• Title/Summary/Keyword: Bleeding focus

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Study on Application of the Morus Cortex Mainly Used in Herbal Prescription (On the Focus of Prescriptions including Morus Cortex in Donguibogam) (상백피(桑白皮)가 주약(主藥)으로 배오(配伍)된 방제(方劑)의 활용(活用)에 대한 고찰(考察) (동의보감 상백피 가미방 중심으로))

  • Seo Chang-Woo;Lee Jang-Cheon
    • Herbal Formula Science
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    • v.12 no.2
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    • pp.1-17
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    • 2004
  • This study was investigated to make sure the range of the Morus Cortex's treatment, the nature of disease, the chief virtue of medicine, the pathology and the usage quantity of it in Donguibogam The results were as follows; 1. The frequency of being used the Morus Cortex in the consumption or cough-relative chapter is as high as a ratio of 40.6%. 2. The Morus Cortex is used in a realm of the consumption or cough-relative disease, an otorhinolalyngology, an edema, a skin-relative disease, a bleeding trouble, a thirsty and diabetes melitus, etc. 3. The Morus Cortex is used in a realm of the pathology of the pulmonary heat, the pulmonary noxious vigor, the damage from external winds and colds, fatigue, etc. 4. The Morus Cortex is used in a range of $1g{\sim}12g$ in herbal-prescription. The main using dosage is 4g(about 42%). 5. The Morus Cortex is used with various crude herbs in accordance with the pathogeny. The Morus Cortex has been used to reduce heat from the lungs and soothe asthma, to promote urination and reduce edema from shinnongboncho era. According to the results, I suggest that we use the Morus Cortex in a various pathogenic fields. The Morus Cortex is able to remove not only pathogenic heat from the consumption or cough-relative disease, but also pathogenic otorhinolalyngology, an edema, a skin-relative disease, a bleeding trouble, a thirsty and diabetes melitus, etc.

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Spinal Cavernous Hemangioma Causing Sudden Paraplegia in a 23-Month-Old Kid

  • Cho, Jae-Hoon;Chung, You-Nam;Wang, Kyu-Chang;Cho, Byung-Kyu
    • Journal of Korean Neurosurgical Society
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    • v.40 no.4
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    • pp.273-276
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    • 2006
  • Although cavernous angioma itself is not rare, the epidural spinal localization is uncommon and makes preoperative differential diagnosis difficult. An extraordinary case of a thoracic epidural cavernous angioma in very young age, causing sudden paraplegia is presented. Only 79 cases have been reported in the literatures and among them, this kid was the youngest. A 23-month-old boy was referred to us with a 2-day history of sudden both lower limb weakness. Two days before admission, he got up at morning and was unable to stand and even to move the legs. MRI revealed an epidural mass surrounding spinal cord associated with cord compression at the level of the C5 through T3. Through posterior approach with exposure of C6 to T3 level, the hematomatous mass was removed subtotally due to intraoperative bleeding and its ventral location. After the first operation, the weakness of bilateral lower extremities was improved so as to move gainst the gravity. But the next day, the limb weakness was aggravated as same as preoperative status due to mass effect of new hematoma. The second operation was performed to remove the hematoma and to control the bleeding focus. Several weeks later, the limb weakness was improved and he was able to walk. The literatures about spinal cavernous angioma are reviewed.

BLOOD LOSS AND HEMATOLOGIC CHANGE AFTER ORTHOGNATHIC SURGERY (악교정 수술후 출혈양과 혈액학적 변화에 대한 임상연구)

  • Chang, Hyun-Ho;Ryu, Sung-Ho;Kang, Jae-Hyun;Lee, Seung-Ho;Kim, Jae-Seung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.5
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    • pp.435-441
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    • 2001
  • Orthognathic surgery for the correction of dentofacial deformities is a common elective procedure. That has proven over the years to be a safe operation with minimal long-term morbidity. But, there are many surgical complication including mal-union of the bone, TMJ problem, excessive bleeding, and permanent damage of inferior alveolar nerve. Among them excessive bleeding which focus is not clear is one of the serious complication because that is fatal and so a transfusion is performing for the prevention and management of that. Until the end of the 1980's, homologous blood transfusions were routinely necessary because of the large amounts of blood lost during surgery. Recently several blood-saving measures can be undertaken for orthognathic surgery patients before, during, and after the operation. We made a comparative study of an amount of blood loss, hematologic change and transfusion requirements based on a series of 40 consecutive patients undergoing single-jaw and double-jaw surgery. The purpose of this investigation was to make a comparative analysis of an amount of blood loss, post-operative hematologic change and duration of the procedure under induced hypotensive anesthesia in healthy orthognathic patients.

