No abstract available.
Constriction, Pathologic ; Stents

Two cases of epidermal nevi treated with systemic etretinate are presented. Case 1, a 21-year-old female, had been suffered from brownish verrucous papules and plaques on the left inguinal area, thigh, lower leg and dorsum of the foot since her first month of life; and case 2, a 4-year-old boy, had been suffered from brownish verrucous papular plaques on the left chest, axilla and back since birth. In both cases, there was no family history of similar disease. On histopathological examination, case 1 showed the findings of epidermolytic. hyperkeratosis but case 2 did not, with the exception of clumping of keratohyaline granules. In the treatment with systemic etretinate, we observed marked clinical improvement in case 1, but not in case 2. Any particular side effects of etretinate were not observed during treatment. We consider that etretinate therapy is useful in treating epidermal nevus with epidermolytic hyperkeratosis histopathologically.
Acitretin* ; Axilla ; Child, Preschool ; Etretinate* ; Female ; Foot ; Humans ; Hyperkeratosis, Epidermolytic ; Leg ; Male ; Nevus* ; Parturition ; Thigh ; Thorax ; Young Adult

To confirm the effects of atropine and neostigmine on heart rate in balanced anesthesia with tramadol (Tridol) two groups of patients who were included in class I by A.S.A. classification were studied. In group I, only atropine(1.0 mg) was given to 8 patients at the end of operation. Group 2, a mixture of atropine(1. 0 mg) and neostigmine (2.0 mg) was given to 16 patients under the same condition as group 1. The heart rate was checked every 15 seconds for 10 minntes in each group. The results were as followes:1) In group 1, about 16% increase in heart rate was manifested at 11/4 minutes after injection. After that the was no significant change in heart rate. 2) In group 2, about 19% increase in heart rate was observed at 1 minute after injection. After that 28% decrease in heart rate was noted 6 minutes after injection. After that there was no significant change in heart rate. 3) There was no significant difference between the two groups at 1 minute after injection. 4) When a mixture of atropine and neostigmine was given, atropine effect appeared earlier than neostigmine. Therefore if a mixture of atropine and neostigmine is used, we don't need to inject it very slowly in anticipation of bradycardia.5) Even though the IV route is uncertain, neostigmine triggered bradycardia can be controlled by using it mixed with atropine. because shortly after infection of the mixture no bradycardia occurs, the operator has sufficient time to correct it should it be set in later.
Atropine* ; Balanced Anesthesia ; Bradycardia ; Classification ; Heart Rate* ; Heart* ; Humans ; Neostigmine* ; Tramadol

No abstract available.

82 patients who had not specific disturbed conditions, were examined potassium metabolism with various surgical stress in pre-and post-anesthesia. Author determines degrees of surgical stress by factors of surgical duration and estimated blood loss. And measured potassium concentration, pH, pCO2, pO2 and osomlarity in serum on pre-and post-anestbetic pericd, with excreted urinary potassium during surgery. The results are followed; 1) The plasma potassium concentration was more decreased following severer surgical stress. 2) Uninary potassium concentration and amount were more increased following severer surgical stress. 3) The pathophysiology of potassium disturbance with surgical stress was asociated by increased secretion of mineralocorticoid and anti-diuretic hormone. 4) After post-anesthesia, patients with severe surgical stress should be measured serum potassium concentration and corrected.

A relationship between preceding acute paralytic poliomyelitis and the later development of motor neuron disease has only occasionally been suggested since it was first postulated by Charcot in 1875. The authors recently experienced a 20-year-old male who was considered to have postpoliomyelitis muscular atrophy. We report this case in view of its rarity and necessity of differential diagnosis from other neuromuscular disorders. Clinical presentation included slowly progressive muscle wasting of left thigh for 4 years, mild weakness of left arm and both thigh, intermittent fasciculation, and previous history of acute paralytic poliomyelitis. Electromyographic findings showed fibrillation potentials, positive sharp waves, fasciculations, giant motor unit potentials and reduced interference patterns. Muscle biopsy revealed scattered small angulated fibers, individual myofiber degeneration and mild inflammatory cell infiltration.
Arm ; Biopsy ; Diagnosis, Differential ; Fasciculation ; Humans ; Male ; Motor Neuron Disease ; Poliomyelitis ; Postpoliomyelitis Syndrome* ; Thigh ; Young Adult

