1.Two Cases of Seckel Syndrome.
Kyu Chang PARK ; Phil Soo OH ; Jeh Hoon SHIN
Journal of Korean Society of Pediatric Endocrinology 1998;3(2):228-230
Seckel syndrome is a rare, autosomal recessive disorder of severe growth retardation and distinct craniofacial, orodental, and skeletal anomalies. We report hereby the first two Korean cases of typical Seckel syndrome who had characteristic symptoms of intrauterine growth retardation, small head, large eyes, sharp facial features (beaked nose, dysplastic ears and narrow face) with underdeveloped chin, dwarfism, severe mental retardation, and other malformation. We report two cases of Seckel syndrome with a brief review of related literatures.
Chin
;
Dwarfism
;
Ear
;
Fetal Growth Retardation
;
Head
;
Intellectual Disability
;
Nose
2.Comparative Study of Postoperative Analgesic Effect of Morphine According to Timing of Injection.
Sang Wook SHIN ; Chang Gi RHO ; Hae Kyu KIM
Korean Journal of Anesthesiology 1997;33(3):523-528
BACKGROUND: The initiation of treatment seems to be important in provoking preemptive analgesia and to provide excellent postoperative pain control. To verify the effectiveness of postoperative analgesia and preemptive effects, pre-incisional and post-incisional epidural infusion of morphine and bupivacaine mixture were compared. METHODS: Patients scheduled for elective upper abdominal surgery were divided into 2 groups. Each group received 2 mg of morphine in 10 ml of 0.25% bupivacaine as a bolus followed by 0.1 mg/ml/hr of morphine infusion in 0.125% bupivacaine epidurally. In post-incisional group, the epidural injection of mixture was started 15 minutes after skin incision and in pre-incisional group, the epidural infusion of mixture was started 15 minutes before skin incision. Each groups were evaluated in visual analogue scales (VAS) for pain, pain scores in movement, and total administered doses in postoperative 1, 2, 4, 8, 24, 48, and 72 hours and compared with each others. RESULTS: There were no differences between pre-incisional and post-incisional start of continuous epidural mixture infusion of morphine and bupivacaine in VAS for pain, pain scores at movement, and total amount of infused doses for 72 hours postoperatively. Also, there were no differences in the incidence of complications and satisfactions of patients between two groups. CONCLUSIONS: The continuous epidural mixture infusion of morphine 0.1 mg/ml/hr in 0.125% bupivacaine following a bolus dose of 2 mg morphine in 0.25% 10 ml bupivacaine has no difference in postoperative analgesic effect whether it starts after or before surgical incision.
Analgesia
;
Bupivacaine
;
Humans
;
Incidence
;
Injections, Epidural
;
Morphine*
;
Pain, Postoperative
;
Skin
;
Weights and Measures
4.Recovery from Cardiac Arrested Patiens due to Intracardiac Stab Wound by Electric Defibrillator.
Chang Kyu SHIN ; Hyeo Jong BAIK ; Kyu Sub CHUNG
Korean Journal of Anesthesiology 1981;14(1):120-124
Recently, there was improved cardiopulmonary resuscitation in parallel with development of electric defibrillator. This 18-year-old male arrived at our hospital emergency room in shock state about 1 hour after trauma. Cardiac arrest was occurred at operating table. Promptly, open thoracotomy was performed under endotracheal intubation. There was found left ventricular laceration about 3cm in length, therefore primary closure of lacerated ventricle was done and open cardiac message, too. But ventricular fibrillation was remained. Myocardial fibrillation was disappeared after operation of defibrillator internally at 20 W/sec and 40 W/sec for 30 minutes. Thereafter, operation was finished successfully. This patient was admitted in our hospital for 32 days and discharged.
Adolescent
;
Cardiopulmonary Resuscitation
;
Defibrillators*
;
Emergency Service, Hospital
;
Heart Arrest*
;
Humans
;
Intubation, Intratracheal
;
Lacerations
;
Male
;
Operating Tables
;
Shock
;
Thoracotomy
;
Ventricular Fibrillation
;
Wounds, Stab*
5.A Clinical Study of Hyperbaric Oxygenation Therapy .
