http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
리네졸리드와 반코마이신을 교대로 투여하여 치료한 지속성 메티실린 내성 황색포도알균 균혈증 1예
김낙현,김문석,장은선,강유민,김가연,장희창,박완범,김의종,김남중,오명돈 대한감염학회 2009 감염과 화학요법 Vol.41 No.6
Persistent Staphylococcus aureus bacteremia is frequently defined as bacteremia persisting for ≥7 days despite proper antibiotic therapy. Its treatment includes removal of all infection foci and proper antibiotic therapy. Vancomycin remains the antibiotic of choice in MRSA bacteremia. Alternative agents, linezolid or daptomycin, are available, but a consensus regarding management of persistent MRSA bacteremia on vancomycin failure is still lacking. We report a case of a 60-year-old male who received thoracoabdominal aorta replacement operation due to dissecting aneurysm of the ascending and descending aorta. Surgical site infection and bacteremia caused by MRSA occured, and wound debridement operations were performed. The patient was treated with vancomycin in therapeutic doses but MRSA bacteremia persisted for 168 days in a row. Although the inserted aortic graft was the most probable source of persistent bacteremia, surgical removal was impossible. Linezolid was administered as an alternative antibiotic but had to be discontinued from time to time due to thrombocytopenia induced by this agent. In the end, MRSA bacteremia was successfully managed by alternating vancomycin-linezolid therapy.
다발성 대장암 간전이 환자의 간절제를 위한 새로운 시도
주종우,김형철,임철완,신응진,조규석,유기원,송옥평,홍대식,박성진,조준희,이혜경,김희경,권계원,고은석 순천향의학연구소;Soonchunhyang Medical Research Institute 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Multiple bilobar liver matastases (MBLM) are the main cause of low resectability in the colon cancer liver metastases. The authors experienced one case of initially non-resectable colon cancer liver metastases. He was curatively and safely treated with a two-stage hepatectomy using the new method of future remnant liver volume growing. A 54-year-old man was referred to our department with the sigmoid colon cancer combined with MBLM, which were checked in two small metastatic lesions in the left lobe and five large sized lesions in the right lobe in the computed tomogram (CT). A laparoscopic assisted anterior resection was primarily performed. We performed the 1^(st) stage hepatectomy 3 weeks after the colon resection. Intra-operative Ultrasonogram (US) found 9 small superficial metastatic lesions in the left lobe. All that lesions were completely removed by non-anatomical wedge resection. An occlusion ballon catheter was placed in the right portal vein through a small branch of the inferior mesenteric vein at that time. The future remnant liver volume was sufficiently increased 3 weeks after the 1^(st) hepatectomy. A right hepatectomy was safely performed 22 days after the 1^(st) hepatectomy. The patient received a regional chemotherapy (interleukin2 based immuno-chemotherapy through hepatic artery) for 4 months, then received 9 cycles of systemic chemotherapy (biweekly Oxaliplation, leucovorin, plus 5-fluorouracil) without any recurrence evidence.
강종만,김종성,김희수,염명걸 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.4
Correlation between Respiratory Rates and the Degree of Bradycardia in Strabismus Surgery in Children Jong-Man Kang, M.D., Hee-Soo Kim, M.D., Chong0Sung Kim, M.D. and Myung-Kul Yum, M.D.^* Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, and ^*Department of Pediatrics, College of Medicine, Hanyang University, Seoul, Korea Background: Strabismus surgery is frequent in pediatric ophthalmic surgery. Traction on the extra-ocular muscles can trigger an oculocardiac rdflex. We investigated the correlation between respiratoy rates and the degree of bradycardia to find another management for preventing oculocardiac reflex. Methods: NO premedications were administered. They were induced with thiopental and vecuronium and maintained with O_@-enflurane-N_2O. The tidal volume was 10 ml/kg. Respiratory rate of group 1 (n = 18) was fixed at 24 bpm, group 2 (n = 18) at 20 bpm, and group 3 (n = 19) at 16 bpm. We measured the mean heart rate from intubation to the beginning of surgery and defined this as the basal heart rate. We defined the lowest heart rate after traction of the extraocular muscles as the minimal heart rate. We calculated the correlation coefficient between the respiratory rate and basal heart rate, minimal heart rate, the change of heart rates and E_tCO_2. Results: There was a positive correlation between the respiratory rate and the basal heart rate, and minimal heart rate. There was no correlation between the respiratory rate and the change of heart rate. There was no difference in E_tCo_2 among the 3 groups. Conclusions: Can be increased both basal heart rate in anesthetized patients and minimal heart rate induced by oculocardiac reflex by making the respiratory rate more rapid if there is no significant difference of E_tCO_2. The oculocardiac reflex may be reduced by making respiratory rate more rapid if there is no significant influence on minute ventilation. (Korean J Anesthesiol 2001; 41: 450~454)
高脂肪食餌 및 植防風 抽出物 투여가 흰쥐 上小 腦動脈壁의 彈力纖維에 미치는 形態學的 硏究
金宗中,文正錫,鄭駐炫,文永熙 朝鮮大學校 附設 醫學硏究所 1985 The Medical Journal of Chosun University Vol.10 No.1
Observation of the elastic fibers of the superior Cerebellar artery walls in adults rats has been carried out by administering a high fat diet for 45days and Peucedani Japonici Radix extract Administration. The results obtained are summarized as follows ; 1. The development of the elastic fibers in the superior cerebellar artery walls was much poor in the high fat diet group than in the other Diet groups. 2. The development of the elastic fibers in the tunica media was rich in all experimental groups. But scattered irregular fibers and fine and cut elastic fibers were obesrved in the tunica media of all groups. 3. External elastic membranes and adventitia were not observed in any of the aroups. 4. Highest development of elastic fibers was observed in the groups Ⅰ>IV>Normal>III>II>V> which were standard diet and Peucedani japonici Radix extract administration groups. 5 There was high development of the elastic fibers in groups fed the Peucedani japonici Radix extract.
변압기의 유동대전에 대한 유속 및 유온의 영향에 관한 연구
정원용,고희석,박상현,박재윤,김정달 慶南大學校 附設 工業技術硏究所 1992 硏究論文集 Vol.10 No.-
本 硏究에서는 固體-液體 界面에서 液體가 流動할 때 발생되는 유동대전에 대한 硏究로서 大容量 變壓器내에서 絶緣油가 통과하는 通路를 모델링한 帶電 파이프를 設計·製作하고 대전 파이프내의 油路形狀에 따른 流動電流를 側定·分析하였다. 이러한 實驗으로부터 얻은 결과는 다음과 같다. 1) 流動電流는 油速의 增加에 따라 線形的으로 增加하였으며, 油溫의 增加에 따라 약 46[℃]이하에서는 增加하고 그 이상에서는 感少한다. 2) 絶緣油의 흐름이 원활하게 되도록 油路形狀을 변화시키면 流動電流는 感少한다. In this paper, the streaming electrification generated at a solid-liquid interface is studied. Electrification pipe modeled on the oil path of the high power transformer is designed and manufactured. The Streaming current is measured as a function of oil velosity, temperature at each electrification pipe. From the result of this study the following conclusions are obtained. 1) The streaming current increases linearly with increasing of oil velocity and It increases at lower temperature than 46[℃]and decreases at higher temperature than 46[℃] 2) The smoother the flow of insulating oil is the less the streaming current decreases.