http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
쇄골상위식 쇄골하정맥 도관삽입술 후 발생한 혈종격 (증례보고)
안기량 순천향대학교 1989 논문집 Vol.12 No.1
Percutaneous insertion of 16 gauge angiocatheter has been essential for case of the massive fluid or blood adminstration, parenteral hyperalimentation, and CVP monitoring. However, their placement is an invasive procedure, and then, this procedure rarely cause potential complication. Hence, accurate knowledge of their procedure relation is essential for catheterization. We have experience a case of hemomediastinum as a complication of subclavian vein catheterization. We report the case with review of the literature of central venous catheterization and its possible complication.
전신마취 후에 발견된 좌측 내경동맥 폐색에 의한 뇌경색 : 증례보고 A case report
안기량,박해남,권진형 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Stroke is defined as a focal neurological deficit lasting more than 24 hours. The complication related to the central nervous system after general anesthesia is unusual and difficult to discover the exact causes. We experienced a case of an unexpected cerebral infarction after lung decortication and clousure of bronchopleural fistula (BPF). His medical problem included diabetus mellitus, pulmonary tuberculosis, and history of several episode of focal neurological deficit. Anesthesia was induced with thiopental and succinylcholine and maintained with 50% N_(2)0 and 2.0-3.0 vol% enflurane in oxygen. After approximately 10 h in intensive care unit, he was still very lethargic. Immediate brain magnetic resonance angiography(MRA) revealed acute cerebral infarction in left middle cerebral artery (MCA) and anterior cerebral artery(ACA) territory due to left internal carotid artery (ICA) obstruction. An emergency decompressive craniectomy was performed. Therefore cerebral thrombosis, hypotension could be considered the possible etiology. We concluded that cerebral infarction can unexpectedly develop during perioperative and after postoperative and that close monitoring of patient and adequate management are essential.
안기량 순천향대학교 1993 논문집 Vol.16 No.4
Myasthenia Gravis is now considered as one of autoimmune disease entites and characteristics by progressive muscle weakness upon exertion and high sensitivity to the motor end-plate. It's relatively common in young women. The author anesthelized 10 cases of myasthenia gravis for thymectomy and obtained following results. 1) Premedication was glycopyrrolate 0.004㎎/㎏ and ativan 0.08㎎/㎏ IM. Anesthetic induction of 3 cases was by thiopental 2-6㎎/㎏ with the inhalation of halothane 1-2% (or) enflurane 2-4% and 7 cases was bythiopental 2-6㎎/㎏ with inhalation agent and N-M bloker. 2) Mean duration from the end of operation to extubation was 6.3±2.0 hrs. All patients did not require reintubation. 3) Complication were occured 1 case of slight pulmonaryedema, and 1 case of cardiac congestion. 4) Abstinence of muscle relaxants, adequate respiratory care and the protection from cholinergic crisis wer the most important factors for successful management.
전신마취 후 점액으로 인한 기관내관 폐쇄 : 증례보고 A case report
안기량,엄희상,김지은 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Nasotracheal intubation is commonly and safely used in the anesthetic management of patients undergoing oral cavity surgery. But endotracheal tube obstruction causes serious complications, including pneumothorax, pulmonary edema, brain injury and death. We experienced a case of endotracheal tube obstruction due to mucous crust after general anesthesia. A 5-year-old woman with cleft palate was intubated with a 4.5 mm amored tube for general anesthesia. During the surgery, vital signs were within normal limits. In the intensive care unit, she exhibited sign of complete airway obstruction. We exchanged the tube with another tube after failure of suction. The airway obstruction was due to a dried mucous crust attached to the bevel of the endotracheal tube. We should keep in mind the presence of an amored endotracheal tube cannot be regarded as a guarantee of a patent airway.
안기량 순천향대학교 1993 논문집 Vol.16 No.4
Celiac plexus block is one of teh most useful technique employed by anesthesiologist in teh control of pain syndrome. It is specifically effective for treatment of intractable pain from the carcinoma of the pancreas or other upper abdominal visceral tumor, but technique is not ease and complication are variable. We performed celiac plexus block used by CT scanner in order to correctly inject neurolytic agents into or near celac plexus. The effect will be described.
원발성 Aldosteronism-좌측부신 적출술의 마취 2예 보고
안기량 순천향대학교 1988 논문집 Vol.11 No.1
Primary aldosteronism, one of the surgically correctable causes of hypertension, is a syndrome due to excessive secretion of aldosterone from the adrenal cortex, and most cases are secondaty due to small solitary adenoma. In 1955, shortly after the discovery of aldosterone, Conn described the condition in which the adrenal gland produces an excess of aldosterone in dependent of nomal physiological control mechanism. The condition is called primary aldosteronism or Conn's syndrome and it is a well established, though rare, clinical entity. The author reported an anesthetic experience of left adrenalectomy for two cases with primary aldosteronism. The patients tolerated N₂O-O₂-halothane-pancuronium or d-tubocurarine anesthesia very well. During anesthesia, violent change in blood pressure was not observed.