뇌동맥류 파열에 의한 급성 경막하 혈종이나 뇌내혈종을 동반한 혼수상태 환자에 대한 뇌혈관 조영술을 시행하지 않은 응급수술

황수현,박용규,백선하,박인성,김은상,정진명,한종우 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10

Neurologically based clinical grading scales offer excellent prognostic information for the patient suuffering diffuse subarachnoid hemorrhaging. These grading scales are less applicable to patients with life-threatening intraparenchymal or subdural hematomas after aneurysmal rupture. During 2 and half years. 9 patients(ICH;5.SDH:1. ICH+SDH:3) in a comatose state with brain stem compression syndromes documented by computerized tomographic scans have undergone emergent operation without angiography in our neurosurgical departement. Each patient was so critically ill that we believed it unwise to delay craniotomy for diagnostic angiography. The average delay from the detection to operation was 2 hours. The origin of the hematoma was identified as a berry aneurysm of the middle cerebral artery bifurcation in seven patients and a posterior communicating artery aneurysm in two patients. One patient had a good recovery. two patients recovered with hemipardsis and mild cognitive dysfunction. two patients were vegetative and died due to pneumonia. and four patients died due to brain swelling within two weeks postoperatively. Emergent craniotomy with empiric exploration of appropriate subarachnoid cisterns after hematoma decompression may be life-saving management in some cases. The delay imposed for diagnostic angiography may be avoided in attempts to save vital minutes of severe brain stem compression.

구강 악성 흑색종에서 PCNA 발현에 관한 면역조직화학적 연구

황경균,남윤우,이재일,이종호,심광섭,김명진 大韓顎顔面成形再建外科學會 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.6

Malignant melanoma arising from the mucosa of head and neck region was rare and showed poor prognosis. Some of malignant melanoma were transformed from benign melanotic lesion. Malignant melanoma had high cellular proliferation and rapid growth. The percentage of PCNA-positive cell (labeling index) is high in many malignant tumor. So we compared the pattern of PCNA expression in the melanotic lesion. We performed the immunohistochemical study in malignant melanoma(19 cases), benign melanotic macule(24 cases) and normal mucosa(20 cases) were diagnosed in Seoul National University Dental Hospital between 1980 and 2000. Positive PCNA staining was found mainly in malignant melanoma. The mean PCNA expression in malignant melanoma, melanotic macule, normal tissue were 29.2%, 1.4%, 0%, respectively. Significant differences in PCNA expression were noted between malignant melanoma and melanotic macule(p<0.01), normal mucosa(p<0.01). These result suggested that the PCNA expression seems to be used as a diagnostic indicator for malignancy in malignant melanoma and melanotic lesion.

하악골에 발생한 치성골섬유종의 치험례

黃仁大,陳棋烈,金明鎭 대한악안면성형외과학회 1986 대한악안면성형외과학회지 Vol.8 No.1

두개강내 혈종을 동반한 전이성 융모막암종 : 증례보고 Case Report

황수현,이현석,박용규,박인성,김은상,정진명,한종우 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.8

The authors report 2 cases of metastatic choriocarcinoma associated with intracranial hemorrhage One of them had intracranial hemorrhage on the right frontal lobe and the other one developed intracranial hemorrhage and enhancing mass on the parietal lobe revealed by admission brain CT They had rebled intracranially 2 and 3 times respectively. Even though the patients had recieved intracranial decompressive operations. they eventually died of intracranial rebleeding or hemothorax. respectively. These tumors generally occur in women of childbearing age and commonly produce signs and symptoms of subarachnoid hemorrhage, intracerebral hemorrhage or brain tumor Metastatic choriocarcinoma of the brain is a curable lesion. Cure is generally achieved by extirpation of the tumor chemotherapy. and irradiation of the site of the cerebral metastasis. The two cases in this report have been unsuccessful in their management.

정형외과 영역에서 Zenol^(�)의 임상적 효과 판정 및 만성질환에서 Hot 및 Coll type의 비교

황병연,박명식,이준모,송경진,이강욱,허달영 최신의학사 1993 最新醫學 Vol.36 No.2

술후 동통에 대한 케토프로펜 주사의 효능

황병연,박명식,이준모,송경진,이강욱,이승환 최신의학사 1993 最新醫學 Vol.36 No.2

테니스 포핸드시 밀어치기와 때려치기 타법의 운동학적 분석

윤양진,정미라,서국웅,이훈식,황명숙,강영택,윤길환 釜山大學校 附設 體育科學硏究所 1999 體育科學硏究所 論文集 Vol.15 No.-

This study consists in clarifying the meaning of various angles and velocity, and two types of the stroke of a pushing shot and hitting shot through the three-dimensional image analyses among the factors of exercise. To attain the purpose of such studies, the result of experiment and analysis for each of three athletes of boys and girls in high school and three persons in general came to the conclusion as follows; 1. The last motion of a group of A having a command of a follow shot showed greatly, compared with two groups of B and C, and this showed that a group of A took a rectilinear motion greatly to gain power and two group of B and C took a rotary motion greatly to gain speed. 2. A group of A having a command of a pushing shot move body weight forward from behind and give the first consideration to a rectilinear motion, and two groups of B and C having a command of the stroke of hitting shot used the turning of the shoulder and the waist and gave much weight to a rotary motion than a rectilinear one. 3. The position of the hitting point of a group of A having a command of a pushing shot turned out to be the waist, and that of the hitting point of two groups of B and C, the chest, and namely this showed that the position of the hitting point was decided according to the form of the stroke and pictures of various kinds. 4. In impacting, the speed decreased, for the power was controled to keep an accurate timing of stroke just before impacting

