담석증

최용만 梨花女子大學校 醫科大學 醫科學硏究所 1987 EMJ (Ewha medical journal) Vol.10 No.1

담결석증의 치료

최용만 주식회사 녹십자 1981 녹십자의보 Vol.9 No.3

火傷患者 282例에 關한 臨床的 考察

崔龍萬 梨花女子大學校 韓國生活科學硏究院 1978 韓國生活科學硏究院 論叢 Vol.21 No.-

1971年 1月부터 1976年 12月까지 滿 6年間 梨花大學病院 外科에 入院加療한 火傷患者 282例의 臨床的 考察 結果 1.4:1로 男者가 많았고, 小兒患者 特히 1∼5歲의 scalding burn이 家庭內에서 發生된 境遇가 가장 많아 父母들의 細心한 注意로 이들의 火傷을 막아야 됨이 强調되었고 4季節에 고루 發生되었으나 野外行樂이 極에 이르고 겨울이 始作되는 10月이 많았다. 火傷原因은 scalding burn이 가장 많았고 2/3以上이 24時間內 入院하였으나 充分한 治療를 받지 못하고 經濟的 理由로 10日 以內에 退院하는 患者가 많아 醫療保驗의 擴大가 바람직하였으며, 火傷의 深度는 2度火傷이 많았으나, 範圍가 41% 以上인 火傷은 3度火傷이 많았다. 火傷의 範圍는 10% 以內가 가장 많았고 다음으로 11∼20%, 21∼30%의 순이었으며 火傷部位는 下肢와 上肢에 많았고 scalding burn은 下肢와 同體에, flame burn은 頭經部와 上肢에 많았다. 13.8%에서 皮膚移植을 實施하였고 그 時期는 3∼4週가 가장 많고 다음이 2週 以內로서 皮膚移植이 必要한 患者는 좀 더 일찍 이를 施行해야 할 것으로 나타났고, 火傷의 合倂症으로는 創傷感染이 가장 많았고, 다음은 尿路感染이었으며, 昌傷感染菌은 pseudomonas aeruginosa가 가장 많았고 Candida albicans도 培養되고 嚴格한 抗生劑의 選擇과 投與가 要求되었다. 死亡率은 7.8%로 比較的 낮았는데 이는 小範圍 火傷이 많고 10日 內 退院하는 境遇가 있었으며, 水液 및 抗生劑療法의 開發때문인 것으로 解釋되었다. 死亡者의 2/3가 小兒患者였고, 61% 以上의 火傷은 거의 死亡하였으며, flame burn과 3度火傷의 死亡率이 높았던 것으로 보아 major burn을 治療하는 데는 burn center나 specialist가 꼭 必要할 것으로 생각되었다. A total of 282 burn patients who were admitted to the Surgical Department of Ewha Womans University Hospital during the past 6 years, from Jan. 1971 to Dec. 1976, were clinically reviewed. Home indoor scalding burns and mortality due to it of 1-5 year old children were most abundant. So, it was determined that parents must pay more attention to their children. More careful administration of antibiotics was requested because of wound infection by pseudomonas aeruginosa, the most frequent compli-cation of burns. Candida albicans was cultured in 3 cases. The skin graft should be performed more early. The following results were obtained: (1) The sex incidence revealed a prevalence in males, with a ratio of 1.4 male to 1 female. (2) The age distribution revealed that children were most abundant(48.6%), and the 1-5 year old age group was most predominent(33.7%) among them. (3) Seasonal distribution revealed no significant difference, but Summer was more frequent, and October most abundant in monthly distribution. (4) Most of the burns occured in the home(74.5%). (5) Scalding burns(58.9%) and flame burns(33.7%) were the most common causes of burns. (6) Many of burn patients(71%) were admitted within 24 hours. (7) In burn wound depth, 2nd degree burns(68.5%) were more abundant than 3rd degree burns(40/85). (8) The extent of the burn was most prominent within 10% of body surfa‘ next, 11-20% of body surface(13.8%). In relationship to the depth and extent of the burn, 3rd degree was more abundant above 41% of body surface. (9) Burn wounds were most predominent in the lower and upper extrimities. In scald-ing burns, the lower extrimities and trunk were more prominent, while the head, neck and upper extrimities were more prominent in flame burns. 1(0) More commonly, burn patients were hospitalized within 10 days(59.6%). (11) Occlusive dressing was the most common(69.3%). Furazin ointment was the most commonly used local agent, and gentamycin cream was next. (12) Skin graft was performed on 39 patients(13.8%), and it was most commonly per-formed during 3-4 weeks. 1(3) The main early complications were wound infection(27.3%), and genitourinary infection(7.5%). (14) The main organisms found in wound cultures were Pseudomonas aeruginosa(45.9%), and Staphylococcus (34.1%). Candida albicans was cultured in 3 cases. (15) The mortality rate was 7.8% and the causes of death were septic shock, pulmonary complication, renal shutdown, U.G.I. bleeding and hypovolemic shock. 1(6) The most predominent age of death was in the 1-5 year old group/68.2%). Deaths were more common in flame burns and 3rd degree burns. Almost all of burn patients with burns over 61% of body surface expired.

