• Title/Summary/Keyword: Pain shock

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The Experiences of Perioperative Patients with Cancer (암환자의 수술경험)

  • Kim Young-Hae;Park Kyung-Yeon;Kim Mi-Young;Kim Mi-Ok
    • Journal of Korean Academy of Nursing
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    • v.34 no.6
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    • pp.945-953
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    • 2004
  • Purpose: This study was to explore the experiences of perioperative patients with cancer. The purpose of this inquiry was to describe the essence of such experiences, and to understand them from the patients' point of view. Method: Participants in this study were 9 cancer patients with ages ranging from 31 to 70 years old, living in B city, who experienced cancer operations. Data collection consisted of in-depth interviews and an observation method done from October to December in 2003. In analysing data, Colaizzi's(1978) phenomenological research method was adopted. Results: Five categories emerged from ten theme clusters. The five categories were: 'shock', 'expectations & wishes', 'despair', 'feelings of burden', 'continual pain'. Conclusion: The results of this study showthat oncology nurses need to pay more attention to the psychosocial aspect of nursing to empathize and support the cancer patients who suffer and its treatment, and operations.

Acute Rotator Cuff Tears due to Low Voltage Electrical Injury: A Case Report

  • Yoo, Jae Hyun;Rhee, Sung-Min;Shim, Ho Yong;Lee, Jae Sung
    • Clinics in Shoulder and Elbow
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    • v.21 no.2
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    • pp.101-104
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    • 2018
  • Since shoulder have a higher proportion of muscle which would have low electrical resistance, there could be more electrical damage to the rotator cuff muscles. We present a patient with acute rotator cuff tear by sudden uncontrolled jerking contractions caused by an electrical shock. A case of 42-year-old man with acute rotator cuff tear due to electrical injury to the shoulder was presented. Magnetic resonance imaging showed a full thickness tear and an undulating appearance of the peripheral end of the torn supraspinatus and infraspinatus muscle, suggesting an acute complete rupture. By arthroscopic surgery, the torn rotator cuff tendons were repaired with a suture bridge technique. At the final follow-up, the patient had a full, pain-free range of motion and had fully recovered shoulder muscle power.

A clinical evaluation of 76 chest injuries (흉부손상 76례에 대한 임상적 관찰)

  • 윤갑진
    • Journal of Chest Surgery
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    • v.17 no.1
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    • pp.110-117
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    • 1984
  • A clinical evaluation was performed on 76 cases of chest injury experienced at department of Chest Surgery, Capital Armed Forces General Hospital during the past 3 years period from January 1981 to August 1983. 1.The most common cause of the chest trauma was gun shot by which 26 cases were injured among 44 cases [57.9%] of penetrating injury. Remaining 32 cases [42.1%] were injured by non-penetrating blunt trauma. 2.Hemopneumothorax was observed in 60 cases [78.9%], those were caused by both penetrating [65%] and non-penetrating [35%] injuries. 3.Rib fracture was found in 58.7% of total cases and with rib fracture, clavicle fracture was combined at 19.6% and sternal fracture, at 8.7%. 4.Most common symptoms were chest pain and dyspnea, and most common signs were breath sound diminution and subcutaneous emphysema. 5.Common site of rib fracture was from 4th rib to 8th rib [69.4%]. 6.In 58 cases [76.3%], patients were treated with operation including open thoracotomy [25 cases]. 7.Overall mortality was 5.3%[4 cases] and causes of death were septic shock and respiratory failure.

