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강보승,이정훈,송형곤,송근정,정연권 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3
Heat stroke, a medical emergency, occurs when the body's thermal regulation is upset and unable to dissipate adequate amounts of heat with a rise in body temperature. It is characterized by hyperpyrexia, with a core temperature of 40˚C or more. hot dry skin, and central nervous system disturbance and usually results in rhabdomyolysis and multiorgan failure. Our case, a 43-year-old healthy male, was caused by a marathon, half course, on a sunny day in late summer. He suddenly fell down on the road and was delivered to a nearby hospital, where a seizure developed. He was transfered to our hospital and then displayed Central Nervous System disturbance, hot dry skin, acute liver failure, rhabdomyolysis, anurlc acute renal failure, and disseminated intravasculular coagulopathy. He was treated with general supportive care and hemofiltration. Despite the aggressive management, he died of shock on the fifth day after admission.
관절내 분쇄상 골절이 동반된 심수지 굴근의 원위지골 견열성 골절 1예
권칠수,안종국,정병현,성열보,김동수,정형진,윤영식 인제대학교 1999 仁濟醫學 Vol.20 No.1
본 연구는 관절내 분쇄골절을 동반한 심수지굴근의 견열성 골절 중 흔하지 않은 제3형에 대하여 관절내 정확한 해부학적 정복 및 고정으로 기능 및 술 후 합병증에 있어서 좋은 결과를 얻었기에 보고하는 바이다. A 41-year-old man was injured from fall from a height. He was suffered from his ring finger pain. The patient was diagnosed flexor digitorum profundus avulsion fracture with simultaneous intraarticular comminuted fracture type III. At first, we reduced the articular surface and then reduced the avulsed fracture fragment to the fracture site. At the 12 months postoperatively, the patient does not complain pain and has no limitation of daily active life. The remained flexion contracture was about 15 degrees but it did not disturb daily active life. The patient was satisfactory with results and there was no evidence of posttraumatic arthritis. In treatment of flexor digitorum profundus avulsion with simultaneous intraarticular comminuted fracture, reduction of articular surface was very important for prevention of posttraumatic arthritis.
神經精神科 疾患과 關聯된 醫案의 硏究 : 中國 宋ㆍ金ㆍ元ㆍ明 時代 醫案을 中心으로
權保亨,具炳壽 대한한방신경정신과학회 1997 동의신경정신과학회지 Vol.8 No.1
according to study of clinical document in relation to Neuropsychiatric disease in Ancient Chinese(Song, Keum, Won, Myung) clinical document the result were obtained as follows. 1. A main point is Jeul-Jin<切診> in diagnosis, that is Hyun-Maeg<弦脈> is liver disease, Whual Mag<滑脈> is gallbladder disease, Sag Mag<數脈> is fever. 2. Doctors in Song<宋>, Keum<金>,Won<元> enumerationed many diseases are cause by emotion. 3. Oriental psychotherapy that Diseases caused by surprising must be cure by surprising is like to systematic desensitization in Westem. 4. Oriental psychotherapy that pseudopsychosis must be cure by patient rely on doctor is like to suggestive therapy in western. 5. It is similar to suggestive therapy in western medicine that Sadness ,anguish and frustration induce disease. 6. Headache is caused by fever, energy deficience and angry. 7. Imsomnia is not caused by hsart disease, but gallbladder or liver. 8. Schizophrenia is caused by shocking and a sort of fever. 9. Epilepsy is caused by a sort of fever, shocking and fetal disease. 10 Schizophrenia(in case of manic state) is caused by fever and shocking, and imaginary pregnancy is considered as schizophrenia.
拘束스트레스 흰쥐에 미치는 四物安神湯의 效能에 關한 硏究
權保亨,李相龍 대한한방신경정신과학회 1994 동의신경정신과학회지 Vol.5 No.1
This exoeriments were conducted to study anti-stress effects Samulanshintang on the weight change, β-lipoprotein, total cholesterol and triglyceride consentration of rats stressed by immobilization. The following results have been obtained : 1. Samulanshintang reduced significantly the body weight loss of rats stressed by immobilization. 2. Samulanshintang decreased significantly the serum cortisol level of rats stressed by immobilization. 3. Samulanshintang decreased significantly the serum β-lipoprotein level of rats stressed by immobilization. 4. Samulanshintang decreased significantly the serum total cholesterol level of rats stressed by immobilization. 5. Samulanshintang decreased significantly the serum triglyceride level of rats stressed by immobilization. According to the above results, it is concluded that Samulanshintang has significant effect in reducing stress.