• Title/Summary/Keyword: 교통사고환자

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Clinical-Case Study on a Patient with Organic Mental Disorder after Head Trauma Caused by Traffic Accident (교통사고로 인한 외상 후 기질성 정신장애 환자 치험 1례)

  • Seo, Sang-Il;Kim, Nam-Yeol;Kim, Dae-Hwan;Koo, Byung-Su;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.3
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    • pp.307-318
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    • 2015
  • Objectives: This study evaluated the effect of oriental treatments and rehabilitation on a patient with organic mental disorder after head trauma caused by traffic accident. Methods: We treated the patient with acupuncture, herb-medication, oriental psychotherapy, and rehabilitation. MMSE-K, BDI, K-MBI, FIM were evaluated before and after treatment. Results: The results indicated that MMSE-K was maintained at 27 points; BDI was reduced from 16 points to 5 points; K-MBI was increased from 75 points to 99 points; and FIM was increased from 86 points to 115 points. Furthermore, the treatment resulted in reduced mental symptoms and improved work capacity. Conclusions: Oriental medical treatment has potential validity in improving symptoms of organic mental disorder.

Changes of quality of life and subjective stress after the oriental medicine treatment, among the patinets who had visited hospital due to traffic accidents (교통사고로 내원한 환자의 한방치료 전후의 삶의 질과 주관적 스트레스 변화)

  • Han, Chang;Park, Jong-Hoon;Lee, Jin-Hyuck;Min, Kwan-Sik;Han, Kyung-Wan
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.2
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    • pp.17-28
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    • 2010
  • Objectives : This study is to evaluate the quality of life and amount of stress after the treatment among the patients who visited hospital due to traffic accident. Methods : We evaluated 40 patients who have been treated by western medicine for 3 months but showed no improvements. We surveyed VNRS, SF-36 and IES-R-K scores before treatment began and treated patients twice a week for 4 weeks with acupuncture, chuna theraphy, herbal medicine. After 4 weeks of treatment, we surveyed VNRS, SF-36 and IES-R-K scores again and compared with the scores of before treatment. Results : VNRS score and SF-36 scale and IES-R-K scale showed significant improvement after the treatment, compared to the treatment before. Conclusions : The amount of pain and stress, physical condition, all showed improvement among the patients who came to Oriental medicine hospital due to traffic accident.

A Surgical Idea for Wide Communicated Wound on Laryngopharynx (인후두의 개방적 외상에 대한 수술적 고찰)

  • 이종원;국태진;이정헌;염시경
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.7.4-8
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    • 1982
  • The common causes of neck closed injuries are automobile accidents and sports troubles; open injuries are gun-shot wounds and stab wounds. Generally, the treatment of wide laryngopharyngeal injuries consists of tracheostomy for adequate airway, simple repair and, later, surgical intervention for chronic laryngeal stenosis and hypopharyngeal reconstruction. Recently, authors experienced a case of extensive communicated wound with large defect on the layngopharyngeal structures and anterior neck skin. This large defect was reconstructed with horizontal cervical skin flap after total laryngectomy.

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Complete Rupture of Cervical Trachea after Compressed Chest Injury in a Child (소아에서 흉부 압박상 후 발생한 경부기관의 완전 파열)

  • Byun, Joung-Hun;Cho, Sung-Ho;Cho, Sung-Rae
    • Journal of Chest Surgery
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    • v.40 no.4 s.273
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    • pp.309-312
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    • 2007
  • Cervical tracheal rupture is one of the rare injuries after blunt chest trauma, and this can be explained by several mechanisms. Early diagnosis and treatment of tracheal rupture after trauma can reduce the mortality and morbidity. We report here on a surgical experienced case of complete rupture of the cervical tracheal that was due to increased intra-tracheal pressure after a compression injury to the chest of an 8 years old child. We also include a review of the literature.

Correlation between injury and the injury severity score in geriatric traffic accident patients transported by 119 rescue services (119로 내원한 노인교통사고 환자의 손상과 손상중증도계수의 상관관계 분석)

  • Park, Yu-Jin;Kim, Byung-Woo
    • The Korean Journal of Emergency Medical Services
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    • v.20 no.3
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    • pp.7-19
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    • 2016
  • Purpose: The purpose of the study was to investigate the correlation between injury and injury severity score (ISS) in geriatric traffic accident patients transported by 119 emergency medical technicians (EMTs). Methods: The subjects were 240 traffic accident patients over 65 years old transported by 119 rescue services emergency departments in Busan from January 1, 2014 to August 31, 2015. Results: ISS increased in motorcycle traffic accidents (p=.026), truck injuries (p=.005), and head and neck injury (p<.001). Vital signs were evaluated by 119 rescue EMT. ISS increased in cases of unresponsive unconsciousness (p<.001), hypotension (p=.001), and bradycardia (p<.001). The need for bleeding control and dressing by the EMTs increased ISS significantly (p=.022). Conclusion: In the initial evaluation of geriatric traffic patients, ISS can increase in motor cycle accidents and truck injuries. Due to high ISS, patients with head and neck injury, chest injury, hypotension, or tachycardia should be transferred to advanced level hospitals.

