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일개 응급의료센터에 내원한 15세 미만 소아 발열 환자에서 프로파세타몰 정맥주사의 해열 효과
천지만,제상모,박광호,배진건,정태녕,김의중,최성욱,김옥준 대한응급의학회 2015 대한응급의학회지 Vol.26 No.1
Purpose: Fever is one of the most common symptoms in children visiting the emergency department. When oral antipyretics use is limited, IV antipyretics may be necessary for control of fever. In this study, we examined the current status of use and antipyretic effect of propacetamol, a precursor of acetaminophen, in fever management for children of age younger than 15 in an emergency center. Methods: We reviewed medical records of 101 patients who were prescribed IV propacetamol from September 1st to December 31st in 2013. Among these patients, 59 children received propacetamol via intravenous injection for control of fever. We investigated variable data including age, sex, weight, chief complaint, reason for use of intravenous propacetamol, history of liver disease, and body temperature before the injection. In addition, to examine the antipyretic efficacy of IV propacetamol, we thoroughly investigated administration dose, number of injections, use of other antipyretics, other antipyretic therapy (ex. like tepid massage or ice bag), fever clearance time, etc. Results: Intravenous propacetamol at a dose of 26.16 mg/kg was used in 59 patients and fever was controlled under 38 C within 2 hours in 39 patients (66.1%). Fever was relieved under 38 C within 4 hours or general condition was improved in 49 patients (83.0%). Conclusion: In this study, we examined the antipyretic efficacy of intravenous propacetamol in management of fever for children younger than 15 years of age in an emergency center. Optimized uses of intravenous propacetamol according to age and weight were effective for pediatric patients with fever who cannot swallow oral medications.
압박궤양의 누도를 둘러싸고 발생한 화골성근염의 치험례 : 증례보고
천지선 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.3
Extraskeletal bone-forming lesions are myositis ossificans, and fibrodysplasia(myositis) ossificans progressiva. Myositis ossificans is found most commonly in the musculature, but it may also joint ankylosis severely, It occurs as the result of various kinds of soft tissue injury and also observed in paraplegics secondary to traumatic spinal injury, If myositis ossificans advanced with pressure sore, pelvis-femur adhearence will occur and it's treatment will difficult, and many complications occur. For that reason, myositis ossificans will be treated by adjust operation and treatment. We report our experience of acute perifistula myositis ossificans and the related literature was reviewed.