1.A case of paroxysmal supraventricular tachycardia concomitantly occurred in an infantile asthmatic.
Phil Soo OH ; Nam Su KIM ; Ha Baik LEE
Pediatric Allergy and Respiratory Disease 1993;3(2):151-157
No abstract available.
Tachycardia, Supraventricular*
2.Diagnosis of Thoracic Lesions in Children by Fine Needle Aspiration Biopsy.
Dong Nam KIM ; Nam Su KIM ; Hahng LEE ; Jong Sung KIM ; Suk Chul JEON
Journal of the Korean Pediatric Society 1994;37(11):1559-1564
To elucidate the clinical avaiability of FNAB, we reviewed retrospectively medical records of 30 patients who had infiltrative pulmonary lesion or pulmonary nodule or mediastinal mass, and got percutaneous fine needle aspiration biopsy using Westcott needle, 20~22 gauge, at the department of Pediatrics, Hanyang university hospital from July, 1986 to June, 1993. The obtained results were as follows: 1) There were 30 patients, aged 6 months to 15 years. 2) There were 17 male patients and 13 female patients with sex ratio of 1.3:1 3) Among 30 cases, we discovered 16 cases of infiltrative lesions, 7 cases of pulmonary nodules and 7 cases of mediastinal mass lesions. In mediastinal there were 4 cases of anterior mediastinum and 3 cases of posterior mediastinum. 4) Overall success rate on fine needle aspiration biopsy was 60% (18/30). The success rate was 50% (8/16) in infiltrative lesions, 50% (8/15) in pulmonary nodules and 71% (5/7) in mediastinal mass lesions, respectively. 5) Eight infiltrative lesione were diagnosed as Pneumocystis carinii pneumonia. Five pulmonary nodules were diagnosed as aspergillosis (2 cases), tuberculosis (1 case), mucormycosis (1 case), lung metastasis of metastasis of neuroblastoma (1 case). Five mediastinal mass lesions were diagnosed as teratoma (2 cases), lymphoma (1 case), malignant neurogenic tumor (1 case), ganglioneuroblastoma (1 case). 6) The complications occured in 20% (6 cases) among 30 procedures. All cases were due to pneumothorax: 3 cases spontaneously resolved, and 3 cases needed chest tube insertion. There were no death related with this procedures.
Aspergillosis
;
Biopsy*
;
Biopsy, Fine-Needle*
;
Chest Tubes
;
Child*
;
Diagnosis*
;
Female
;
Ganglioneuroblastoma
;
Humans
;
Lung
;
Lymphoma
;
Male
;
Mediastinum
;
Medical Records
;
Mucormycosis
;
Needles
;
Neoplasm Metastasis
;
Neuroblastoma
;
Pediatrics
;
Pneumonia, Pneumocystis
;
Pneumothorax
;
Retrospective Studies
;
Sex Ratio
;
Teratoma
;
Tuberculosis
3.Comparative Study about the Therapeutic Effect between Single and Five-Day Administration of Gammaglobulin in Kawasaki Disease.
Seong Yeob MOON ; Nam Su KIM ; Ha Baik LEE ; Hahang LEE
Korean Circulation Journal 1994;24(1):77-85
This study was designed to evaluate the therapeutic effect between single(A group) and five-day(B group) administration of IV gammaglobulin in the patients with Kawasaki disease from June 1987 to September 1993, who were admitted to the Department of Pediatrcs, Hanyang University College of Medicine. The clinical and echocardiographic results were as follows. 1) Of 90 cases, 40 cases belong to A group, and 50 cases to B group. The ratio of male to female was 2.60 : 1, and 85% of A group and 76% of B group was under the age of 3 years. 2) In 90% of A group and 88% of B group, peak level of platelet count was above 400,000.mm3, and as a whole peak level of platelet in 88.9% above 400,000/mm3. 3) Complications in S group were hepatitis(22.5%), coronary arterial involvement(12.5%), and gall bladder hydrops(7.5%), and in B group hepatitis(26%), gall bladder hydrops(18%), coronary arterial involvement(12%), pericardial effusion(4%), and meningitis(2%). 4) All 5 cases with mild coronary arterial dilatation in a group had improved in follow up echocardiography after 6 months. And in B group, 5 of 6 cases with coronary arterial involvement had improved, but coronary pathology in one case with large coronary aneurysm sustained after 2 years. In conclusion, we could not find the significant difference in reduction of the duration of illness or the coronary arterial disease between two groups, but we recommend single intravenous infusion of gammaglobulin as soon as possible to prevent severe coronary arterial disease.