A Case Report on the Thoracic & Lumbar Disc and Scoliosis Treated by Flexion-Distraction Technique (굴곡신연기법을 이용한 흉요추 추간판 탈출증과 척추 측만증의 치험 1례)

  • Kim, Se-Jong;Min, Boo-Ki;Yoon, Il-Ji;Oh, Min-Suck
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.2
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    • pp.73-80
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    • 2006
  • This study is designed to evaluate the effect of flexion-distraction technique for the patient with thoracic & lumbar disc and scoliosis. After flexion-distraction technique the. results of VAS of lumbago, orthopedics tests, cobb's angle were improved significantly. It is suggested that flexion-distraction technique might be effective for the patient with Thoracic & Lumbar Disc and Scoliosis.

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Submental Intubation for Maxillofacial Surgery -A Case Report - (구강악안면수술을 위한 악하 기관 삽관 -증례보고-)

  • Kim, Soung-Min;Kwon, Kwang-Jun
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.4 no.2 s.7
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    • pp.96-99
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    • 2004
  • 구강저를 통한 기관내 삽관은 1986년 Altemir에 의해 처음 소개된 바 있는데 그 후 1993년 Hoenig와 Braun 및 같은 해 Stoll 등에 의해서나, 또는 1996년 Prochno 등에 의해 계속 변형된 방법으로 문헌에서 기술되어 왔다. 이 방법은 치과 영역 특히 구강악안면외과의 외상수술시 이상적인 교합을 얻기 위해 임시 상하악간 고정(intermaxillary fixation)을 할 수 있고 중안모 골절(midface fracture)의 회복을 위한 비관 삽관의 불편함을 피할 수 있는 유리한 점이 있으며, 또한, 정복 및 고정술이 필요한 비골 골절(nasal bone fracture)에서나 두개기저골 골절(skull base fracture)에서 여러 감염 등 합병증을 피하기 위해 추천될 수 있다. 또한, 목 부위에 비심미적인 반흔을 만들게 되며 여러 합병증을 초래할 수 있는 기관절개술(tracheostomy)보다 유용할 수 있다. 본 증례보고에서는 교통사고로 두개기저부 골절을 동반한 심한 중안모 골절 환자에서 적용시킨 경우를 알아보고, 아울러 이러한 악하부 삽관의 장, 단점 및 시술 과정 등에 대해 고찰해보고자 한다.

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Effect of Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plus Ruxiangdingtong-san) in the Traffic Accidents Patients with Night Pain (당귀수산합유향정통산(當歸鬚散合乳香定痛散)이 야간통을 동반한 교통사고 환자에게 미치는 영향)

  • Park, Jung-Woo;Jeong, Su-Hyeon
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.1
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    • pp.87-93
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    • 2015
  • Objectives This study investigated the effect of korean medicine treatment with Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plus Ruxiangdingtong-san) on traffic accidents patients with night pain. Methods 77 traffic accidents patients with night pain were treated with Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plus Ruxiangdingtong-san), acupuncture, cupping, physical therapy. VAS (Visual Analogue Scale), NDI (Neck Disability Index), ODI (Oswestry disability index), total sleep time, the number of bed time arousal were checked to evaluate the effectiveness of the treatment. Results VAS, NDI, ODI of patients treated with Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plus Ruxiangdingtong-san) were all improved and there were statistical significance (p<0.05). Total sleep time, the number of bed time arousal of patients treated with Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plus Ruxiangdingtong-san) were all improved and there were statistical significance (p<0.05). Conclusions According to the study, Korean complex therapy with Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plus Ruxiangdingtong-san) might effective in traffic accidents patients with night pain.

Effect of Chuna Treatment(Manupulation) on Lumbar Sprain Caused by Traffic Accident (교통사고 후 요추부 염좌를 진단받은 환자에 대한 추나치료의 효과)

  • Yoon, Dae-Yeon;Son, Jung-Min;Choi, Jin-Seo;Jung, Su-Hyen;Kim, Sun-Jung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.1
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    • pp.23-30
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    • 2010
  • Objectives: The purpose of this study is to investigate the effect of chuna treatment on lumbar sprain caused by traffic accident. Methods: This study carried out on 20 patients who have received hospital treatment in Semyung University Oriental Hospital. 20 patients were divided 2 groups. Non-chuna group got acupuncture-therapy, herbal medication, physical therapy and chuna group got chuna treatment besides. And then compared the VAS measurements of each group. Results: 1. Both group were significantly improved in VAS after 7 days of treatment. 2. Chuna group compared with Non-chuna group was significantly improved in VAS after 7 days of treatment. Conclusions: We found out that chuna treatment is considered to be effective and useful on lumbar sprain caused by traffic accident.

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Treatment of Tracheal Stenosis Using Silicone T-tube (기관협착증에 대한 Silicone T-tube의 치료경험)

  • 이종원;정종진;조용범
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.4.3-5
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    • 1981
  • The Silicone tracheal T-tube was designed to maintain an adequate tracheal airway as well as to provide support in the stenotic reconstituted or reconstructed trachea. This report is our experiences with using silicone T-tube which were successfully used to two cases with extensive laryngotracheal trauma, and one case with decannulation difficulty for 9 months. Authors strongly believe that silicone T-tube is an excellent device out of consideration for our experienced cases, though many techniques have been applied for the treatments of tracheal problems.

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