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A Literature Study of the Epistaxis (A Focus of External Treatment) (뉵血에 대한 文獻的 考察 (外治法을 中心으로))

  • Kim, Sung-Hun;Yu, Mi-Kyoung;Jeong, Dong-hwan;Sim, Sang-hee;Park, Su-Yeon;Kim, Jong-han;Choi, Jung-hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.16 no.3
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    • pp.1-37
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    • 2003
  • The epistaxis is commonplace and temporary disease in the field of ENT. In most cases, it is a slight illness, but sometimes, it leads to death because of copious bleeding. The first treatment of epistaxis is stoping hemorrhage, but the real state of treatment in oriental medical is not thoroughgoing enough. So we referred to oriental medical journals and sundry records about etiology and remedy of epistaxis, we got this results. 1. The etiology of epistaxis was mostly bleeding due to heat in the blood by dysfunction of Jang and Bu Gi, there were affection wind-cold by exopathogen, spleen heat to liver, excessive fire of lung meridian, stagnated fire-heat of upper Cho, excessive drinking, bruise and so on. 2. The treatment was used much to remove heat from the blood and activating blood, in case of getting no better, it's used to enriching the blood or clear Gi. 3. The internal remedy of epistaxis was the most used 20times SeogakJihwangtang(犀角地黃湯) to remove heat from the blood and activating blood, and used Jihwangtang(地黃湯), Samhwangbohyultang(三黃補血湯), Jiyuksan(止육散), hueksinsan(黑神散), etc. The drugstuffs were the most used 51times Radix Rehmanniae Preparata((生地黃) to clear heat and remove heat from the blood, produce the body fluids, yin, and used Radix Paeoniae Alba(芍樂) and Radix Glycyrrhizae(甘草), Radix Angelicae Gignatis(當歸), Radix Scutellariae(黃岑), Rhizoma Coptidis(黃連) and Fructus Gardeniae(梔子), etc. 4. The external medical treatment of epistaxis was the most used 16times spraying the granular medication into the cavity and attaching Allii Bulbus(大蒜) to center of the sole or binding the middle finger, etc.

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Transarterial Embolization for Sporadic Renal Angiomyolipoma: Patient Selection and Technical Considerations for Optimal Therapeutic Outcomes (산발성 신장 혈관근지방종에 대한 경동맥 색전술: 최적의 치료 결과를 위한 환자 선택 및 기술적 고려 사항)

  • Yena Jung;Min Jeong Choi;Bong Man Kim;You Me Kim;Yumi Seo
    • Journal of the Korean Society of Radiology
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    • v.83 no.3
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    • pp.559-581
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    • 2022
  • Although renal angiomyolipoma (AML) is a benign tumor, treatment may be necessary occasionally because it can cause potentially life-threatening retroperitoneal hemorrhage. Transarterial embolization (TAE) is a safe and effective treatment option to prevent the hemorrhagic rupture of AMLs and relieve the symptoms caused by enlarged lesions or active bleeding. However, there is no clear consensus regarding the indications for prophylactic TAE in patients with sporadic renal AMLs. In urgent TAE for bleeding AMLs, there is a likelihood of incomplete embolization when the focus is on stabilizing the clinical symptoms. This pictorial essay discusses the patient selection and technical considerations to achieve optimal therapeutic effects as well as the follow-up findings after TAE.

Comparisons of Fracture Types and Pelvic Angiographic Findings in Hemodynamically Unstable Pelvic Bone Fracture (혈역학적으로 불안정한 골반골 골절 환자에서 골반골 골절 소견과 혈관조영술 소견의 비교)

