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Loewenstein-Jensen 배지(培地)와 Ogawa배지상(培地上)에 있어서의 결핵균(結核菌) 배양(培養) 성적(成績)
이건일 ( Kuhn Il Rhee ),김경숙 ( Kyung Suk Kim ),김중명 ( Jyung Myung Kim ),오성태 ( Sung Tae Oh ),이건희 ( Kun Whi Lee ) 대한임상검사과학회 1980 대한임상검사과학회지(KJCLS) Vol.12 No.1
A total of 706 clinical specimens 546 sputums , 86 cerebrospinal fluids , 32 urines, 23 puses, 15 ascitic fluids and 4 thoracic fluids were cultured into both Lowenstein-Jensen and Ogawa (3%)tb media. Efficiency of two media was compared, and concluded as follow; The positive rate of cultures made into the Lowenstein-Jensen medium was 9.5% and that of Ogawa medium was 4.6%. The length of time required to form colony, the Lowenstein-Jensen medium shorter than those on the Ogawa , and the colonies on the Lowenstein-Jensen medium were more abundant than those on Ogawa medium. Considering the data obtained. it can be stated that the Lowenstein-Jensen medium is superior over Ogawa medium for the primary isolation of Mycobacterium tuberculosis from clinical material that were submitted for the diagnostic purpose.
Trimethaphan CamphorauIfonate(Arfonad)에 의한 Shock 치험례 보고
이건일 대한마취과학회 1969 Korean Journal of Anesthesiology Vol.2 No.1
Trimethaphan camphorsulfonate (Arfonad), in 0.1 percent concentration, has been administered slolwy by intravenous drip to 6 patients in shock and protracted vasoconstrictive states. Administration of Arfonad results in vasodilation and relative hypovolemia. Blood or plasma expander was required to avoid an unacceptable hypotension. All patients survived except one, in whom the cause of death was not related .in any way to the uae of Arfonad. Importance of supplementing respiration with oxygen and monitoring central venous pressure has been stressed and the rational use of both vasoconstrictor and vasiodiator discussed. At times, vasodilation is desirable, at other times, it may best be avoided. It is suggested that Arfonad may have a place in the treatment of shock but if so, it should be used only when protracted vasoconstriction exists.
이상철,장성호,김성덕,곽일용,이건일 대한마취과학회 1980 Korean Journal of Anesthesiology Vol.13 No.1
InAalation anesthetics, particularly the hydrocarbons and cyclopropane. lower the threshold to the arrhythmogenic activity of catecholamines. This interaction is of concern during the resection of a pheochromocytoma when the surgically-induced release of large amounts of norepinephrine and epinephrine from tumors sets the stage for ventricular arrhythmia by a direct effect on the myocardium together with an increase in blood pressure. In this communication, anesthesia was performed with N₂,O-O₂,-halothane. In addition patient was managed successfully, using d-tubocurarine, phentolamine (Regitine) and propranolol (Inderal). For the next same case, enflurane is recommended because of absence of flammability, arrhythmogenic activity and nephrotoxity. etc.
Remeflin 의 호흡촉진작용의 기전에 관한 실험적 연구
곽일용,이건일 대한마취과학회 1976 Korean Journal of Anesthesiology Vol.9 No.1
To ten male volunteers, 25 to 35 years old and without any known disease, physiological saline solution (placebo) 1 ml, morphine 10mg, and Remeflin 16 mg were administered intramuscularly. Effects of tbese agents upon ventilation at rest and reapiratory response to carbon dioxide rebreathing were studied. The results are as follows: 1) Morphine significantly decreased respiratory rate, minute volume, and Pao2 and increased Paco2 without significantly affecting either tidal volume or arterial pH. 2) In morphine-induced respiratory depression, Remeflin improved ventilation by significantly increasing tidal volume and minute volume with resultant increase in Pao2 and decrease in Paco2, Remeflin did not significantly alter respiratory rate and arterial pH 3) Morphine displaced respiratory response curve to carbon dioxide obtained vrith placebo 7 torr to the right and Remeflin 6 torr to the left. No changes in slope of the curves were observed. 4) It is concluded that Remeflin stimlulatea respiration by directly acting upon the respiretory center.
김광우,곽일용,이건일,김용낙 대한마취과학회 1970 Korean Journal of Anesthesiology Vol.3 No.1
Femoral arterial blood had been analyzed for pCO₂ and pH by Astrup technique in 10 comatose patients with respiratory insufficiency due to acute drug intoxication, all of whom eventually recovered. It was found that blood gas analysis did not always surpass clinical judgement as to the efficiency of mechanical ventilation. The readers are reminded of the difference between in vitro and in vivo CO₂ titration curves of human blood in acute respiratory acidosis.
김규삼,장성호,김성덕,이건일 대한마취과학회 1979 Korean Journal of Anesthesiology Vol.12 No.4
The site of operation is one of the most significant factors affectig the degree of decreased respiratory function and arterial hypoxemia in the postoperative period. To elucidate the relationship between the site of operation and the postoperative hypoxemia, the authors have performed pre-and post-operative arterial blood gas analysises on the 1st POD through the 4th POD on 30 subjects. The experiment was performed on 3 groups, each of which consisted of 10 subjects; an upper abdominal surgery group, lower abdominal surgery group and extremity surgery group. We have selected only those who have had no preoperative cardiopulmonary problems and excluded those who have developed such complications. The results were as follows; 1) In the upper abdominal surgery group, all postoperative PaO₂, values were found to be decreased significantly. 2) In the lower abdominal surgery group, only the 2nd POD PaO₂ value was found to be significantly decreased. 3) No demonstrable postoperative change of PaO₂, was noted in extremity surgery group.
김규삼,이수일,김광우,이건일 대한마취과학회 1978 Korean Journal of Anesthesiology Vol.11 No.1
Changes of alveolar-arterial oxygen tension differences (AaDO2) after 35 cases of open heart surgery were evaluated with durations of extracorporeal circulation and prognosis. Following results were obtained. 1) AaDO2 values of pre-bypass in fatal open geart cases were higher than in survival cases. 2) AaDO2 values of post-bypass were similar and noted no correlation to progonsis. 3) Luration of extracorporeal bypass time in fatal cases were longer than in survival cases. 4) Changes of AaDO2 values after extracorporeal circulation were much correlated to AaDO2 of pre-bypass than those of post-bypass.