• Clinical Endoscopy
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• 제55권3호
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• pp.443-446
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• 2022

Percutaneous endoscopic gastrostomy (PEG) is a common method for providing long-term enteral nutrition to patients. PEG tube placement and removal are relatively safe; generally, a PEG tube can be removed using gentle traction, and excessive bleeding is rare. The over-the-scope clip system is a new device that can be used for gastrointestinal hemostasis and for closing gastrointestinal fistulae. In the present case, a 68-year-old male patient had to remove the PEG tube because of persistent leakage around the PEG tube. Although it was gently removed using traction, incessant bleeding continued, with a Rockall score of 5 points, even after hemocoagulation was attempted. An over-the-scope clip device was used to achieve hemostasis and fistula closure.

• 한국작물학회:학술대회논문집
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• 한국작물학회 2006년도 한국약용작물학회 공동춘계학술발표회
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• pp.624-625
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• 2006

• 한국건설순환자원학회논문집
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• 제5권1호
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• pp.68-75
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• 2017

본 연구에서는 프리스트레스트 콘크리트용 고품질 그라우트를 개발하기 위한 기초 자료로 활용하기 위해 그라우트의 화학 혼화제로 고성능 감수제와 증점제의 양과 사용방법이 유동성, 블리딩률, 체적변화 및 압축강도에 미치는 영향에 대해 검토하였다. 증점제와 고성능 감수제가 유동성에 미치는 영향에 대해 검토한 결과, 증점제와 고성능 감수제를 조합사용한 경우에는 고성능 감수제의 사용량이 너무 적으면 응집현상이 발생하여 유동성이 저하되나, 고성능 감수제 사용량 0.1% 이상부터 유동성이 크게 향상되는 것으로 나타났다. 증점제의 사용량이 증가할수록 블리딩률이 감소하며, 고성능 감수제는 0.05%까지 블리딩률이 증가하나, 0.1%부터 블리딩률이 감소하는 것으로 나타났다. 또한 고성능 감수제와 증점제를 각각 0.15%를 조합한 그라우트의 배합이 유하시간, 플로우, 블리딩 및 체적변화 측면에서 가장 양호한 것으로 분석되었다.

• 대한암한의학회지
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• 제14권1호
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• pp.29-35
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• 2009

Approximately 10 percent of advanced stomach cancer patients have internal bleeding in their stomach. It is crucial to treat internal bleeding since it severely deteriorates patient's condition, and disturbs process of chemotherapy. There are hemostatic agents and dressing, radiotherapy, endoscopic ligation and coagulation, surgical methods to treat bleeding. However, these methods cannot be executed in some cases in which patient is in terminal stage or not in desirable condition to take these treatments. We are going to introduce a case of advanced gastric cancer patient having stomach bleeding who made a choice to take oriental medical treatments. The patient was on third stage of stomach cancer, had 3200cc of blood transfusion for five times. After diagnosed as not being able to have resection, he started to oriental medical treatments to stop bleeding. From March 28, 2009 to April 16, 2009, we administer 120cc Bojungikgi-tang gamibang to the patient in 90minutes after each meal. During 19days of having Bojungikgi-tang gamibang, we observed that the patient needed significantly lower amount blood transfusion, to 640cc. The patient improves in performance, and was able to eat more. Despite of short period of observation, this case indicates that Bojungikgi-tang gamibang treatment to the patient could work as hemostat, further improved quality of patient's life.

• Advances in pediatric surgery
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• 제1권1호
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• pp.33-39
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• 1995

The incidence of Meckel's diverticulum(MD) in general population has been assessed as 2 percent. The major complications of MD are bleeding, perforation, and intestinal obstruction. In spite that the complication rate of Meckel's diverticulum is relatively high(about 4.2% during a lifetime), the preoperative diagnostic rate of complicated MD is very low. Authors investigated the clinical characteristics of complicated MD to improve the diagnostic rate. 16 patients with complicated Meckel's diverticulum who were operated upon at the Department of Pediatric Surgery, Seoul National University Children's Hospital from June 1985 to December 1993 were reviewed. Among the 16 patients with complicated MD, 12 patients(75%) were under 2 year-old and male were predominant(88%). The most common complication was bleeding patients with bleeding MD (8 cases) were diagnosed preoperatively as MD. 8 patients with other complications(perforation : 4 cases, obstruction : 4 cases) could not be suspected as complicated MD except one patient who had previous history of melena. These patients were diagnosed after exploratory laparotomy under the various impression other than MD. Among 12 patients with ulcer related complications such as bleeding and perforation, heterotopic gastric mucosa was found in 11 patients. In conclusion, in any children with unexplained acute abdomen, especially under 2 years old, complicated MD must be included in differential diagnosis. In children with obscure lower gastrointestinal bleeding, $^{99m}Tc$-pertechnetate scintigraphy is a useful diagnostic tool to rule out bleeding MD.

