http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
개심술시 Activated Clotting Time 을 이용한 Heparin 및 Protamine 양 조절에 관한 임상적 관찰
김춘동,이성행,Kim, Chun-Dong,Lee, Sung-Haing 대한흉부심장혈관외과학회 1980 Journal of Chest Surgery (J Chest Surg) Vol.13 No.4
It has been proposed that wide individual variation in response to heparin be not considered in the conventional set protocol for the control of heparin and protamine during extracorporeal circulation. In this paper, two protocol of heparin and protamine therapy were compared to assess the role of the Activated Clotting Time [ACT] in relation to heparin, protamine, and postoperative blood loss and transfusion. The study groups consisted of the 31 patients [adults 15 and children 16] anticoagulated with the conventional heparin protocol and the 31 patients [adults 15 and children 16] anticoagulated with ACT protocol during extracorporeal circulation. In the conventional heparin protocol, two mg of heparin per kg was administered initially with an additional 0.75 mg of heparin per kg every 30 minutes of extracorporeal circulation, and reversal was accomplished with protamine in a dose of 1.5 times the total milligram of heparin. In the ACT protocol, two mg of heparin per kg was administered initially with an additional dose of heparin enough to reach an ACT of 480 seconds [within safe zone 300 to 600 seconds] from the patient`s dose response curve every 1 hour of extracorporeal circulation, and reversal was done with protamine in a dose of 1.3 times the milligram of the residual heparin. The results were summarized as follows. After a dose of 2 mg per kg of heparin, the patient`s ACT varied from 240 to 600 seconds in adults and from 240 t~ 660 seconds in children. In the ACT group the total amount of heparin administered was markedly reduced when compared to the conventional group, and less protamine was required to neutralize heparin. The dose of heparin administered decreased from 7.07 [SE 0.42] mg/kg of the conventional group to 4.92 [SE 0.32] mg/k8 of the ACT group in adults and from 10.17 [SE 1.15] mg/kg to 5.23 [SE 0.24] mg/kg in children, which represent 30.4% and 48.6% decrease respectively. The dose of protamine administered for reversal decreased from 10.6 [SE 0.63] mg/kg of the conventional group to 3.35 [SE 0.35] mg/kg of the ACT group in adults and from 15.7 [SE 1.70] mg/kg to 3.26 [SE 0.27] mg/kg in children, which represent 68.4% and 79.2% respectively. The ratio of protamine to heparin administered in the conventional group was 1.50:1 in adults and 1.54:1 in children, but in the ACT group 0.68:1 in adults and 0.62:1 in children. Postoperative blood loss and transfusion revealed no statistically significant difference between the two groups. Although six patients in the conventional group and one in the ACT group needed re-exploration for continuous hemorrhage, no case of generalized oozing was encountered, and in each case a definite bleeding site was identified. Author would like emphasizing the value of the ACT protocol in controlling heparin and protamine administration during extracorporeal circulation.
김춘동,김철규,박세현,Kim, Choon-Dong,Kim, Chol-Gyu,Park, Sh-Hyun 한국정보통신학회 2013 한국정보통신학회논문지 Vol.17 No.10
본 논문에서는 휴대용 유중가스 분석기에 대해 연구 및 개발 하였다. 제안된 휴대용 유중가스 분석기는 전력기기로부터 절연유 내의 소량의 가스를 추출하여 비정상적인 열적 정보를 얻어 분석하는데 유용하게 쓰인다. 분석된 정보로부터 전력기기의 안정성을 평가할 수 있다. 본 논문에서는 기존의 고가의 시설기반의 고정형 유중 가스 분석기를 사용함으로써 발생되는 직간접적인 문제점을 해결하기 위해서 광음향 분광법 기반의 소형화된 휴대용 유중가스 분석기를 제안하고 실험적으로 검토하였다. 제안된 휴대용 유중 가스 분석기는 사용하기 편하고 실시간으로 전력기기의 열적 정보를 분석할 수 있다. 제안된 휴대용 유중가스 분석기가 현재의 전력기기 유중가스 분석에 사용된다면, 전력기기의 유중가스 분석주기를 줄임으로써 안정성을 향상 시키고 열적 이상 정보에 대하여 긴밀하게 대응할 수 있다. The paper presents a procedure for how to development and theoretical review on Dissolved Gas Analyzer. the information of abnormal thermal stress on electrical power equipment by testing the gas is validated to easy by the gas analyzer presented in the paper. the analyzed information is used to evaluate the stability of electrical power equipment. the existing and selling DGA(dissolved gas analyzer) is so expensive and vast that all DGA product comes from foreign country. The objective of the paper is to prove that PAS(photoacoustic spectroscopy) based on a compact portable DGA solve the fixed type of DGA in order to eliminate the occurring issue directly or indirectly. the proposed DGA is easy to handle, and this can also analysis in real time for testing electrical power equipment. By applying the proposed portable, DGA be utilized in the currently electrical power equipment that are being implemented to reduce cycle of analysis of dissolved gas, it can contribute to improving safety by providing the agility of the evaluation of degradation.
휴대용 가스 분석 장치를 위한 시스템 설계에 관한 연구
김춘동 ( Chun-dong Kim ),박세현 ( Se-hyun Park ) 한국정보처리학회 2009 한국정보처리학회 학술대회논문집 Vol.16 No.2
본 논문에서는 이동 가능한 휴대용 가스 분석 장치를 제안한다. 기존의 가스 검출 시스템은 주로 해외 기술에 의존되어 있고 고가이며 대형인데 반해 개발된 시스템은 휴대용으로 설계 되었다. 설계된 시스템은 광원, 광변조기, 신호처리기와 신호기록장치 거쳐 가스 데이터를 정보처리한다.
경부 전이성 이하선암과 유사한 양상의 이하선내외에 동시 발생한 편측성 왈틴씨 종양 1예
김춘동(Choon Dong Kim),김승우(Seung Woo Kim),곽슬기(eul Gi Kwak),사대진(Dae Jin Sah) 대한두경부종양학회 2013 대한두경부 종양학회지 Vol.29 No.1
Warthin’s Tumor is the second most common tomor of the parotid gland after pleomorphic adenoma. It is well known to occur as bilateral and multiple patterns. The incidence of extraparotid Warthin's tumor(EPWT)is about 2.7% to 12%,peri-parotid and upper cervical area are the most common sites. Warthin's tumor with synchronous intraparotid and extraparotid area is extremely rare, only a few cases have been reported. We report a-71-year old man with unilateral swelling of the parotid area and upper neck,pathologically confirmed Warthin's tumor with literature review.