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흉부 교감신경절 차단에 의한 암성 흉부 통증환자 치험 2예
이기환(Gie Hoan Lee),윤경봉(Kyung Bong Yoon),김 찬 대한통증학회 1992 The Korean Journal of Pain Vol.5 No.1
Thoracic sympathetic ganglion block was not applied routinely because of high incidence of complication such as pneumothorax. We successfully managed a patient with sternal pain and a patient with scapular pain by tho- racic sympathetic ganglion block. We concluded that thoracic sympathetic ganglion block was an effective treatment for intrac- table cancer pain. However precise anatomical knowledgement is esseatial
APACHE II Score 와 중환자실 입실 환자의 평가
이경민,엄대자,이기환,최령 대한마취과학회 1994 Korean Journal of Anesthesiology Vol.27 No.2
To deterrnine the applicability of the Acute Physiology and Chronic Health Evaluation (APACHE II) scoring system in ICU, 552 ICU patients who had been admitted from March 1, 1992 to February 28, 1993 were analysed. The mean APACHE II score of nonsurvivors was significantly higher than that of survivors (p$lt;0.01) and there was significant relationship between mortality rate and APACHE II score [Mortality rate(%) =2.994×APACHE II score-14.987 (r=0.97, p$lt;0.001)). However, the majority of postoperative patients had scores less than 20 points and the postoperative patients were more unevenly distributed. These results suggest that the APACHE II score may be useful for analyses of ICU patients but its application in postoperative patients must take into consideration the patient's clinical condition.