Yong Suk KIM ; Chang Kyu SHIN ; Kyu Sub JEONG
Korean Journal of Anesthesiology 1978;11(4):371-376
Authors observed the 242 patients who were treated with hyperbaric oxygenation therapy from September, 1972 to May, 1978 at our department of B.N.U.H. The results were as follows. 1) Sex distribution was 106 male and 136 female, and the age group was between 10 and 39 year old, which occupied 71. l% of the total cases (172 cases). 2) With regard to distribution by month, 206 cases were in November to April, using coal briquette as the main fuel of heating systems. 3) The patients with CO intoxication were 232 cases(95. 9%) and the other 10 cases included Buergers disease, gas gangrene, sudden deafness and uncommon dermatologic disorder's such as scleroderma and pyoderma gangrenosum. 4) 188 cases(77. 7%) were treated by one time hyperbaric oxygenation therapy and 30 cases(12. 4%) twice, reflecting that most cases were able to be treated only once or twice by hyperbaric oxygenation therapy. Therapy 10 to 49 times was applied to Buerger's disease and sudden deafness, and over 50 times to 2 cases of dermatologic disorders. 5) We could not notice convulsion due to oxygen toxicity, a complication of hyperbaric oxygenation, but tinnitus and aspiration pneumonia were observed in 6 cases(2. 5%).
Clinical Study*
;
Coal
;
Female
;
Gas Gangrene
;
Hearing Loss, Sudden
;
Heating
;
Hot Temperature
;
Humans
;
Hyperbaric Oxygenation*
;
Male
;
Oxygen
;
Pneumonia, Aspiration
;
Pyoderma Gangrenosum
;
Seizures
;
Sex Distribution
;
Thromboangiitis Obliterans
;
Tinnitus
6.A Study on Expression of Cytokeratins in Various Cutaneous Epithelial Tumors.
Kwang Hyun CHO ; Kyu Han KIM ; Seung Ho CHANG ; Yoo Shin LEE ; Eui Keun HAM
Korean Journal of Dermatology 1990;28(5):565-574
No abstract available.
Keratins*
7.Alternating non-cross-resistant chemotherapy with CAV(cyclophosphamide, adriamycin, vincristine) and EP(etoposide, cisplatin) in small cell lung cancer.
Chang Hak SOHN ; Bong Choon LEE ; Hyoung Kyu SHIN ; Key Jung CHO
Journal of the Korean Cancer Association 1992;24(4):570-576
No abstract available.
Doxorubicin*
;
Drug Therapy*
;
Small Cell Lung Carcinoma*
8.Efficacy of Intrathecal Fentanyl for Tourniquet Pain during Spinal Anesthesia with Hyperbaric Bupivacaine.
Hee Sung YANG ; Seung Yong LEE ; Young Choo KIM ; Suk Bong JUN ; Chang Kyu SHIN
Korean Journal of Anesthesiology 1997;33(4):681-685
BACKGROUND: Tourniquet pain is probably mediated by C-fiber. The ability of fentanyl to interrupt this nociceptive conduction was studied by administering either fentanyl or saline intrathecally along with hyperbaric bupivacaine for spinal anesthesia. METHOD: The incidence of tourniquet pain was evaluated in 60 patients having orthopedic surgery of the lower extremities during spinal anesthesia by administering either 30 mcg fentanyl (group 2) or saline (group 1) along with 0.5% hyperbaric bupivacaine 10 mg. We measured the maximal sensory spread of analgesia to pinprick, the incidence of tourniquet pain, and the sensory anesthesia to pinprick at the onset of tourniquet pain. RESULTS: The average maximal sensory spread of analgesia was the same in both groups (T9). The incidence of tourniquet pain was significantly greater in group 1 (33%) than in group 2 (10%). The sensory levels of anesthesia at the onset of tourniquet pain were not different in two groups. CONCLUSIONS: Intrathecal fentanyl was effective against tourniquet pain for 2 hours of the orthopedic surgery of the lower extremities.
Analgesia
;
Anesthesia
;
Anesthesia, Spinal*
;
Bupivacaine*
;
Fentanyl*
;
Humans
;
Incidence
;
Lower Extremity
;
Orthopedics
;
Tourniquets*
9.CT and MR findings of primitive neuroectodermal tumor.
Shin Ho KOOK ; In One KIM ; Kee Hyun CHANG ; Moon Hee HAN ; Byung Kyu CHO
Journal of the Korean Radiological Society 1991;27(4):503-508
No abstract available.
Neuroectodermal Tumors, Primitive*
10.Clinical significance of RDW in childhood microcytic hypochromic anemia.
Moon Kyu KIM ; Shin Heh KANG ; Chang Hyun YANG ; Kir Young KIM
Korean Journal of Hematology 1991;26(1):51-57
No abstract available.
Anemia, Hypochromic*