• Title/Summary/Keyword: 화상 환자

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Use of Hypnosis in the Management of Patients with Burn Pain (최면을 이용한 화상 환자의 동통 조절)

  • Park, Hee-Gwan
    • Korean Journal of Psychosomatic Medicine
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    • v.5 no.2
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    • pp.218-222
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    • 1997
  • Before the dressing and debridement of the wounds, patients received hypnosis and were taught self-hypnosis. They were instructed to let the burn areas being worked on "become relaxed and numb" in the trance. The author encouraged them to imagine wound-healing. Result of this hypnoanalgesia as an adjunct treatment for burn pain proved it most effective and facilitative. Theoretical and practical implications and future research directions were discussed.

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Factors Associating Major Burn in Chemical Injury Patients due to Industrial Place Incident : A Retrospective study (산업장 화학 손상 환자에서 중증 화상에 영향을 미치는 요인)

  • Shin, Hee-Jun;Oh, Se-Kwang;Lee, Han-You
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.332-339
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    • 2016
  • This study examined the intensity of the association of factors affecting major burns by statistical analysis for patients injured by the release of chemical hazards. A total of 446 patients were evaluated as chemical injury patients, who had visited the emergency room from 1/Jan/2010 to 31/Dec/2014. The major burn was used as a dependent variable representing the severity of chemical injury. A chi-square test (CST) and binary logistic regression test (BLRA) were used as the statistical analysis method for determining the association between major burns and the independent variables. In CST, female and their presence at an incident scene, multiple site injury were associated with major burn (p<0.05). In BLRA, the presence at an incident scene and spills (comparing explosion), discharge (comparing admission) were associated with major burns (p<0.05). In this study, the presence at an incident scene was the most significant factor concerning major burns. Furthermore, gender and injury number, exposure mechanism (spill comparing explosion), and disposition (discharge comparing admission) were also associated with major burns.

The Early Prognosis of Burn Patients with Elevated Initial Arterial Carboxyhemoglobin Level (초기 동맥혈 Carboxyhemoglobin 농도가 높았던 화상 환자들의 예후지표에 관한 연구)

  • Choi, Chang Soon;Kim, Cheal Hong;Kim, Keun Sook;Lee, Tae-Yu;Chung, Youn Son;Eom, Kwang Seok;Park, Young Bum;Jang, Seung Hun;Kim, Dong Gyu;Park, Myung Jae;Lee, Myung Goo;Hyun, In-Gyu;Jung, Ki-Suck;Kim, Jong Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.55 no.2
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    • pp.188-197
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    • 2003
  • Background : Smoke inhalation injury is an important determinant of mortality in burn patients. The early detection of inhalation injury in burn patients is important because the incidence of respiratory failure after inhalation injury was known to be high, with hypoxemia, pneumonia, and prolonged ventilatory support being commonplace. Acute carbon monoxide poisoning was one feature of smoke inhalation. The purpose of our study were to investigate the clinical characteristics of burn patients whose initial arterial carboxyhemoglobin (COHb) level had been elevated, to assess the clinical impact of COHb for smoke inhalation injury. Methods : Among 1,416 burn patients had been admitted at our institution from August 1, 2001 to July 31, 2002, 39 patients whose initial arterial COHb level have been more than 5% were included. We compared clinical scoring system for inhalation injury, percent total body surface area (%TBSA) burn, initial chest X-ray findings, APACHE II scores and SAPS II scores between survivors (n=27) and non-survivors (n=12) retrospectively. Results : COHb level were 9.7(5.71% and 10.3(8.81% in survivors and in non-survivors (p>0.05). Mean %TBSA burn of survivors and non-survivors were $16.6{\pm}17.8%$ and $60.7{\pm}28.8%$ (p<0.001). We did not find any difference in clinical scoring system, initial chest X-ray findings in survivors and in non-survivors. But %TBSA burn, APACHE II and SAPS II scores were high in non-survivors than in survivors significantly. Important factors associated with death were %TBSA burn, APACHE II scores, SAPS II scores, and the most important factor in predicting mortality was %TBSA burn. Conclusion : Burn patients with elevated initial arterial COHb level showed poor prognosis, but further study may be performed to know that the effect of COHb on prognosis in burn patients accompanying smoke inhalation.

