From July 1988, open heart surgery was performed on fifty adults utilizing the pulmonary artery vent instead of conventional venting methods. The open heart procedures included were twenty coronary artery bypass grafitings(CABG), ten mitral valve replacements(MVR), ten aortic aneurysms(DA), and three ventricular septal defects(VSD). To determine the effectiveness of the pulmonary artery venting, non-cardiotomy procedures(CABGs') were classified into satisfactory, ordinary and poor group in terms of the degree of chamber dilatation throughtout the entire period of the operation. Again, cardiotomy procedures were categorized as degree 0, I, II, III and IV according to the clearness of the operative fields. Out of the twenty non-cardiotomy procedures, 17 cases(85%) were fallen into the satisfactory group, while the remained three cases into ordinary group. The degree of satisfaction, in cardiotomy procedures, was III or IV in patients having mitral valve replacement, aortic valve replacement, double valve replacement or dissecting aneurysm repair, and it was I or II in patients having ventricular septal defect repair, on the other hand. There was neither bleeding complication nor stenosis on the vent site. There was only one suspicious perfusion defect on routine postoperative perfusion lung scan. The study demonstrated that venting the pulmonary artery was very helpful in most of the procedures, because it was easy to reach, removal of the vent cannula was safe and simple and complications were trivial.
Adult ; Aneurysm, Dissecting ; Aortic Valve ; Catheters ; Constriction, Pathologic ; Coronary Artery Bypass ; Dilatation ; Hand ; Heart ; Heart Septal Defects, Ventricular ; Hemorrhage ; Humans ; Lung ; Mitral Valve ; Perfusion ; Pulmonary Artery* ; Thoracic Surgery

The clinical effect of etafenone on 12 cases of angina pectoris(9 males and 3 females with average age of 58.3 years) were studied and following results were obtained: 1. Anginal chest pains were improved after average 9 days (3~15 days) of medication and the dreug was very effective in 41.7%, moderately effective in 33.3% and slightly effective in 25.0% of cases. 2. The ST segment depression of E.C.G. were reduced in 50.0%, improvement of T waves inversion or enlargement of T waves were observed in 66.7% and E.C.G. improvement either ST segment or T wave observed in 75.0% of cases. 3. No side reactions such as hypotension, palpitation, dizziness, headache or gastrointestinal disturbances were seen during the treatement with etafenone.
Angina Pectoris* ; Chest Pain ; Depression ; Dizziness ; Female ; Headache ; Humans ; Hypotension ; Male

The clinical effect of etafenone on 12 cases of angina pectoris(9 males and 3 females with average age of 58.3 years) were studied and following results were obtained: 1. Anginal chest pains were improved after average 9 days (3~15 days) of medication and the dreug was very effective in 41.7%, moderately effective in 33.3% and slightly effective in 25.0% of cases. 2. The ST segment depression of E.C.G. were reduced in 50.0%, improvement of T waves inversion or enlargement of T waves were observed in 66.7% and E.C.G. improvement either ST segment or T wave observed in 75.0% of cases. 3. No side reactions such as hypotension, palpitation, dizziness, headache or gastrointestinal disturbances were seen during the treatement with etafenone.
Angina Pectoris* ; Chest Pain ; Depression ; Dizziness ; Female ; Headache ; Humans ; Hypotension ; Male