Blood Platelets
;
Coronary Aneurysm
;
Dilatation
;
Echocardiography
;
Female
;
Follow-Up Studies
;
Humans
;
Infusions, Intravenous
;
Male
;
Mucocutaneous Lymph Node Syndrome*
;
Pathology
;
Platelet Count
;
Urinary Bladder
4.Xanthoma of the achilles tendon.
Chan Soo PARK ; Kang Hyun LEE ; Myung Ku KIM ; Su Nam LEE ; Jae Woo RYUH
The Journal of the Korean Orthopaedic Association 1991;26(1):1-5
No abstract available.
Achilles Tendon*
;
Xanthomatosis*
5.A Study of Factor XII Deficiency in Recurrent Spontaneous Abortion.
Yoon Sung NAM ; Nam Keun KIM ; Su Man LEE ; Myung Seo KANG ; Doyeon OH ; Kwang Yul CHA
Korean Journal of Fertility and Sterility 2001;28(3):209-214
OBJECTIVE: To evaluate factor XII deficiency in patients with recurrent spontaneous abortion and its relation to aPTT. MATERIAL AND METHOD: Factor XII was analyzed by clotting method. RESULTS: Of 70 patients with recurrent spontaneous abortion, there were 35 cases of factor XII deficiency. Among them, there were only 3 cases of prolonged aPTT. CONCLUSIONS: It is still unclear whether factor XII deficiency is related to recurrent spontaneous abortion. Molecular approaches should be used to understand further the causal relationship. But based on this result, in the workup of patients with recurrent spontaneous abortion, factor XII should be included. aPTT is not likely to represent the abnormality of factor XII.
Abortion, Spontaneous*
;
Factor XII Deficiency*
;
Factor XII*
;
Female
;
Humans
;
Pregnancy
7.The Usefulness of Computed Tomography for Patients with Equivocal Acute Appendicitis.
Min Su KIM ; Kang Hong LEE ; Young Su NAM
Journal of the Korean Surgical Society 2007;73(2):151-155
PURPOSE: We wanted to determine the usefulness of computed tomography (CT) for patients with clinically-suspected but equivocal acute appendicitis, and we wanted to evaluate the differences of the sensitivity and specificity of CT according to the period of time from onset of the signs and symptoms to the performance of CT. METHODS: A retrospective study was done on 273 patients who visited our hospital for acute abdominal pain from Jan. 2003 to Dec. 2005, and they could not be excluded as suffering from acute appendicitis by their symptoms nor signs. RESULTS: Forty-three (15.8%) of the 273 patients did not undergo operation because their condition was not diagnosed as acute appendicitis and 190 patients were diagnosed as acute appendicitis by CT. The other 40 patients underwent diagnostic laparotomy because acute appendicitis could not be confirmed and any other diagnosis could not be made. The patients were classified into 6 groups according to the period of time from the onset of symptoms and signs to the performance of CT. The sensitivity of CT after 48 hours was statistically significantly increased as compared to performing CT before 48 hours (92.3% vs. 75.8%, respectively; P=0.023). CONCLUSION: Forty-three (15.8%) of the patients with clinically- suspected but equivocal acute appendicitis avoided unnecessary laparotomy by undergoing CT. The sensitivity was increased for diagnosing acute appendicitis by CT when it was performed after 48 hours from the onset of symptoms and signs, but caution may be needed during interpretation because of the false positives (2 patients;4.7%) could due to secondary change of other diseases
Abdominal Pain
;
Appendicitis*
;
Diagnosis
;
Humans
;
Laparotomy
;
Retrospective Studies
;
Sensitivity and Specificity
8.Percutaneous Transluminal Balloon Valvuloplasty for Congenital Pulmonary Valve Stenosis.
