• 제목/요약/키워드: Patient circulation

검색결과 315건 처리시간 0.019초

The Dissecting Aneurysm of the Posterior Inferior Cerebellar Artery with Unusual Clinical Course

  • Lee, Hyoung-Soo;Lee, Sang-Youl;Rhee, Woo-Tack;Jang, Yeon-Gyu
    • Journal of Korean Neurosurgical Society
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    • 제40권5호
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    • pp.369-372
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    • 2006
  • The dissecting aneurysms of the posterior cerebral circulation arise most commonly from the vertebral artery and occasionally extend to the posterior inferior cerebellar artery[PICA]. The dissecting aneurysm localized in the PICA without involving the vertebral artery is rare. We present a PICA dissecting aneurysm that had kaleidoscopic clinical course of bleeding, occlusion, and recanalization before the surgery. The patient had serial follow-up angiograms based on significant changes of clinical status. The patient successfully underwent microsurgical trapping with clips for the dissecting aneurysm and showed neurological improvement.

교통사고 후유증으로 인한 어혈두통(瘀血頭痛) 환자 치험 1례 (A Case Report of Eo-hyeol headache(瘀血頭痛)) Caused by Sequela of Traffic Accident)

  • 최금애;정종효;김경옥
    • 동의신경정신과학회지
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    • 제19권2호
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    • pp.299-312
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    • 2008
  • Headache is symptom of many people suffered. It caused simply by fatigue, stress, but it also caused by inflammation, mechanical or chemical stimulus, circulation disorder, brain damage. Modern societies develop rapidly by traffic system. But lately it suffering with many traffic problem. Traffic accident is most important of many traffic problem. We experienced a 35 year-old female who complained headache, caused by a traffic accident that happened 22 month ago. We treated the patient by the way of Eo-hyeol (瘀血) type of headache with Herbal medication and Acupuncture. After being treated, the patient show that symptoms(headache, insomnia, anorexia) was improved considerably. This result suggests that oriental medicine treatment has good effect on headache due to traffic accident.

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우심낭 조직편을 이용한 Norwood 술식 -2예 보고- (Norwood Procedure with Home-made Bovine Pericardial Patch)

  • 이석기;김웅한
    • Journal of Chest Surgery
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    • 제36권8호
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    • pp.602-605
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    • 2003
  • Norwood 시술에 있어서 체순환 혈관을 넓히는 데 동종 혈관을 이용한 방법이 많이 알려져 있으나, 동종 혈관은 숫자적으로 제한적이고 구하기 어려운 점이 있다. 본원에서는 생후 23일로 여러 부위의 좌심실 유출로 협착이 있는 남아(2.2 kg)와 생후 9일로 좌심실형성부전증 남아(3.0 kg)에서 우심낭으로 체순환 유출로 모양을 재단하여 사용하였다. 이 방법은 술식이 쉽고 재현 가능성이 높으며 동종혈관처 럼 매우 효과적이다.

후두암에 동반된 SIADH (Syndrome of Inappropriate ADH Secretion Associated with Laryngeal Carcinoma, Cured by Total Laryngectomy)

  • 윤석근;최병흔;박헌웅
    • 대한두경부종양학회지
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    • 제3권1호
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    • pp.85-90
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    • 1987
  • The syndrome of inappropriate ADH secretion(SIADH) is a clinical disorder in which there is continual release of antidiuretic hormone(ADH) unrelated to plasma osmolality. It may occur usually in association with malignant tumors below the clavicle and other pulmonary disorders which are capable of synthesizing, storing and releasing ADH into the circulation but rarely with the head and neck tumors yet. We experienced a patient with unexplained hyponatremia associated with laryngeal carcinoma. The clinical and laboratory diagnostic studies suggested that patient's sodium deficiency was secondary to the SIADH. Subsequent resection of the neoplasm, total laryngectomy led to resolution of hyponatremia, suggesting that a tumor associated humoral factor, such as vasopressin or vasopressin like substance, was responsible for the electrolyte disturbance.

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봉약침요법(蜂藥鍼療法)으로 치료한 한랭 두드러기 환자 1례 보고 (A Clinical Report of 1 Case of Cold Urticaria treated with Bee-venom Acpuncture Therapy)

  • 황규태;강재희;이현
    • 혜화의학회지
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    • 제17권2호
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    • pp.149-153
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    • 2008
  • Objective : Cold Urticaria is a symptom of edema and pruritus that appear when a patient is exposed to the coldness. The effect of Bee-venom Acpuncture Therapy is antiinflammatory, pain-killing, and blood circulation promotion. The aim of this study is to report the effect of Bee-venom Acpuncture Therapy to Cold Urticaria. Methods : The Cold Urticaria patients were treated with Bee-venom Acpuncture Therapy. Result and Conclusion : Edema and Pruritus of Cold Urticaria patient improved after Bee-venom Acpuncture Therapy.