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Surgical Treatment of the Prolapse of Bladder with Viginal Prolapse in Large Breed Dogs (대형견에서 방광탈과 함께 발생한 질탈의 외과처치)

  • 김남수;강지훈;박영재;이종일;이철호;최인혁
    • Journal of Veterinary Clinics
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    • v.21 no.3
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    • pp.319-322
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    • 2004
  • Two bitches were presented to the Teaching Animal Hospital, Chonbuk National University with vagina prolapse along with prolapse of the bladder. Case 1 was a 2 years old, 38.5 kg, female Tosa dog which had slight shock and depression. She had a labor pain vagina prolapse since last 3 days. Case 2 was a 2 years old, 25 kg, female Rottweiler dog which was presented with the similar clinical signs with case 1. In both the dogs we performed plain radiography, CBC, blood chemistry and urine analysis. In case 1, we performed cesarean section along with the repositioning the vagina and the bladder. We found 13 fetuses among which 7 were alive. In case 2, we also performed cesarean section and recovered the fetuses. There were 7 fetuses but only one was alive. Among the 6 dead fetuses 3 were congenitally deformed. Then we reduced prolapsed vagina and bladder, and repositioned them. After that we performed ovariohysterectomy. Both the bitches become recovered from the prolapse of the vagina and bladder and there was no recurrence of the condition.

Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect

  • Kim, Ji Seong;Yeom, Sang Yoon;Kim, Sue Hyun;Choi, Jae Woong;Kim, Kyung Hwan
    • Journal of Chest Surgery
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    • v.50 no.2
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    • pp.110-113
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    • 2017
  • A 43-year-old man who had had a history of atrial septal defect (ASD) device closure 31 months previously presented with abrupt chest and back pain along with progressive cardiogenic shock and cardiac arrest. After resuscitation, he was diagnosed with cardiac tamponade. Diagnostic and therapeutic surgical exploration revealed left atrium (LA) perforation due to LA roof erosion from a deficient aortic rim. Device removal, primary repair of the LA perforation site, and ASD patch closure were performed successfully. The postoperative course was uneventful. The patient was discharged after 6 weeks of empirical antibiotic therapy without any other significant complications.

A Case of Liver Abscess in A Child (소아에서 발병한 간농양 1예)

  • Oh, Seung-Taek;Choi, Kwang-Hae
    • Journal of Yeungnam Medical Science
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    • v.25 no.1
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    • pp.72-77
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    • 2008
  • Liver abscess in children is rare in developed countries; the incidence is 25 per 100,000 admissions in USA. Common complications are pleural effusion, empyema, pneumonitis, hepatopleural or hepatobronchial fistula, intraperitoneal or intrapericardiac rupture, septic shock, cerebral amebiasis, etc. These complications may lead to death if the management is delayed. However, recent management results in a mortality of less than 15%. We report a case of liver abscess in a child. He manifested with fever and abdominal pain in the right upper quadrant. On computerized tomography scans, multiple cystic lesions were seen in both lobes of the liver and were 5 to 55 mm in size. In laboratory findings, neutrophilic leukocytosis, peripheral eosinophila, elevated values of ESR, C-reactive protein, and elevated serum AST, ALT, ALP and GGT were detected. Furthermore, we determined the organisms in the blood culture and serum. Blood culture was positive for Streptococcus spp., and amebic indirect hemagglutination antibody titer was increased to 1:512.

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A case Report on Acute Pancreatitis in an English Bulldog (잉글리쉬 불독에서 발생한 급성췌장염의 치료 1례)

  • Shin Nam-Sik;Park Hyun-Jong;Choi Youn-Ju
    • Journal of Veterinary Clinics
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    • v.10 no.1
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    • pp.137-140
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    • 1993
  • An English bulldog, three years old, hospitalzed as vomitting, severe abdominal pain and intermittent body tremor. In blood examination, WBC, amylase, alkaline phosphatase value showed higher than normal value, so we diagnosed as acute pancreatitis. The bulldog was treated with fluid therapy as Ringer's solution, saline and 5% dextrose, and antibiotics as mixed penicillin with streptomycin, and cephazolin. To prevent shock, dexamethasone was medicated in early time. Also the bulldog was medicated as banamine, vitamine K, atropine and cimetidine. When the English bulldog showed improvement we gave him hill's i/d continuously. Through these procedure, the English bulldog recovered completely.