일반외과에서의 통원수술

崔龍萬 대한의학협회 1993 대한의학협회지 Vol.36 No.2

胃平滑筋肉腫1例 : Report of One Case

崔龍萬 梨花女子大學校 醫科大學 醫科學硏究所 1979 EMJ (Ewha medical journal) Vol.2 No.1

The incidence of the leiomyosarcoma is 1~3% of all gastric malignant tumors and 20~25% of all gastric sarcoma. It is hard to differentiate between the benign leiomyoma and leiomosarcoma by gross finding, radiologic studies and endoscopic studies, even microscopically. The main symptoms and signs are epigastric discomfort or pain, palpable mass, bleeding and anemia, weight loss and anorexia. The prognosis of the leiomyosarcoma is better than carcinoma or other sarcoma such as lymphosarcoma. In Surgical Department, College of Medicine, Ewha Womans University, author had experienced one case of leiomyosarcoma confirmed by microscopically in 32 years old female patient, which was located in the antrum of the lesser curvature and type was endo-exogastric type. Operative procedure was made subtotal gastrectomy. I intend to report this case with review of the literatures.

간외 담도암의 외과적 치료

崔龍萬 대한의학협회 1994 대한의학협회지 Vol.37 No.4

장간막 장종

최용만,이상래,김원곤 大韓消化器病學會 1984 大韓消化器病學會誌 Vol.16 No.2

담낭의 화학적 섬유화에 관한 실험적 연구

최용만 梨花女子大學校 醫科大學 醫科學硏究所 1991 EMJ (Ewha medical journal) Vol.14 No.4

Most of the progress in the diagnosis and treatment of biliary tract disease has been made in the last century. but the gallstones and their sequelae which cause most of the clinical problems. are not malady of modern times. Alternatives to traditional cholecystectomy were developed during the 1980s and are currently undue evaluation. They include oral chemolysis. extracorporeal shock wave lithotripsy. percutaneous dissolution and extaction, and laparoscopic cholecystectomy. One of the goals of interventional surgery is to simplify patient care by performing surgical techniques percutaneously. Cholecysrectomy is one technique that, lends itself to interventioal approach. one acan envision replacing surgery with a four step procedure. 1) percutaneous cholecystostomy 2) percutaneous stone removal 3) sclerosis and fibrosis of the gall bladder 4) cystic duct occlusion. Both percutaneous cholecystostomy and stone removal have been performed frequently and are in the interventional repertoire. Sclerosis of biliary system may be derived from experience with chemical agents. The aim of this study is a preliminary clinical application of chemical fibrosis of gallbladder with 95% Ethanol and 5% Phenol for treatment of gallbladder diseases. The following results were obtained: 1) The values of liver function test were normnal on postoperative 1 day. 1 week and 4 weeks in cystic duct ligated control group. 2) AST, ALT and ALP were increased markedly on postoperative 1 day after 10, 30 and 60 minutes injection groups into gallbladder with both 95% ethanol and 5% phenol. 3) The edema, congestion and inflammatory changes of gallbladder were mildly developed on postoperaive 1 day. 1 week and 4 weeks in 10, 30, and 60 minutes cystic duct ligated control group. 4) The fibrosis of gallbladder was moderately to severely developed on postoperative 4 weeks after 10, 30 and 60 minutes injection group into gallbladder with 95% ethanol. 5) The fibrosis of gallbladder was moderately developed on postoperative 4 weeks after 10, 30 and 60 minutes injection group into gallbladder with 5% phenol. Inspite of a limited number of observation, the chemical sclerosing agents may be useful treatmental method for gallstone patient if applied in selected cases and it should he opened for further study in lager experimental group.

Step & Scan 형 반도체 노광장비에서의 Human Interface Software 설계

최용만,오병주,손영목,김도훈,정해빈 제어로봇시스템학회 1997 제어로봇시스템학회 국내학술대회 논문집 Vol.1997 No.10

원격조종 로봇에 의한 비디오 데이터 수집 및 보고서 편집기 구현 ( Video Data Acquisition by Remotely Controlled Robot Vision System and Report Editor Design )

최용만,오병주,박대철 대한전자공학회 1996 대한전자공학회 학술대회 Vol.1996 No.01