STUDY DESIGN: We analysed the pre-vertebral soft tissue measurements in cervical spine trauma patients. OBJECTIVES: We tried to determine the sensitivity and specificity of soft tissue measurements in patients with radiographically proven cervical spine fracture and to investigate the diagnostic value of the measurements. SUMMARY OF LITERATURE REVIEW: Widening of the pre-vertebral soft tissue is a well recognized sign in injury of the cervical spine. But the diagnostic value of this widening is still controversial. MATERIALS AND METHODS: Width of the prevertebral soft tissue on lateral cervical spine radiographs was measured for 52 patients with a history of cervical spine trauma and for 53 patients complaining of cervical discomfort without a history of trauma. As a normal Korean adult standard, 7mm at C2 level, 8mm at C3 level, and 16mm at C6 level were considered the upper limit. Width of the prevertebral soft tissue was measured as a distance between antero-inferior margin of the body of cervical spine and the most posterior border of the larynx and trachea. RESULTS: A C2 prevertebral soft tissue measurement of more than 7mm had a sensitivity of 35% and a specificity of 86%. A C3 measurement of more than 8mm had a sensitivity of 35% and a specificity of 72%. A C6 measurement of more than 16mm had a sensitivity of 30% and a specificity of 80%. CONCLUSIONS: The prevertebral soft tissue measurement seems to be of limited diagnostic value. Further study may be required to determine more acceptable limits of normal cervical spine measurement in Korean population.
Adult ; Humans ; Larynx ; Sensitivity and Specificity ; Spine* ; Trachea

Author analysed ECG records of conventional 12 leads of 240 healthy persons (120 males and 120 females of 15-90 years of age) to evaluate the cardiac changes with advancing age and following results were obtained; 1. P-R intervals were not changed significantly with advancing age. The QT, Q-aT, Q-aU, and Q-U intervals were prolonged with advancing age and they were marked in male than female. 2. Mean QRS axis were shifted to the left with advancing age and these were more distinct in male than female. Mean P axis and mean T axis were not changed appreciably with advancing age. 3. The incidences of ECG position of vertical and semivertical heart position were decrease with advancing age and intermediate, horizontal and semihorizontal heart position were increased with advancing age. 4. The transitional zone of precordial leads were not changed with advancing age.
Aging* ; Axis, Cervical Vertebra* ; Electrocardiography* ; Female ; Heart* ; Humans ; Incidence ; Male

No abstract available.
Escherichia coli* ; Escherichia*

No abstract available.
Ambulatory Care Facilities* ; Humans ; Outpatients* ; Pharynx*

No abstract available.
Citrobacter* ; Enterobacter*

We report a case of focal eosinophilic myositis of the frontalis muscle in a 38-year-old man. The skin lesion was a single firm flesh-colored swollen lesion measuring 1×1.5 cm in size on the right forehead. The biopsy revealed inflammatory infiltrates composed of mainly eosinophils and a few lymphocytes in the muscles. The skin lesion subsided with intralesional injections of triamcinolone acetonide, 5 mg/ml.
Adult ; Biopsy ; Eosinophils* ; Forehead ; Humans ; Injections, Intralesional ; Lymphocytes ; Muscles ; Myositis* ; Skin ; Triamcinolone Acetonide

In normal hurnan dermis, factor XIIIa positive dermal dendrocyte are located in the papillary areas closely associated with blood vessels and the upper reticular dem These cells represent a specific type of bone marrow derived dermal cells, distinct from Langerhans cells having some features in common with rnonocyte/macrophage lineage and with potential antier presenting activity. Although the significance of these cells has not yet been fully established, it been suggested that they play a major role in skin immune iesponses, in collagen synsthesis regultic and in wound repair. We report a case of acaqired fibrokeratoma which is studiec conventional histopathology and immunohistochemistry. Histopathologic findings of this case showed ovascular proliferation and the increased presence of fibroblast like cells as a common fe;ture of these benign tumors. Immunohistochemical staining with anti factor XIIIa antibody deiaoi strates increased numbera of positive dendritic cells in the upper dermis. There finding supports the fat that some fibroblagt like cells in the upper dermis of acquireid fibrokeratoma may be factor XIIIa positive dermal dendritic cells.
Blood Vessels ; Bone Marrow ; Collagen ; Dendritic Cells ; Dermis ; Factor XIIIa* ; Fibroblasts ; Immunohistochemistry ; Langerhans Cells ; Skin ; Wounds and Injuries