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Intraventricular Hemorrhage Long after Successful Encephaloduroarterio Synangiosis in Moyamoya Patient

  • Chung, Moon-Young;Park, Young-Seok;Kim, Dong-Seok;Choi, Joong-Uhn
    • Journal of Korean Neurosurgical Society
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    • 제46권3호
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    • pp.257-260
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    • 2009
  • Intraventricular hemorrhage long after successful encephaloduroarterio synangiosis (EDAS) is very rare. The effect of revascularization surgery for preventing hemorrhagic event of moyamoya disease remains controversial. We report a 17-year-old female with intracerebral hemorrhage and intraventricular hemorrahge 10 years after successful EDAS. Even though cerebral vessels angiography showed good collateral circulations without specific weak points, a cerebral hemorrhage could occur in patient with ischemic type of moyamoya disease long after successful indirect bypass operations. Good collateralization of cerebral angiography or magnetic resonance perfusion image after indirect bypass surgery would ensure against ischemic symptoms, not a hemorrhage. And, thus a life-time follow-up strategy might be necessary even if a good collateral circulation has been established.

종합병원 병동부의 간호사 대기실 및 관련공간의 효율적인 구성에 관한 연구 (A Study on the efficient Composition of a Nurse Station and Attached Spaces in General Hospitals)

  • 정선애;김형우
    • 한국실내디자인학회논문집
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    • 제18호
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    • pp.44-50
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    • 1999
  • The purpose of this study is to suggest reasonable composition and layout of a nurse station and attached spaces-which are central sector of patient caring in the inpatient department- in the view of funtional efficiency. The method of this study is examining other studies and case study of inpatient department in general hospitals. through this research we find out the plan type of inpatient department and layout of nurse station and attached spaces in the view of 'the efficiency of circulation' and 'the easiness of observation' . It is also found out that the nursing delivery system effects to the composition and layout of nurse station attached spaces. Therefore, the efficient design of inpatient department by this study can accomplish 'patient-focused' medical environment and aid to develop their health.

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폐내엽형 격절부 1례 보고 (Intralobar Pulmonary Sequestration: Report Of One Case)

  • 조중구
    • Journal of Chest Surgery
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    • 제14권4호
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    • pp.354-358
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    • 1981
  • Intralobar pulmonary sequestration is a rare congenital malformation characterized by a cystic portion of the lung that derives its arterial blood supply through aberrant vessel directly of systemic circulation. Intralobar pulmonary sequestration Is usually contained within the visceral pleura of a pulmonary lobe and its venous drainage to the pulmonary venous system. We experienced a case of pulmonary sequestration preoperatively confirmed. The patient was 17 year old female whose complaints were mild fever and profuse purulent sputum. Chest film showed a large thin walled cystic lesion with air-fluid level at the left lower posterior basal lung field. Aortogram revealed an aberrant artery originated from thoracic aorta just above the diaphragm and that drained via pulmonary vein into the left atrium. At time of operation, a large abscess cavity measuring 9x8x3 cm in dimension at the left lower lobe was noted. And the aberrant artery, measuring 0.5 cm in diameter and 2 cm in length, arising from thoracic aorta just above the diaphragm was noted. After division and ligation of the aberrant artery, a left lower lobectomy was performed and the patient`s postoperative course was uneventful.

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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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Successful Modified Nikaidoh Procedure (Pivot Rotation) in a Patient with Double Outlet Right Ventricle and Pulmonary Atresia: Case Report

  • Lee, Jae Jun;Lee, Ok Jeong;Yang, Ji-Hyuk;Jun, Tae-Gook
    • Journal of Chest Surgery
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    • 제54권5호
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    • pp.389-392
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    • 2021
  • Double outlet right ventricle (DORV) with pulmonary atresia (PA) is an uncommon congenital disease. Because of anatomical and physiological anomalies in the systemic and pulmonary circulation, corrective surgery may be challenging. We present the case of a patient with DORV and PA. This condition was successfully corrected using a modified Nikaidoh procedure, resulting in reduced obstruction of the left ventricular outflow tract.