  • Lee, Kwon Il;Lee, Kang Hyun;Kang, Sung Chan;Park, Sung Min;Jang, Yong Su;Shin, Tae Yong;Hwang, Sung Oh;Kim, Hyun
    • Journal of Trauma and Injury
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    • v.20 no.1
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    • pp.26-32
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    • 2007
  • Purpose: Hemorrhagic shock is the leading cause of death in patients with pelvic bone fractures. The majority of blood loss is due to injured pelvic arteries and retroperitoneal veins and to bleeding from the fracture site itself. Pelvic angiography and embolization of injured vessels is an effective way to control continuous bleeding. However, identifying the bleeding focus in hemodynamically unstable patients before diagnostic intervention is difficult. The purpose of this study was to determine the correlation between fracture patterns in hemodynamically unstable patients with pelvic fractures and later pelvic angiography findings. Methods: We performed a retrospective study of 21 hemodynamically unstable patients with pelvic fractures admitted to our emergency department between April 2001 to April 2006. All 21 patients underwent pelvic angiography. Pelvic fractures were assessed according to the Tile's classification and the degree of injury was assessed using the Injury Severity Score (ISS) and Revised Trauma Score (RTS). The hemodynamic status of the patients was defined using vital signs, base excess, and blood lactate. Fracture patterns were compared with hemodynamic status and angiography findings. Results: In the 5year study period, 21 hemodynamically unstable pelvic bone fracture patients were admitted; ten were men (47.6%), and 11 were women (52.4%). The mean age was 41.1 years (range: ${\pm}20.1$). Of the 21 embolization was performed in 6 patient (28.6%): 1 patient of the 5 unstable pelvic bone fracture patients (20%), and 5 patients of 16 the stable pelvic bone fracture patients (31.3%). There were no significant differences between the RTS (p=0.587) and embolization rate (p=0.774) for either the stable patients or the unstable patients. Patients with arterial injury on angiography had a lower RTS compared with patients without arterial injury but there was no significant difference in ISS between the two groups. The angiographic injured sites were five internal femoral arteries and one external femoral artery. Conclusion: The findings in this study suggest that the pelvic fracture pattern in hemodynamically unstable patients with pelvic fractures does not correlate with pelvic angiography findings.

Clinical and Angiographic Features of Secondary Postpartum Hemorrhage and the Outcomes of Transcatheter Arterial Embolization (속발성 분만 후 출혈의 임상 및 혈관 조영술의 특징과 경도관 동맥 색전술의 결과)

  • Baek, Seung Dae;Kang, Ung Rae;Ji, Seung Woo;Kim, Young Hwan;Cha, Jung Guen
    • Journal of the Korean Society of Radiology
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    • v.79 no.6
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    • pp.315-322
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    • 2018
  • Purpose: To analyze the clinical and angiographic features with outcome of transcatheter arterial embolization in patients with secondary postpartum hemorrhage. Materials and Methods: Clinical details and angiographic features with assessment of arterial embolization were reviewed in total 38 patients underwent arterial embolization at single tertiary referral center. Results: Twenty patients (53%) had Cesarean section. The major causes of bleeding were iatrogenic vascular injury, and retained placenta (55%). The patterns of vaginal bleeding were recorded as intermittent (50%), or as persistent (50%). Seven patients (18%) were hemodynamically unstable at presentation. Positive angiographic findings appeared in eighteen patients (47.3%). The frequency of pseudoaneurysm was statistically high in the Cesarean section (p < 0.001). The used embolic agents except gelfoam were N-butyl cyanoacrylate (n = 7), and microcoil (n = 7). Unilateral selective embolization (26.3%) was shown effective in superselective embolization of bleeding focus. Technical and clinical success rate were 100% and 97.4%, respectively with no complication. Sixteen resumed regular menstruation, and one pregnancy were observed in patients with available follow-up of over 6 months. Conclusion: Considerable rate of hemodynamically unstable patients was observed with high rate of positive angiography findings. Given high successful rate and few complications, early angiographic assessment with embolization should be considered.

The Literature Study on Venesection therapy (자락요법(刺絡療法)의 문헌적(文獻的) 고찰(考察))

