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전상교(Sang Kyo Jeon),박정근(Jung Kun Park),김동월(Dong Wol Kim),유선영(Seon Young Yoo),김정례(Jeong Rae Kim),김재홍(Jae Hong Kim),이진석(Jin Suk Lee),두창준(Chang Joon Doo),변종훈(Jong Hoon Byun),주재식(Jae Sik Joo) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.4
Acinar cell carcinoma of the exocrine pancreas is a rare tumor with reported incidence of 1 to 2 % of pancreatic carcinoma. We reported a case of pancreatic acinar cell carcinoma in 58 year-old woman. Chief complaints were palpable mass and pain in left upper abdomen. Physical exatnination revealed huge aMominal mass in left upper abdomen. Abdominal ultrasonography and computed tomography revealed a huge well demarcated heterogeneous mass at the tail of the pancreas with liver metastasis. Distal pancreatectomy and excision of rnass were carried out. Pathological examination revealed acinar cell carcinoma in pancreatic tail. She died ninth day after operation. (Korean J Gastroenterol 1996;28: 592 - 596)
척추마취하의 항문질환 수술시 환자의 자세에 따른 심박동수, 혈압 및 동맥혈가스분압의 변화에 관한 연구
김명희,홍미정,강승호,주재식,김용주,박현혜 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.35 No.2
Background : Anorectal procedures are performed in the prone jack-knife or lithotomy position. The effect of lithotomy and prone jack-knife position on the heart rate, arterial blood pressure and arterial blood gas has not been compaired. Methods : 39 consecutive patients who underwent surgery for anorectal disease were performed saddle block. They were randomly classified into two groups: prone jack-knife position(J; n=19) and lithotomy position(L; n=20); patients with cardiovascular disease were excluded. The two groups were well matched for age, gender, weight and height. After spinal anesthesia, heart rate(HR), blood pressure(BP), and arterial blood gases(ABG) including pH, PaO2, PaCO2, HCO3 were measured in the supine position to establish a base line. After position change to either jack-knife or lithotomy, HR, BP(systolic, mean and diastolic) at 10, 20, and 30 minutes and ABG at 20minutes were measured again in each group. The two groups were then compared and any changes were recorded. Premedication was not perfomed in both group. Statistical analysis was performed by Mann-Whitney U test; significance was set at p<0.05. Results : There were no differences between the two groups in terms of baseline HR, BP and ABG. However, HR at 10, 20 and 30 minutes after position change in the L group were increased compared with those of J group(ΔHR (number/minute) at 10 minutes: 3.2±7.0(L) versus 2.8±4.9(J), p<0.05, 20 minutes: 5.6±7.4(L) versus 1.8±5.2(J), p<0.05, 30 minutes: 6.4±8.4(L) versus 1.2±6.0(J), p<0.05), and systolic BP at 30 minutes was increased in the J group(ΔBP: 4.0±9.0 mmHg(L) versus 10.1±9.9 mmHg(J), p<0.05). 3 patients in the J, and 2 in the L group had complaint of headache and/or upper arm discomfort. Conclusion : HR was increased in the lithotomy position, systolic BP at 30 minutes after position change was increased in the J group. But the differences were not so significant clinically. Another parameters were no differences between the two groups. Therefore there is no sithotomy or jack-knife position on HR, BP and ABG when anorectal procedure is undergone under spinal anesthesia. (Korean J Anesthesiol 1998; 35: 295∼299)