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가토의 골수내 식염수 주입이 말초혈액 제변수에 미치는 영향
박규남 ( Kyu Nam Park ),이원재 ( Won Jae Lee ),황주일 ( Ju Il Hwang ),이기중 ( Kee Joong Lee ),김세경 ( Se Kyeung Kim ),김병기 ( Byeung Ki Kim ),김인철 ( In Chul Kim ) 대한응급의학회 1992 대한응급의학회지 Vol.3 No.2
Study Objective:To examine the effects of intraosseous saline infusion on hematologic parameters. Design and Setting:Eight New Zealand White rabbits were anesthized intramuscular ketamine injection, An initial blood sample was withdrawn from an earlobe artery under introduction of anesthesia. An 18 gauge intraosseous(10) needle was inserted into proximal tibia of rabbits, and 10 mL/kg of normal saline was infused over two minutes after the intraosseus needle insertion. Measurements:Complete blood counts were performed on the blood sampled. The light microscopic examinationn of the peripheral blood smear was perfomed by clinical pathologic staff. Results:No statistically significant differences were found in hematologic paramenters from samples drawn before and after intraosseous infusion. Conclusion:We advocat,e less caution in the interpretation of hematologic studies performed on blood samples obtained soon after an intraosseous infusion.
김세경,나병호,이기중,박규남,오동렬,박승현,임근우 대한응급의학회 1994 대한응급의학회지 Vol.5 No.2
Dissecting aortic aneurysm is the most fatal disease involving the aorta that can be resulted in a life-threatening outcome unless a prompt diagnosis and an appropriate treatment is done. A retrospective clinical study was done on 51 cases of dissecting aortic aneurysm who had been admitted to department of Emergency Medicine, St. Mary's hospital, Kangnam, CUMC. from Jan, 1990 to Sep. 1994, in aspects of locations of pain, ECGs, and chest X-rays. The mean age at admission was 61.4 years old (range ; 31-88). It was seen more frequently in male than female with M : F ratio of 2 : 1. Hypertension was the most frequent predisposing factor(70.6%). According to the DeBakey classification, type Ⅰ was found in 29.4%, type Ⅱ in 11.4%, type Ⅲ in 58.8%. The most frequent symptom was a pain in 44 cases(86.3%), no pain in 7 cases(13.7%). Painful symptoms were back pain in 25 cases(73%), chest pain in 19 cases(55.9%), epigastric pain in 12 cases(35.3%), abdominal pain in 3 cases(8.8%). Painless symptoms were 5 cases in type Ⅰ, Ⅱ, 2 cases in type Ⅲ. ECG showed normal in 29 cases(56.9%), LVH(Left Vontricular Hypertrophy) in 13 cases(25.5%), BBB(Bundle Branch Block) in 5 cases(9.8%), ST segment depression in 3 cases(5.9%), Atrial fibrillation in 1 cases(1.9%). Mediastinal widenings on chest PA, erect or sitting position, were found in 63%, in comparison with control group.(p<.05). The average mediastinal length was 10.39cm in type Ⅰ, 10.82cm in type Ⅱ, 8.89cm in type Ⅲ. The definitive diagnosis was made by CT, aortography, echocardiography, MRI. Among them 36 cases(70.6%) were treated by medically, in which 3 patients were died. 15 cases(29.4%) were treated by surgically, in which 10 patients were died. Conclusion : Among 51 cases, no ST segment elevation in all cases was found and mediastinal widening on chest PA was found in 63%. It is thought that ECG and chest PA is very important screening method to differentiate acute myocardial infarction from dissecting aortic aneurysm, when patients suffered from acute chest pain visit emergency room.
가토의 골수내 식염수 주입이 말초혈액 제변수에 미치는 영향
황주일,김세경,이원재,이기중,김병기,박규남,김인철 大韓應急醫學會 1992 대한응급의학회지 Vol.3 No.1
Study Objective: To examine the effects of intraosseous saline infusion on hematologic parameters. Design and Setting: Eight New Zealand White rabbits were anesthized intramuscular ketamine injection, An initial blood sample was withdrawn from an earlobe artery under introduction of anesthesia. An 18-gauge intraosseous(10) needle was inserted into proximal tibia of rabbits, and 10 mL/kg of normal saline was infused over two minutes after the intraosseus needle insertion. Measurements: Complete blood counts were performed on the blood sampled. The light microscopic examination of the peripheral blood smear was perfomed by clinical pathologic staff. Results: No statistically significant differences were found in hematologic paramenters from samples drawn before and after intraosseous infusion. Conclusion: We advocate less caution in the interpretation of hematologic studies performed on blood samples obtained soon after an intraosseous infusion.