A Case of Cavitary Lung Lesion as a Consequence of Smoke Inhalation Injury (흡입화상 치료과정에서 생긴 공동성 폐 병변)

  • Shin, Hyun Won;Kim, Cheol Hong;Eom, Kwang Seok;Park, Yong Bum;Jang, Seung Hun;Kim, Dong Gyu;Lee, Myung Goo;Hyun, In-Gyu;Jung, Ki-Suck;Lee, Eil Seong
    • Tuberculosis and Respiratory Diseases
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    • v.60 no.5
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    • pp.564-570
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    • 2006
  • Toxic gases and soot deposition as a consequence of smoke inhalation can cause direct injury to the upper and lower airways and even to the lung parenchyma. A delay in proper and prompt therapy can be detrimental to critically ill burn patients with an inhalation injury. Therefore, serial chest radiography is an important diagnostic tool for pulmonary complications during treatment. The radiographic findings of the chest include normal, consolidation, interstitial and alveolar infiltrates, peribronchial thickening, atelectasis, cardiogenic and non-cardiogenic pulmonary edema, and a pneumothorax as acute complications of smoke inhalation. In addition, bronchiectasis, bronchiolitis obliterans and pulmonary fibrosis can occur as late complications. We encountered a case of 44-year-old male who presented with acute lung injury after an inhalation injury. He required endotracheal intubation and mechanical ventilation due to respiratory failure. He was managed successfully with conservative treatment. Later, a cavitary lesion of the left upper lobe was observed on the chest radiography and computed tomography, which was complicated by massive hemoptysis during the follow-up. However, the cavitary lesion disappeared spontaneously without any clinical consequences.

초고속 통신망을 이용한 원격진료시스템

  • 박경수;조동호
    • Information and Communications Magazine
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    • v.12 no.9
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    • pp.124-132
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    • 1995
  • 의료분야에서의 통신망 이용은 의료분야 전산화의 진전과 함께 계속 증가하고 있으며, 이의 일환으로 외국에서는 의료용 화상정보 표현, 전송 및 검색을 위한 표준 프로토콜인 DICOM을 이용한 PACS를 개발, 시험 또는 상용화 하고 있는 상황이다. 한편 국내에서는 이러한 PACS 시스템의 도입이 미미한 실정으로, 삼성의료원을 비롯한 몇몇 대형 의료기관에서 PACS의 일부를 도입, 운영하고 있으며, 보험청구 및 환자정보 관리를 중심으로 한 의료분야 전산화가 꾸준히 이루어지면서 많은 병원에서도 PACS 시스템의 도입 및 원격 진료 서비스 제공에 많은 관심을 가지고 있는 상황이다. 또한 이러한 의료용 화상정보 뿐만 아니라 일반적인 문자기반 의료정보의 표현, 전송 및 검색을 위한 표준 프로토콜인 HL7(health level 7)을 이용하여 의료보험 등과 같이 직접적인 의료행위 이외의 기타 부가정보를 의료기관 사이 또는 의료기관과 비의료기관 사이에서 공유하고 있다. 이러한 의료분야에서의 통신망 이용기술과 함께, 현재 고속 통신망에서 많이 개발되어지고 있는 화상회의 시스템의 발전에 기인하여 원격 진료 서비스에 관한 연구가 활발히 이루어지고 있는데, 이는 원거리에 위치한 의료기관간에 표준 프로토콜을 이용한 의료용 화상 또는 문자정보 공유가 가능해지고, 고속 통신망을 이용한 화상회의 및 긴급성을 가진 대용량 화상정보의 실시간 전송이 가능한 점에 기인한다. 본 고에서는 이러한 원격 진료 시스템의 발전 배경 및 전반적 시스템의 구조와 특성을 고찰하고, 국내외의 원격 진료 시스템 활용 현황에 관하여 기술한다.

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화상환자관리

  • O, Sang-Yong
    • KOREAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES
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    • v.12 no.4 s.45
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    • pp.15-17
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    • 2005
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