Goretex를 이용한 융비술

최진영,민철기,명훈,황순정,서병무,이종호,정필순,김명진 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.4

융비술시 실리콘 고무는 다루기 쉽고 조직 반응이 적어 현대 많이 돌출의 합병증이 생길 수 있다. 저자등은 이러한 실리콘의 단점을 보완할 수 있는 goretex를 사용하여 융비술을 시행하고 비첨에 대해서 자가연골을 이식하여 만족할 만한 결과를 얻었기에 goretex가 안면부 연조직의 증강을 위한 이식재료로 적합하다고 생각되어 문헌고찰과 함께 보고하는 바이다. Many different materials have been used to provide augmentation of the nasal dorsum. this include both autogenous and homogenous materials,as well as allografts. Silicone among the artificial materials has been most widely used. The silicone has some advantages and disadvantages. Goretex(expanded polytetra-fluoroethylene) which has widely used in vascular surgery and abdominal surgery can be used for facial soft tissue augmentation. The author presemts 2 cases of nasal augmentaion using goretex with literature review.

제3형 개방성 경골 골절의 수술적 치료

송경진,신성진,황병연,박명식 대한골절학회 2003 대한골절학회지 Vol.16 No.2

목 적: 저자들은 제3형 개방성 경골 골절로 수술적 치료를 시행한 환자의 결과를 분석하여 이에 대한 치료 지침을 제시하고자 한다. 대상 및 방법: 최근 7년간 본원에서 치료한 환자 42례를 대상으로 하였으며 연령 분포는 15세에서 76세로 남자가 35례, 여자가 7례였으며, 골절의 분류는 Ⅲa형 14례, Ⅲb형 20례, Ⅲc형 8례였다. 최종 기능적 평가는 Tucker의 분류법을 사용하였다. 결 과: 골 유합 기간은 Ⅲa이 9.2개월, Ⅲb형11.0개월, Ⅲc형이 13.8개월이었고 치료 기간 중 회전 피판 이식술과 유리 피판 이식을 시행하였으며 Ⅲc형에서는 골 연장술을 시행하였다. 기능적 평가로는 Ⅲc형로 갈수록 불량하였다 결 론: 비활성 조직의 충분한 제거, 노출 골편의 조기 피복 후 Ⅲa형에서는 골수강내 금속정을 이용한 견고한 내고정으로 좋은 결과를 얻을 수 있고 Ⅲb와, Ⅲc형에서는 외고정 기구를 사용하여 견고한 고정력을 얻을 수 있을 것으로 사료된다. Purpose: The purpose of this study was to analyze the functional outcome and propose the guidelines in the surgical treatment of open type Ⅲ tibial fracture. Materials and Methods: We have analyzed the treatment results of 44 cases; age was ranged from 15 to 76 years, and there were 35 males and 7 females. The type of fracture according to the classification by Gustilo revealed typeⅢa 14 cases, type Ⅲb 20 cases and type Ⅲc in 8 cases. We analyzed functional outcome according to the classification of functional result by Tucker. Results: The average union time of type Ⅲa was 9.2 months, Ⅲb 11.0 months, and Ⅲc was 13.8 months. The rotational flap and free flap were done during treatment and bone lengthening especially in type Ⅲc. Functional results were poor especially in type Ⅲc. Conclusion: Debridgement of devitalized tissue, early soft tissue coverage and sufficient stability using intramedullary nails will be necessary in type Ⅲa fracture. Rigid external fixation, early soft tissue coverage by rotational muscle flap and free flap reduced infection rate with satisfactory functional outcome especially in type Ⅲb and Ⅲc fractures.

HL-60 세포 분화유도증 c-Myc 발현에 대한 세포분화유도제의 영향

이용진,곽상태,김계영,이명선,권기량,임규,황병두 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

Effects of the differentiation inducers on DNA synthesis and c-myc gene expression have been investigated during the differentiation of human promyelocytic leukemia cell line HL-60. All-trans retinoic acid(retinoic acid) and dimethyl sulfoxide(DMSO) decreased DNA synthesis at 24 hours and 12-O-tetradecanoylphorbol 13-acetate(TPA) decreased at 12 hours after exposure, respectively. On the other hand control, no adding differentiation inducers, gradually increased DNA synthesis. The c-myc mRNA was sharply reduced at 24 hours in retinoic acid-, at 4 hours in DMSO-, and at 1 hour in TPA-exposured HL- 60 cells. The level of c-myc mRNAs was reduced in proportion to the concentration in all of three differentiation inducers. The level of c-myc mRNAs in the differentiation inducers-exposured cells were elevated by cycloheximide treatment. These results suggest that c-myc gene expression and differentiation mechanism are variable according to the kinds of the differentiation inducers in HL-60 cells.