The purpose of this clinical study was to evaluate the postoperative pulmonary function and ventilatory reserve in patients over 60 years of age. The author analysed 40 anesthetic patients who underwent abdominal surgery at the Department of Anesthesiology of Pusan National Universtiy Hospital from Mach 1, 1987 through July 31, 1988. Only those patients who have had normal or nearly normal cardiopulmonary function were selected and those who developed postoperative pulmonary complications were excluded from the study. The results were as follows: 1) On the first postoperative day, the FVC of the upper abdominal surgery group was 44% of the preoperative value, 2.84+/-0.68 1/sec, and that of the lower abdominal surgery group was 64% of the preoperative value, 2.84+/-0.36 1/sec, (p<0.001). 2) On the first postoperative day, the FEVI of the upper abdominal surgery group was 37% of the preoperative value, 2.24+/-0.64 1/sec, and that of the lower abdominal surgery group was 51% of the preoperative value, 2.43+/-0.31 1/sec, (p<0..01). 3) On the first postoperative day, the MMEF of the upper abdominal surgery group was 55% of the preoperative value, 2.50+/-0.36 1/sec, and that of the lower abdominal surgery group was 75% of the preoperative value, 2.55+/-0.71 1/sec, (p<0.001). 4) The preoperative FEVI/FVC ratio of the upper abdominal surgery group was 79%, and that of the lower abdominal surgery group was 84%. In the postoperative period, there were no significant differences between the upper and lower abdominal surgery group. 5) In the upper and lower abdominal surgery group, postoperative pH and PaCO2 values were found to be changed insignificantly. 6) In the upper and lower abdominal surgery groups, postoperative PaO2 values were found to be decreased significantly(p<0.05).
Anesthesiology ; Busan ; Humans ; Hydrogen-Ion Concentration ; Postoperative Period ; Respiratory Function Tests

Neonatal hemochromatosis (NH) is a severe neonatal liver injury that is confirmed by extra-hepatic iron accumulation. Although a recent study described treating NH with exchange transfusions and intravenous immunoglobulin, liver transplantation should be considered for patients with severe liver failure that does not respond to other medical treatment. Herein, we report the case of a two-month-old female infant who presented with persistent ascites and hyperbilirubinemia. Her laboratory findings demonstrated severe coagulopathy, high indirect and direct bilirubin levels, and high ferritin levels. Abdominal magnetic resonance imaging presented low signal intensity in the liver on T2-weighted images, suggesting iron deposition. The infant was diagnosed with NH as a result of the clinical findings and after congenital infection and metabolic diseases were excluded. The infant was successfully treated with a living-donor liver transplantation. Living related liver transplantation should be considered as a treatment option for NH in infants.
Ascites ; Bilirubin ; Female ; Ferritins ; Hemochromatosis* ; Humans ; Hyperbilirubinemia ; Immunoglobulins ; Infant* ; Iron ; Liver Failure ; Liver Transplantation* ; Liver* ; Magnetic Resonance Imaging ; Metabolic Diseases