• International Journal of Oral Biology
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• 제45권2호
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• pp.51-57
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• 2020

Thromboelastography or rotational thromboelastometry, is being increasingly utilized in cardiac surgery of late. However, it is an indirect test and is not available in all centers. Low fibrinogen levels before and after cardiopulmonary bypass (CPB) have been described to be associated with postoperative bleeding in cardiac surgery. This study explored the usefulness of reduction ratio of the fibrinogen levels before CPB (preCPB) and after CPB (postCPB) in predicting postoperative hemorrhage. A retrospective, observational study of adult patients who underwent cardiac surgery with CPB between February 2014 and January 2016 was conducted, which included a total of 264 patients. The fibrinogen levels were measured twice, preCPB and postCPB, and the fibrinogen reduction ratio was acquired [(preCPB - postCPB)/preCPB]. Postoperative blood loss, which was defined as the blood collected from the chest drain for 12 hours following arrival at the intensive care unit, was considered severe if it was more than 1,000 mL. A multivariate analysis showed that fibrinogen reduction ratio, sex, and postCPB platelet count were significantly associated with severe postoperative bleeding. However, the pre- and postCPB fibrinogen levels were not significantly associated with severe bleeding. Furthermore, a fibrinogen reduction ratio of > 41.3% was independently associated with postoperative severe bleeding, with an odds ratio of 3.472 (1.483-8.162). These results suggest that the reduction ratio of pre- and postCPB fibrinogen levels may be utilized in predicting postoperative bleeding.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제8권2호
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• pp.257-262
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• 2005

비타민 K 결핍은 드물지만, 소량의 출혈이 지속적일 때 의심할 수 있으며, 담즙정체증과 성장 부진이 있을 때 동반될 수 있다. 저자들은 신생아기와 영아기의 비정상적인 출혈을 주소로 내원하여 담즙 정체증에 의한 비타민 K 결핍으로 진단되었던 2예를 경험하였기에 문헌 고찰과 함께 보고한다.

• Journal of Trauma and Injury
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• 제19권1호
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• pp.8-13
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• 2006

Purpose: Traumatic head injury is very common in the emergency room. Early diagnosis and treatment can significantly reduce mortality and morbidity. When diagnosis is delayed, however, it could be critical to the patients. In reality, it is difficult to take a brain CT for all patients with head trauma, so this study examined the relationship between type and size of scalp injury and intracranial injury. Methods: This prospective study was conducted from May 2005 to July 2005. The participants were 193 patients who had had a brain CT. Head trauma included obvious external injury or was based on reports of witnesses to the accident. Children under three years of age were also included if there was a witness to the accident. The size of the injury was measured based on the maximum diameter. Results: Out of the total of 193 patients, patients with scalp bleeding totaled 126 (65.2%), and patients without scalp bleeding totaled 67 (34.8%). Among patients with scalp bleeding, patients with intracranial injuries numbered nine, and among patients without scalp bleeding, patients with intracranial injuries numbered 17 (P=0.001). Among patients who showed evidence of scalp swelling with no scalp bleeding, the relationship between the size of the scalp swelling and intracranial injury was statistically significant when the size of the scalp swelling was between 2 cm and 5 cm. Conclusion: Among patients who visit an emergency medical center due to traumatic head injury, patients with no scalp bleeding, but with scalp swelling between 2 cm and 5 cm, should undergone more accurate and careful examination, as well as as a brain CT.

• 동의생리병리학회지
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• 제19권5호
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• pp.1427-1432
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• 2005

The purpose of this study is to report the effect of oriental treatments for the abnormal uterine bleeding. We treated 10 outpaients who had abnormal uterine bleeding and visited Dongshin University Oriental Medical Hospital by Herb medication, acupuncture therapy and moxibustion therapy at the same time in accordance with 塞流 ([sailiu]-stanch blood), 澄源([chengyuan]-correct origin) and 復舊([fujiu]-restore) which are principles of treatment of 崩漏 ([benglou]-metrorrhagia) and got good results from them. in herbal medication Yikweseungyang-tanggamibang or Junsaenghwalhyul-tanggamibang was used. In acupuncture therapy, Sp10(Hyulhae, 血海) K10(Umgok, 陰谷) Sp6(Samumgyo, 三陰交) Liv2(Haenggan, 行間) Liv3(Taechung, 太衝) CV3(Chungguk, 中極) were used. In Moxa Therapy, Sp6(Samumgyo, 三陰交) CV6(Qihae, 氣海) CV4(Kwanwon, 關元), CV3(Chungguk, 中極) were used. After the oriental medical treatments, abnormal uterine bleeding was disappeared and 10 outpaients recovered the normal menstrual cycle. This study showed successful orieantal herbal treatment of metrorrhagia. After this, further study and approach will be needed about the disease of the abnormal uterine bleeding.

• 임상간호연구
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• 제25권1호
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• pp.91-97
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• 2019

Purpose: The purpose of this study was to investigate hemato-oncology patients' discomfort and bleeding in relation to the bedrest time after bone marrow examination. Methods: A descriptive correlational study was conducted. The data were collected using self- report questionnaire from total of 131 patients who underwent bone marrow examination from January 2017 to September 2017. Data were analyzed with descriptive statistics, Wilcoxon Signed-rank test, McNemar's test and logistic regression. Results: The level of discomfort after 4 hours of bedrest was significantly higher when compared to 2 hours of bedrest(p<.001). The occurrence of bleeding after 2 hours of bedrest was significantly higher than 4 hours of bedrest(p<.001), however the degree of bleeding was slight. No bleeding occurred in 84% of the patients after 2 hours of bedrest. Conclusion: The results of this study demonstrated that shortening the bed rest time after bone marrow examination was helpful in improving the patient's well-being. Bedrest time could be shortened according to the site of bone marrow examination and patient's condition.