http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Successful Treatment of Accidental Hypothermia with Injury - A Case Report -
Kyu Hyouck Kyoung,Young Hwan Kim,Suk-Kyung Hong 대한중환자의학회 2011 Acute and Critical Care Vol.26 No.2
Accidental hypothermia is an uncommon health issue that can cause fatal problems. Mortality related to hypothermia has been reported to be up to 50%. Prognosis of hypothermia depends on the grade of hypothermia, interval of re-warming from the accident and the re-warming rate. Hypothermic patients with injury show worse prognosis. A 66 year-old man with history of cerebrovascular accident was rescued in the mountains. His Glasgow coma scale (GCS) was 3, core temperature was 25.2℃ and he had a right lateral malleolar fracture. The second patient was a 45 year-old man whose GCS was 8 and core temperature 17.2℃. Blood pressure was unmeasurable with only palpable pulse and showed Osborn J wave on electrocardiography for both patients. Active re-warming was performed with forced warm air, warm saline infusion and bladder irrigation. Patient core temperature raised by 1.5℃/hour and 3.3℃/hour, respectively. The two patients were discharged without any other sequelae and disability.
둔상에 의한 외상성 좌심실 파열환자를 성공적으로 치료한 예
경규혁 ( Kyu Hyouck Kyoung ),정성호 ( Sung Ho Jung ),홍석경 ( Suk Kyung Hong ) 대한외상학회 2011 大韓外傷學會誌 Vol.24 No.2
Blunt cardiac rupture is uncommon and is associated with significant mortality. Patients with blunt cardiac rupture usually have combined injury and do not always show signs of cardiac tamponade, which delays the diagnosis of cardiac rupture and increases mortality. We report a case of cardiac rupture diagnosed and treated by using only thoracic exploration based on clinical impression, with radiologic studies, including even echocardiography, showing negative results.
내재된 둔상으로 인한 좌측 총 장골동맥 파열에 따른 출혈성 심정지 (질 내 경로를 통한 자위 행위로 인한 손상 의심): 증례보고
경규혁 ( Kyu Hyouck Kyoung ),김미진 ( Mi Jin Kim ),최병호 ( Byung Ho Choi ),홍정석 ( Jung Seok Hong ),홍은석 ( Eun Seog Hong ) 대한외상학회 2014 大韓外傷學會誌 Vol.27 No.4
A 34-year-old woman experienced a sudden cardiac arrest after complaining of abdominal pain. The cause of that serious event was a hidden hemorrhagic shock. On computed tomography of her pelvic area, we found that her left common iliac artery had been ruptured. No bone fractures were observed. Her angiography showed neither atherosclerosis nor an aneurysm of the artery. Because spontaneous ruptures of the common iliac artery are rare, we suspected, based on her husband’s statement, that a hidden blunt trauma to the artery had occurred via an endo-vaginal route due to dildo masturbation. Unfortunately, she died without recovery, in spite of our having controlled the bleeding by using an angiographic endovascular stent-graft. [ J Trauma Inj 2014; 27: 211-4 ]
급성신부전이 발생한 중증 외상 환자에서 저분자량헤파린 투여 후 발생한 심각한 출혈 합병증
경규혁 ( Kyu Hyouck Kyoung ),김운원 ( Woon Won Kim ),박성진 ( Sung Jin Park ),김기훈 ( Ki Hoon Kim ),김진수 ( Jin Soo Kim ),박종권 ( Jong Kwon Park ) 대한외상학회 2011 大韓外傷學會誌 Vol.24 No.2
Trauma is an important risk factor for a pulmonary thromboembolism, and anticoagulation is essential to prevent deep vein thrombosis (DVT) in patients with trauma. Low-molecular-weight heparin (LMWH) is excreted in the kidney; therefore, using LMWH in patients with renal insufficiency may increase the risk of bleeding complication. The following case describes a 55-year-old traffic accident victim who had massive bleeding and underwent a laparotomy for bleeding control. The patient had acute renal failure, and enoxaparin was administered for the prophylaxis of DVT. Although the patient suffered from serious complications such as pericardial hematoma, the patient recovered without sequellae and was discharged at day 84. (J Korean Soc Traumatol