after experiments were designed to compare the effect. 21 LBP patients who were the subjects diagnosed of applying foot orthosis for 3 weeks after, investigated about pelvic obliquity angle, displacement of ilium, lumbo-sacral angle by x-ray test which is one of pelvic displacement tests, visual analogue scale is used for LBP measurement. The result show the followings; First, Pelvic obliquity angle was significantly reduced after applying foot orthosis compared before using it(p<.05). Second, Displacement of ilium was significantly reduced after applying foot orthosis compared before using it(p<.05). Third, Lumbo-sacral angle was significantly reduced after applying foot orthosis compared before using it(p<.05). Fourth, LBP was significantly reduced after applying foot orthosis compared before using it(p<.05). This study tries to suggest new LBP treatment to reduce pelvic displacement by apply foot orthosis. In conclusion, foot orthosis reduces pelvic obliquity angle, displacement of ilium, lumbo-sacral angle and also decrease LBP. Further more, It needs of biomechanical study which can recognize relation between foot arch and pelvic displacement. This study will serve as a clinically useful data for diagnosis and treatment of LBP and biomechanical analysis of lower limb.

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하지에서의 광용적맥파와 말초동맥질환 표지자의 상관관계 연구 (A Study on Relations of Peripheral Arterial Disease Marker and Photoplethysmography Measured from the Lower Limb)

  • 임지현;허정현;윤영로
    • 대한의용생체공학회:의공학회지
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    • 제38권3호
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    • pp.95-101
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    • 2017
  • In this study, photoplethysmography(PPG) was suggested as a way to replace the ankle-brachial index(ABI) in diagnosing PAD. The method using the PPG was presented for the simplification of the PAD diagnosis method which was used before. And the index related to the health condition of the artery from the PPG measured in both big toes of the subjects through the experiment was drawn. The indexes showing the significant relativeness in the Pearson correlation analysis with the ABI were the stiffness index(SI), reflection index(RI); it was confirmed each of them had the correlation coefficient of 0.688, and 0.637 at p < 0.05. The explanation ability of the linear regression equation derived using ABI, SI and RI was 52.5%. The explanation ability of the secondary curve regression equation derived using ABI, squared SI was 54.7%. It is expected to provide patients with significant results and draw the index associated with PAD by measuring PPG easily in the real life instead of the ambulatory care field.

스탠스 유형에 따른 테니스 포핸드 스트로크의 하지관절각도와 회전각도 분석 (Analysis of Lower Limb Joint Angle and Rotation Angle of Tennis Forehand Stroke by Stance Pattern)

  • 강영택;이경순;서국웅
    • 한국운동역학회지
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    • 제16권3호
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    • pp.85-94
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    • 2006
  • The purpose of this study was to analyze the kinematics variables of during forehand stroke by stance patterns. Eight high school tennis players were chosen for the study, who have never been injured for last six months, in Busan. They performed horizontal swing and vertical swing that it was done each five consecutive trial in the condition of square, open and semi-open stance. It was filmed by 6 video camera and used with 3-dimensional motion analyzer system. The following kinematic variables were analyzed in relation to angle of segment( shoulder, hip and knee joint). The conclusion were as follow: 1. The angle of hip joint represented at impact that horizontal swing was not significant difference by stance patterns but vertical swing was increased in open stance than square and semi-open stance. 2. The angle of both knee was not significant difference between all stance types and swing patterns. 3. The angle of shoulder, hip and knee joint rotation showed that open stance was increased than square and semi-open stance in all swing types and event.

혈관질환의 수술요법 (Surgical management of vascular disease : Clinical experience of 127 vascular surgery)

  • 안혁;김용진
    • Journal of Chest Surgery
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    • 제20권2호
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    • pp.261-269
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    • 1987
  • From 1976 through 1986, authors have experienced 127 cases of peripheral vascular surgery which had been done in this department. There were 29 cases of atherosclerosis obliterances including 7 Leriche syndrome, 32 Buerger`s diseases, 25 arterial thromboembolisms, 21 vascular injuries, 2 peripheral arterial aneurysms, 2 renovascular hypertensions, 1 congenital A-V malformation, 13 varicose vein of lower extremities, and 2 Jugular venous ectasia. Cases with vena caval disease and aortic disease were excluded. The mean age of ASO and Buerger`s disease was 56.1 yrs, 33.8 yrs respectively. The male to female ratio showed marked male preponderance [27:2, and 30:2], and almost every male patient was smoker. The indication of operation was similar in both disease entities. The method of operation for ASO were bypass procedure [17], thromboendarterectomy [6], and lumbar sympathectomy [5], and for Buerger`s disease were mainly sympathectomy and few bypass procedures and amputations. Seventeen patients with ASO were followed from 3 to 75 month and overall patency rate for bypass or endarterectomy in one and two months and 2 1/2 yr were 93%, 87%, and 31% respectively. Post operatively patient`s symptoms was relieved or alleviated in almost ASO patients, and about 60% of Buerger`s disease. We concluded that in patient with ischemic limb, we must revascularized aggressively for symptomatic relief. And choice of graft for bypass procedure was to be evaluated further.

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Refractory Vascular Spasm Associated with Coronary Bypass Grafting

  • Kim, Young Sam;Yoon, Yong Han;Kim, Jeoung Taek;Shinn, Helen Ki;Woo, Seong Ill;Baek, Wan Ki
    • Journal of Chest Surgery
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    • 제47권5호
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    • pp.468-472
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    • 2014
  • Diffuse refractory vascular spasms associated with coronary bypass artery grafting (CABG) are rare but devastating. A 42-year-old male patient with a past history of stent insertion was referred for the surgical treatment of a recurrent left main coronary artery disease. A hemodynamic derangement developed during graft harvesting, necessitating a hurried initiation of cardiopulmonary bypass (CPB). Although CABG was carried out as planned, the patient could not be weaned from the bypass. An emergency coronary angiography demonstrated a diffuse spasm of both native coronary arteries and grafts. CPB was switched to the femorofemoral extracorporeal membrane oxygenator (ECMO). Although he managed to recover from heart failure, his discharge was delayed due to the ischemic injury of the lower limb secondary to cannulation for ECMO. We reviewed the case and literature, placing emphasis on the predisposing factors and appropriate management.

재발성 횡단성 척수염 환자의 한방치험 1례 (A Case Report of a Patient with Relapsing Transverse Myelitis Treated by Korean Medical Treatment)

  • 이욱재;이동근;이주희;이정훈;김선욱;신정철
    • Journal of Acupuncture Research
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    • 제31권4호
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    • pp.155-162
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    • 2014
  • Objectives : The purpose of this study is to report the effect of Korean medical treatment on a patient with relapsing transverse myelitis. Methods : The patient was treated using acupuncture, pharmacopuncture, herbal medicine and other treatments including moxibustion and therapeutic exercise for 8 weeks. We evaluated the patient's motor grade with medical research council(MRC) scale and evaluated active range of motion in the hip, knee, and anke joint. Results : Through treatment the patient's motor grade and active range of motion all improved. Other symptoms such as lower limb hypoesthesia and residual urine sensation also showed improvement. Conclusions : We concluded that Korean medicine treatment had respectable effect in improving symptoms on the patient with relapsing transverse myelitis.