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Effect of Korean Medicine Treatment Combined with Conventional Medicine in Patients Diagnosed with Plantar Fasciitis

  • Jeong, Seong Heon;Jang, Kwon-Jun;Moon, Hyang-Ran;Jo, On You;Lee, Ji Yoon;Yang, Jung Min;Choi, Saerom;Yoon, Min Ji;Shin, Gwangsoon;Kim, Hyo-Rim
    • Journal of Acupuncture Research
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    • v.39 no.2
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    • pp.145-149
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    • 2022
  • This study examined the effectiveness of Korean-Western cooperative treatment for patients with plantar fasciitis. Fifty patients received Korean medicine treatments (acupuncture, pharmacopuncture, herbal medicine) and Western medicine treatments (polydeoxyribonucleotide, and extracorporeal shock wave therapy). Evaluation methods used were comparison before and after ultrasound (P9), and numeric rating scale scores. Results revealed a significant improvement in the level of pain and evaluation of improvement using ultrasound. Moreover, it was suggested that Korean-Western cooperative medicine treatment may be effective for the treatment of plantar fasciitis.

A Case of Vivax Malaria Complicated by Adult Respiratory Distress Syndrome and Successful Management with Extracorporeal Membrane Oxygenation

  • Lee, Hyun-Jung;Baek, Ji-Hyeon;Chae, Myoung-Hun;Joo, Hoyeon;Lee, Jin-Soo;Chung, Moon-Hyun;Park, Yun-Kyu;Kim, Joung-Teak
    • Parasites, Hosts and Diseases
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    • v.51 no.5
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    • pp.551-555
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    • 2013
  • Complicated malaria is mainly caused by Plasmodium falciparum, but, increasingly, Plasmodium vivax is also being reported as a cause. Since the reemergence of indigenous vivax malaria in 1993, cases of severe malaria have been steadily reported in Korea. Herein, we report a case of vivax malaria complicated by adult respiratory distress syndrome (ARDS) that was successfully managed with extracorporeal membrane oxygenation (ECMO). A 59-year-old man presented at our hospital with fever and abdominal pain, which had persisted for 10 days. On admission, the patient had impaired consciousness, shock, hypoxia and haziness in both lungs, jaundice, thrombocytopenia and disseminated intravascular coagulation, metabolic acidosis, and acute kidney injury. A peripheral blood smear and a rapid diagnostic test verified P. vivax mono-infection. Ten hours after admission, hypoxia became more severe, despite providing maximal ventilatory support. The administration of antimalarial agents, ECMO, and continuous venovenous hemofiltration resulted in an improvement of his vital signs and laboratory findings. He was discharged from the hospital 7 weeks later, without any sequelae.

Operative Treatment of Mitral Valve Regurgitation due to Papillary Muscle Rupture from Acute Myocardial Infarction Under ECMO -A case report- (급성심근경색 후 발생한 유두근 파열로 인한 승모판 판막 폐쇄부전의 체외막 산소화 장치하 승모판막 치환술 - 1예 보고 -)

  • Joo, Seok;Choo, Suk-Jung;Jung, Sung-Ho;Je, Hyoung-Gon
    • Journal of Chest Surgery
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    • v.43 no.2
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    • pp.172-175
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    • 2010
  • A 61-year-old man presented with chest pain and ST elevation, and he underwent coronary angiography under the impression of acute myocardial infarction. Coronary intervention under intra-aortic balloon pumping was necessary due to his hemodynamic instability from the acute total occlusion of a large obtuse marginal branch. In spite of successful intervention, the cardiogenic shock persisted, and so extracoporeal membranous oxygenation was performed to treat this. Afterwards, the cardiogenic shock still persisted, and the auscultatory and echocardiographic findings revealed severe acute mitral valve regurgitation. Emergency mitral valve replacement was then performed. The ECMO and IABP were removed on the $2^{nd}$ postoperative day. The patient was discharged on the $48^{th}$ postoperative day.