Familial adenomatous polyposis (FAP) is an hereditary autosomal dominant disease characterized by development of hundreds to thousands of adenomatous polyps in the colon and rectum. The common symptoms are bloody stool, diarrhea, and abdominal pain. The average age at onset of symptoms is 33 years. Because of inevitable progression to malignancy, it is necessary to remove the entire colonic and rectal mucosa. Current surgical options are total proctocolectomy with permanent ileostomy, trans-abdominal colectomy with ileorectal anastomosis (IRA), and restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA). Recently IPAA can give optimum control of colorectal polyposis in FAP patients with an acceptable incidence of postoperative complications and satisfactory functional results. We experienced one case of FAP who had malignacy in the remained rectum after subtotal colectomy. IPAA was done and the result was satisfactory.
Abdominal Pain ; Adenomatous Polyposis Coli* ; Adenomatous Polyps ; Colectomy* ; Colon ; Diarrhea ; Humans ; Ileostomy ; Incidence ; Mucous Membrane ; Postoperative Complications ; Proctocolectomy, Restorative ; Rectum*

No abstract available.
Dermatitis, Contact*

Tramadol(Tridol) was developed by Grunenthal GmbH as a new non-narcotic analgesic agent. It was used as a new anesthetic agent by Stoffregen who works in Hage, West Germany, instead of neurolept-anesthetics which make sometimes cause severe post-anesthetic respiratory insufficiency. From September to December 1982, 40 cases of balanced anesthesia with controlled tramadol infusion were performed at Chung Ang Univ. Hospital. The anesthetic results were compared with 72 cases of halothane anesthesia: 1) During anesthetic induction, changes of systolic blood pressure were similar in both 2 groups, but the heart rate was stabler in the tramsdol group. 2) Tramadol has little effect on muscular relaxation. 3) Tramadol anesthesia has very rapid post-anesthetic consciousness recovery time and this little respiratory depression. 4) Post-operative pain was minor in tramadol anesthesia compared to neurolept-anesthesia. 5) The technique of use was very simple, safe and economically cheap in balanced anesthesia with controlled tramadol-infusion.
Anesthesia ; Balanced Anesthesia* ; Blood Pressure ; Consciousness ; Germany ; Halothane ; Heart Rate ; Relaxation ; Respiratory Insufficiency ; Tramadol

The management of subtrochanteric fracture of the femur is one of the most difficult problems. Subtrochanteric area is predominantly composed of cortical bone and highly concentrating portion of stress. So, there is high incidence of Complication after treatment of subtrochanteric fractures. The results were as follows :l. Of 56 cases, 45 occurred in male, 11 in female. 2. The fractures occured mainly between 20 to 40 years of age(55.4%) and mean age was 41.4 years. 3. The most common cause of fracture was traffic accident.(67.9%) 4. According to the Seinsheimer classification, 16 cases were type IIb(most common), 13 type IIIa and 9 type IIIb. 5. 49 cases with treated wutg open reduction and internal fixation and 7 cases conservatively. 6. The average weight bearing time was 14.0 weeks; 13 weeks in operatively treated group and 18.3 week in conservative group. 7. Radiological union was obtained in average 25.1 weeks ; shortest group was type IIc(16 weeks) and longest group was type IV(30 weeks). 8. Complication were as follows; 8 cases of delayed union, 3 nonunion, 4 metallic failures, 7 varus deformities and 1 nail migration. 9. In the cases treated by Judet plate or compression hip screw, there was no complications and relatively short duration of bony union than other implants. So, they are one of the good implant for the treatment of subtrochanteric fracture of the femur.
Classification ; Congenital Abnormalities ; Female ; Femur ; Hip ; Hip Fractures ; Humans ; Incidence ; Male ; Weight-Bearing