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김덕경,박혜진,양미경,서정은,권지혜 대한마취통증의학회 2016 Korean Journal of Anesthesiology Vol.69 No.1
During laparoscopic surgery, carbon dioxide (CO2) pneumothorax can develop due to a congenital defect in the diaphragm. We present a case of a spontaneous massive left-sided pneumothorax that occurred during laparoscopy-assisted gastrectomy, because of an escape of intraperitoneal CO2 gas, under pressure, into the pleural cavity through a congenital defect in the esophageal hiatus of the left diaphragm. This was confirmed on intraoperative chest radiography and laparoscopic inspection. This CO2 pneumothorax caused tolerable hemodynamic and respiratory consequences, and was rapidly reversible after release of the pneumoperitoneum. Thus, a conservative approach was adopted, and the remainder of the surgery was completed, laparoscopically. Due to the high solubility of CO2 gas and the extra-pulmonary mechanism, CO2 pneumothorax with otherwise hemodynamically stable conditions can be managed by conservative modalities, avoiding unnecessary chest tube insertion or conversion to an open procedure.
金德慶 고려대학교 의과대학 1977 고려대 의대 잡지 Vol.14 No.1
As a antenatal care, periodical routine blood and urine examination and checking blood pressure is a important tool for early detecting preeclampsia, eclamsia or toxemia in pregnant women. It is well documented that the babys born from toxemic mother is one of the high risk infant because of preterm or low birth weight for gestational age. Author attempted to determine the relation of maternal urine findings to the birth weight, 963 newborn infants were studied during the period of Jan. 1, 1974 to June 30, 1976. The results obtained were as follows: 1. Among 1685 pregnant women, positive proteinuria was found in 954 cases, 56.6%, and 70.8% for toxemic mother. 2. Incidence of toxemia was 19.8% for positive proteinuria group and 10.67% for negative group. 3. Overall average birth weight of infants was 3.25±0.58㎏ in male, 3.14±0.59㎏ in female. Infants born from mother with positive proteinuria was 3.28±0.66㎏ in male, 3.17±0.63㎏ in female, while birth weight of proteinuria negative mother's baby had 3.17±0.63㎏ in male, 3.11±0.62㎏ in female. 4. There was no significant difference between infant's birth weight and degree of maternal proteinuria with age, parity of mother of gestational age. 5. Cesarean section rate was slightly increased in baby born from mother with positive proteinuria mother (6.4%). 6. There was no correlation between twin pregnancy and maternal proteinuria. 7. Low Apgar score (0-4) was more frequently seen in the baby born from mother with positive proteinuria than without proteinuria. 8. The fetal death rate was slightly higher in baby born from mother with proteinuria but was not significant statistically.
김덕경,Kim, Deok-Gyeong 대한간호협회 2006 대한간호 Vol.45 No.6
작가가 되고 싶었던 어린 시절의 꿈을 자극한 것은 간호사로 일하며 겪었던 다양한 인간군상과 삶의 희로애락이었다. 서른 무렵 병원 업무와 드라마 작법 공부를 병행하기 시작했고, 신경외과의사 집안을 소재로 한 드라마 <작별>의 보조 작가가 되면서 병원을 그만두고 본격적인 작가 생활에 들어섰다. 드라마 작가로 활동을 하면서도 평소 관심 분야인 추리소설 작법을 배웠고, 추리소설작가로 거듭났다. 전혀 다른 방향으로 인생행로를 바꿔 가는 듯 보이지만, 김차애 씨는 사람을 따뜻하게 어루만지는 공통분모를 찾아냈다.