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최환준,권준성,탁민성,Choi, Hwan-Jun,Kwon, Joon-Sung,Tark, Min-Seong 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.6
Purpose: The fingertip is the most commonly injured part of the hand and its injury frequently results in avulsion or crushing of a segment of the nail bed and fracture of the distal phalangeal bone. Restoration of a flat and smooth nail bed is essential for regrowth of a normal nail, which is important not only for cosmetic reasons but also for tactile capability of the fingertip. It is also anatomical reduction of the distal phalanx to promote patient's cosmetics and prevent nail bed deformity. Absence or no replacement of the nail plate results in obliterated proximal skin fold. When the avulsed nail plate cannot be returned to its anatomic position or when it is absent, we use a synthetic material for splinting the nail bed and alternative reductional method for distal phalangeal bone fracture, especially, instead of hardwares. Methods: From January of 2006 to June of 2009, a total of ten patients and fourteen fingers with crushing or avulsion injuries of the fingertip underwent using the artificial nails for finger splint. We shaped artificial nails into the appropriate sizes for use as fingernail plates. We placed them under the proximal skin fold and sutured to the fold proximally and to the lateral and medial edges of the nail bed or to the distal fingertip. Our splints were as hard as K-wire and other fixation methods and more similar to anatomic nail plates. Artificial nails were kept in place for at least 3 weeks. Results: No artificial nail related complication was noted in any of the ten cases. No other nail fold or nail bed complications were observed, except for minor distal nail deformity because of trauma. Conclusion: In conclusion, in order to secure the nail bed after injury and reduce the distal phalangeal bone fracture, preparing a nail bed splint from a artificial commercial nail is a cheap and effective method, especially, for crushed or avulsion injuries of the fingertip.
옥철호,김성후,이수창,송창석,최환준,차태준,유호대,주승재,이재우 고신대학교 의학부 1998 高神大學校 醫學部 論文集 Vol.13 No.1-2
저자들은 62세 여자 환자의 우측대둔부에서 발생한 월발성 편평상피암과 그 중심부 궤양을 통한 이차적인 파상풍 감염을 경험하였기에 문헌고찰과 이를 보고 하는 바이다. Primary skin cancers are the most common malignant tumors in the human. The incidence of primary skin cancers is rising steadily. The increasing incidence of primary skin cancers have been attributed to increasing exposure to sunlight, alteration of host defence factors and exposure to chemicals or viruses. The primary cutaneous squamous cell cancers (SCC) are prone to metastasis and rapid growth. However, early diagnosis is difficult, and with the delay of the diagnosis, serious complication may be resulted. SCC can develope skin ulceration and skin ulceration can be contaminated by various bacterial organisms. If skin ulceration contaminated by serious bacterial organism, it can be fatal to the patient. So early diagnosis of SCC is important for prevention of complication. Among the various organism, clostridium tetani can infect skin ulceration, and its manifestations are severe after infection. We experienced a case of tetanus developed from skin ulcer complicating primary cutaneous SCC on the right buttock in 62 years old woman. She manifested severe generalized body spasm, opistotonus, dyspnea, trismus, and convulsion, she was treated with muscle blocking agents and tetanus antitoxin. So we report one case of tetanus associated with cutaneous squamous cell cancer.
급성심근경색증 때 내원 첫 심전도상 QRS파 끝부분의 비틀림과 조기 예후와의 관계
이영수,차태준,김현주,임진형,이철희,최환준,유호대,주승재,이재우 고신대학교 의학부 1998 高神大學校 醫學部 論文集 Vol.13 No.1-2
There were some reports that magnitude of ST segment elevation reflects the extent of myocardial injury in acute myocardial infarction. And the magnitude of ST elevation, which is influenced by the extent and severity of ischemia, is also determined by other factors. Recently there were some reports that if terminal portion of QRS was distorted, it was related to severe myocardial injury. So we investigated the relationship between distortion of the terminal portion of the QRS complex and early outcome of the myocardial infarction. We classified 108 patients into two groups : 64 patients who had no distortion of terminal QRS portion and 48 patients with distortion of terminal QRS portions. Distortion of terminal QRS portion was defined as the emergence of the J point at a level above the lower half of the R wave or disappearance of the S wave in leads with an Rs configuration in 2 or more adjacent leads. We studied the first ECG checked in emergency room or intensive care units. And we followed the inhospital course of the two groups. 1. There were no significant difference in infarct sites, blood pressure, potassium, creatinine, cholesterol, HDL, triglycerides, smoker, hypertension and DM between two groups. 2. There revealed significantly higher level of peak CK-MB, SGOT and LDH in the QRS distortion group. And Killip class and mortality were also higher in the QRS distortion group. 3. Multivariate logistic regression analysis of mortality with various factors showed that reinfarction, fillip class, QRS distortion was associated with mortality. Distortion of the terminal portion of the QRS complex on the admission ECG was associated with severe myocardial injury and higher mortality rate in patients with acute myocardial infarction.