  • Min, Boo-Ki;Yoon, II-Ji;Choi, Seung-Hoon;Oh, Min-Suck
    • Journal of Haehwa Medicine
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    • v.13 no.2
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    • pp.277-287
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    • 2004
  • I have come to next conclusions in consequence of documentary study about medical books of many generations regarding venesection therapy. 1. Venesection therapy is much used for five sensory organ disease. Besides that internal disease, pain paralysis disease of muscle and joints, sugical disease, disease of woman and children, fever sunstroke CVA emergency case follow that in the order of frequency of use. 2. It is used for swollen tongue, eye pain, pharyngitis, swelling and pain in the throat, bleeding from the eye ear nose mouth or subcutaneous tissue, tonsillitis, aphthae and so on in the five sensory organ disease. Focus, sosang, jinjin yuye, taiyang, baihui are used for five sensory organ disease in the order of frequency of use. 3. It is used for malaria, headache, precordial pain, head-wind, abdominal colic, diseases characterized by acute diarrhea and vomiting, and so on in the Internal disease. Superficial venules and lymph vessesls, taiyang, quze are used for Internal disease in the order of frequency of use. 4. It is used for low back pain, hypochondriac pain, numbness, knee pain, tinea pedis, red swelling pain of hand and arm, flaccidity-syndrome, and so on in the pain paralysis disease of muscle and joints. Weizhong, superficial venules and lymph vessesls, Ashi point, zhigou are used for pain paralysis disease of muscle and joints in the order of frequency of use. 5. It is used for furuncle, tinea capitis, and so on in the sugical disease. Focus, weizhong are used for sugical disease in the order of frequency of use. 6. It is used for inflammatory disease with redness of skin, and so on in the disease of woman and children. Focus, weizhong, yanglingquan, yaoshu, sanyinjiao are used for disease of woman and children in the order of frequency of use. 7. It is used for fever, CVA, sunstroke, cadaverous coma, common cold, and so on in the fever sunstroke CVA emergency case. Sosang, weizhong, chize are used for fever sunstroke CVA emergency case in the order of frequency of use. 8. The urinary bladder channel of foot-taiyang is most used. Next there are the du channel, the stomach channel of foot-yangming, the lung channel of hand-taiyin, the gall baldder channel of foot-shaoyang, the triple-warmer channel of hand-shaoyang, the large intestine channel of hand-yangming, the spleen channel of foot-taiyin, the kidney channel of foot-shaoyin the pericardium channel of hand-jueyin the liver channel of foot-jueyin, the ren channel, the heart channel of hand-shaoyin, the small intestine channel of hand-taiyang in the order of frequency in use. 9. Superficial venules and lymph vessesls, focus, five shu points, extra-point, back point are used in the venesection therapy, those are characteristic of locating an acupuncture point.

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Special quality research about action output waveform change by gap (1.0mm and 1.6mm) difference of $CO_2$ laser for skin disease (피부질환을 위한 $CO_2$ 레이저의 공극 (1.0mm 및 1.6mm)차이에 따른 동작출력 파형변화에 관한 특성연구)

  • Kim, Whi-Young
    • Proceedings of the KIEE Conference
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    • 2007.04c
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    • pp.156-158
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    • 2007
  • Laser wave length can have evaporation effect by absorption because outer skin or tissue of focus is consisted of water almost though absorption of water occurs more than 90% almost in formation thickness of very thin floor Can operate outer skin, steam by floor and correct incision of formation is available. Suture surgical operation is avaliable to vein or lymph system and surgical operation region can dry and see as eye and radish bleeding surgical operation is avaliable Specially, stability of tube both end output about pulse by weight very, this research can cause various curative effect because can reduce bulk and control easily current wave style of medical laser using electric power conversion device of high frequency way. If introduce ZVS (Zero Voltage Switching) or ZVZCS (Zero Voltage and Zero Current Switching), is more profitable because can reduce switching damage Because electric power department of proposed medical laser can do stable soft-switching in wide subordinate extent introducing ZVZCS technique by the first help and control department composes microcontroller, output current waveform user have free form make. Result that experiment because design and manufacture, brought result that improve of 20% than existing equipment, and will be bought to get into superior result if supplement as systematic late.

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Special quality research about action output waveform change by gap (1.0mm and 1.6mm) difference of $CO_2$ laser for skin disease (피부질환을 위한 $CO_2$ 레이저의 공극차이에 따른 동작출력 변화에 관한 연구)

  • Kim, Whi-Young
    • Proceedings of the KIEE Conference
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    • 2007.04a
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    • pp.52-54
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    • 2007
  • Laser wave length can have evaporation effect by absorption because outer skin or tissue of focus is consisted of water almost though absorption of water occurs more than 90% almost in formation thickness of very thin floor. Can operate outer skin, steam by floor and correct incision of formation is available. Suture surgical operation is available to vein or lymph system and surgical operation region can dry and see as eye and radish bleeding surgical operation is available. Specially, stability of tube both end output about pulse by weight very, this research can cause various curative effect because can reduce bulk and control easily current wave style of medical laser using electric power conversion device of high frequency way. If introduce ZVS (Zero Voltage Switching) or ZVZCS (Zero Voltage and Zero Current Switching), is more profitable because can reduce switching damage. Because electric power department of proposed medical laser can do stable soft-switching in wide subordinate extent introducing ZVZCS technique by the first help and control department composes microcontroller, output current waveform user have free form make. Result that experiment because design and manufacture, brought result that improve of 20% than existing equipment, and will be bought to get into superior result if supplement as systematic late.

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