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한국의 항문-직장 기형 -1999년도 대한소아외과학회 회원 대상 전국 조사-
이명덕,김상윤,김우기,김인구,김재억,김재천,김현학,박귀원,박우현,송영택,오수명,유수영,이두선,이석구,이성철,장수일,정상영,정성은,정을삼,정풍만,Lee, M.D.,Kim, S.Y.,Kim, W.K.,Kim, I.K.,Kim, J.U.,Kim, J.C.,Kim, H.H.,Park, K.W.,Park, W.H.,Song, Y.T.,Oh, S.M.,Yoo, S.Y 대한소아외과학회 2000 소아외과 Vol.6 No.2
The purpose of the survey was to clarify the clinical features and management of the anorectal malformations (ARM) in Korea. Twenty-seven members of the Korean Association of Pediatric Surgeons were surveyed. The members completed a case registration form for each patient during the two years period of 1996-1997, and a questionnaire that contained their management preferences for primary and complicated patients. Twenty-four members of the 22 institutions registered 295 cases of the ARM, and 27 out of 34 members (77.1 %) responded to the questionnaire. The patients were classified by the Wingspread classification of ARM(1984). The case registration form was a modification of Wingspread workshop for the postoperative assessment and case registration. The male to female ratio was 1.7 : 1. The average number of patients per surgeon was 6.1 cases per year. Prematurity(< 36 weeks) was present in 1.9 % of cases and low birth weight (< 2.6 Kg) in 12.1 %. Among 187 male patients, 62 were high(H) type, 29 intermediate(l) type, 88 low(L), and 8 unclassified. In female, there were 2 cases of cloacal anomalies(C), 4 H type, 30 I type, 66 L type and 6 unclass ified. For male, 87.9 % of H and I type were operated by the Pena procedure, but only 7.9 % in L types. In female, all of C, H and I types, and 40.9 % of L type were done by the Pena procedure. One case expired (MR; 0.003%) as a result of surgical complication. Over-all complication rate was 12.5 %. Among 6 cases of reoperation, 4 were failed Pena procedures. Among 140 colostomies sigmoid colon was utilized in 75.7%, and loop colostomy was commonly used. Ten surgeons prefered primary maturation of the stoma. In conclusion, posterior sagittal anorectoplasty is popular for high types of ARM in this country, but considerable number of patients are still suffering from failed operations. For better understanding and analysis, necessity of prospective study by new classification was discussed.
외과영역에 있어서 연체조직감염에 대한 Bactrim^(�)의 치료성적
김진환,김우기,김진복,진병호 최신의학사 1971 最新醫學 Vol.14 No.4
To assess the effect of new antibiotics-Bactrim on severe surgical infection of the soft tissue, we selected 18 patients from the hospitalized at SNU Hospital in. 1969-1970 period. Following were the selection' criteria U Who showed no effectiveness on conventional antibiotics of medical or massive doses. ? Who showed resistance to known antibiotics. ? Who showed conversion to resistant strain while treatment. Following patient were also excluded for evaluation of toxic effect of Bactrim. 1B Patient with known hepatic, renal, hematologic, digestive and dermatologic disease. ? Patient with known allergic tendencies. Result of treatment were; good 72.2%, moderate 11. 1%, poor 11. 1%, not evaluated 5.5%. No known severe toxic effect developed except 2 cases of nausea and 2 cases of indigestion, which were relieved with cessation of drug and antacid treatment. Eighteen patient had previous massive antibiotic therapy, although good result were obtained among whom Bactrim was their first antibiotic used.