Heung Jae LEE ; Jae Kon KO ; Woong Heum KIM ; Nam Su KIM ; Chang yee HONG
Journal of the Korean Pediatric Society 1988;31(7):822-832
No abstract available.
Balloon Valvuloplasty*
;
Pulmonary Valve Stenosis*
;
Pulmonary Valve*
9.Efficacy of Additive Trans-cuff Augmentation Sutures for Proximal Humeral Fractures Stabilized by Locking Plates in Elderly Patients.
Nam Su CHO ; Hee Seok SHIM ; Sang Hyeon LEE ; Jong Wook JEON ; Yong Girl RHEE
Clinics in Shoulder and Elbow 2015;18(2):68-74
BACKGROUND: The purpose of our study was to evaluate the functional and radiologic outcomes of additive augmentation sutures through rotator cuff for proximal humeral fractures stabilized locking plate in elderly patients. METHODS: We enrolled 74 patients over the age of 60 years who received internal fixation using locking plates for proximal humeral fractures. Of these, 50 patients had additive augmentation sutures through rotator cuff. The mean age at the time of surgery was 72.1 years (range, 60-89 years), and the mean follow-up period was 17.5 months (range, 12-62 months). The humeral neck-shaft angle and humeral head height were used as radiological markers to assess the effect of additive augmentation sutures through rotator cuff. We allocated the patients who received additive augmentation sutures into group A and those who did not into group B. RESULTS: At the final follow-up, the mean Korean Showlder Society score and Constant scores were 88.96 +/- 12.1 and 86.6 +/- 11.9, respectively, in group A and 86.21 +/- 11.8 and 85.3 +/- 11.7, respectively, in group B (p=0.368, 0.271). At the final follow-up, the mean loss in humeral neck-shaft angle from the time of immediate postoperative measurement was 1.6degrees in group A and 4.8degrees in group B, whereas the mean loss in humeral head height was 0.82 mm in group A and 0.52 mm in group B (p=0.029, 0.178). CONCLUSIONS: The surgical outcomes of internal fixation using locking plates for proximal humeral fractures were clinically and radiologically good in elderly patients over the age of 60 years without any observable complications. Further, the loss of humeral head shaft angle at the final follow-up from its initial postoperative measurement was significantly smaller in patients who received an additive augmentation suture than in those who did not. Thus, we conclude that augmentation sutures are a beneficial option for elderly patients that clinicians can consider at the time of surgical decision making.
Aged*
;
Decision Making
;
Follow-Up Studies
;
Humans
;
Humeral Head
;
Rotator Cuff
;
Shoulder Fractures*
;
Sutures*
10.Effects of High-Dose Atracurium on the Cardiovascular Response and Histamine Release during Induction of Anesthesia.
Hee Jung BAIK ; Su Nam LEE ; Kiu Sam KIM
Korean Journal of Anesthesiology 1995;29(2):238-243
To compare the effects of atracurium, 0.75 mg/kg, on the mean arterial pressures, heart rates and plasma histamine levels under 2%-enflurane inhalation with mask, 24 patients were allocated randomly into two groups; one(Group I, n=12) which atracurium was administered with rapid bolus injection for 5 seconds and the other(Group II, n=12) with the slow injection for 75 seconds. In both groups, there are the most significant decreases and the recovery in mean arterial pressure 1~2 min and 5 min after atracurium, respectively, Group I showed a significant decrease of mean arterial pressure about 10% more than Group II. In heart rate, there are the significant decreases gradually to 87~88% of control 5 min after atracurium in both graups except the only significant increase(104%) 1 min after atracurium in Group I. And Group I showed a significant increase(200%) in plasma histamine concentration (p< 0.05) 2 min after injection than before, but Group II did no significant change. In conclusion, the slow injection of atracurium over 75s during induction of anesthesia can attenuate the histamine-induced cardiovascular response.
Anesthesia*
;
Arterial Pressure
;
Atracurium*
;
Heart Rate
;
Histamine Release*
;
Histamine*
;
Humans
;
Inhalation
;
Masks
;
Plasma