• 제목/요약/키워드: Upper abdomen

검색결과 268건 처리시간 0.03초

척수 신경 자극기 삽입부 감염의 치험례 (Wound Infection of Spinal Cord Stimulator: A Case Report)

  • 김종석;오득영;서제원;이중호;이종원;안상태
    • Archives of Plastic Surgery
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    • 제37권1호
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    • pp.71-74
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    • 2010
  • Purpose: Nowadays spinal cord stimulator is frequently used for the patients diagnosed as complex regional pain syndrome. The lead is placed above the spinal cord and connected to the stimulation generator, which is mostly placed in the subcutaneous layer of the abdomen. When the complication occurs in the generator inserted site, such as infection or generator exposure, replacement of the new generator to another site or pocket of the abdomen would be the classical choice. The objective of our study is to present our experience of the effective replacement of the existing stimulation generator from subcutaneous layer to another layer in same site after the wound infection at inexpensive cost and avoidance of new scar formation. Methods: A 50-year-old man who was diagnosed as complex regional pain syndrome after traffic accident received spinal cord stimulator, Synergy$^{(R)}$ (Medtronic, Minneapolis, USA) insertion 1 month ago by anesthetist. The patient was referred to our department for wound infection management. The patient was presented with erythema, swelling, thick discharge and wound disruption in the left upper quadrant of the abdomen. After surgical debridement of the capsule, the existing generator replacement beneath the anterior layer of rectus sheath was performed after sterilization by alcohol. Results: Patient's postoperative course was uneventful without any complication and had no evidence of infection for 3 months follow-up period. Conclusion: Replacement of existing spinal cord stimulation generator after sterilization between the anterior layer of rectus sheath and rectus abdominis muscle in the abdomen will be an alternative treatment in wound infection of stimulator generator.

사총혈가(四總穴歌)에 관(關)한 연구(硏究) (The study of clinical usefulness of Si-Zong-Sue-Ge(四總穴歌))

  • 양기중;배건태;윤종화
    • Journal of Acupuncture Research
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    • 제17권1호
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    • pp.1-12
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    • 2000
  • Ge-Fu(歌賦) means prose and poetry individually, and they both have a meaning of all the rhythmical poetrical compositions making it ease for people to remember the content. All the Ge-Fus used in oriental medicine are made in Yuan(元), Mine(明)and Qing(靑)dynasty, and they have been largely used in most of all the fields of medicine such as Ben-Cao(本草), Tang-Ye(湯液), Zhen-Jiu(鍼灸), Zhen-Duan(診斷). Zhen-Jiu-Ge-Fu(鍼灸歌賦) has about 90 poetries and 10 proses and they contain the names of meridian; courses of meridian streams; accurate positions of acupuncture points; functions; effects; meanings of the name of acupuncture points; usages and effects of special points; manipulations of reinforcing and reducing method; contraindications of acupuncturing; principles of selections and orders of acupuncture points in therapy; and eight diadgoses. Zhen-Jiu-Ge-Fu is subdivided into Jing-Xue(經穴歌), Zhi-Jiu-Ge(刺灸歌), Shu-Xue-Ge(輸穴歌), Zhi-Liao-Ge(治療歌). And In Zhi-Liao-Ge, the most brief and essential Ge-Fu-Si-Zong-Sue-Ge- contains theraputic designs using far apart acpuncture points from the right painful areas in the body. In this study, the author opinionated the Si-Zong-Sue-Ge can be the prototype of the distant needling; the research on this can open the importance of Ge-Fus. On conclusion, 1. "Upper and lower Abdomen - Zu-San-Li($S_{36}$) (肚腹三里留)" means when there are problems and disorders in upper and lower abdomen, distinctively, such as gastric pain, maldigestion, flatulence, abdominal pain, constipation, diarrhea, vomiting, menstrual disorer, knee pain and tonic functioning, 족삼리 can be a right choice for distant needling point for treating. 2. "Face and Eye-He-Gu($Li_4$) (面目合谷收)" means when there are problems and disorders in facial, eye, ear, nose, throat, mouth regions, distinctively, such as facial edema, toothache, headache, sore throat, rhinorrhea, frontal headache, abdominal pain, dizziness, He-Gu can be a right choice for distant needling point for treating. 3. "Upper and lower back - Wei-Zhong($B_{40}$) (腰背委中求)" means when there are problems and disorders in upper and lower back, distinctively, such as upper back pain, lumbargo, hamstring muscle pain, popliteal region pain, lower extremity compartment syndrom, Inguinal region pain, muscle twitch, vomiting and diarrhea, hemorrhoidal bleeding, skin rash, Wei-Zhong can be a right choice for distant needling point for treating. 4. "Head and neck - Lie-Que($L_7$) (頭項審列缺)" means when there are problems and disorders in capital and nuchal area, distinctively, such as migraine, frontal headache, rhinorrhea, asthmatic dyspnea, aphasia, coughing, neck stiffness, occipital headache, upper extremity pain, Lie-Que can be a right choice for distant needling point for treating.

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급성 소화불량에 대한 소상(少商)($LU_{11}$).은백(隱白)($SP_1$) 자락(刺絡)과 사관(四關)($LI_4$ and $LR_3$)침(鍼)의 효과 비교연구 (Comparative Study of Sosang($LU_{11}$)-Eunbaek($SP_1$) Bloodletting and Sa-Kwan($LI_4$ and $LR_3$) Acupuncture on Acute Dyspepsia)

  • 박재연;김민석;전재천;황희상;정기훈;이태호;노정두;이은용
    • Journal of Acupuncture Research
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    • 제27권1호
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    • pp.129-135
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    • 2010
  • Objectives : The purpose of this research was to examine that effect of Sosang($LU_1$)-Eunbaek($SP_1$) bloodletting was similar to effect of Sa-kwan $LI_4$) and Taechung($LR_3$)> acupuncture on pain and discomfort of acute dyspepsia in upper abdomen. Methods : We divided 36 patients with acute dyspepsia into two groups and treated Group A with Sosang($LU_{11}$)-Eunbaek($SP_1$) bloodletting and Group B with Sa-kwan $LI_4$) and Taechung($LR_3$)> acupuncture. Pain and discomfort in upper abdomen was measured by Visual Analogue Scale(VAS) scores of the two groups before treatment and after 15 minutes to treat. Results : Both group A and B represented effective improvement in VAS of pain and discomfort in upper abdomen. And there was no difference between A group and B group statistically. Conclusions : It is suggested that Sosang($LU_{11}$)-Eunbaek($SP_1$) bloodletting may have similar effect compared with Sa-kwan $LI_4$) and Taechung($LR_3$)> acupuncture on acute dyspepsia treatment.

선천성 식도폐쇄 및 기관식도루: 1례 보 (Congenital Esophageal Atresia and Tracheoesophageal Fistula - A Case Report -)

  • 권우석
    • Journal of Chest Surgery
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    • 제20권3호
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    • pp.619-623
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    • 1987
  • We experienced a surgical case of esophageal atresia and tracheoesophageal fistula combined with imperforated anus, tracheal bronchus in a one day baby. A vacuum delivered full term baby, weighing 4.1 Kg showed grunting respiration, repeated regurgitation and distended abdomen after birth. Esophagogram revealed markedly dilated proximal esophagus as blind pouch and also noted displaced type of tracheal bronchus of right upper lobe by incidental bronchogram. Surgical correction with Haight anastomosis was performed successfully on the second day.

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돼지의 장미비강진(薔薇秕糠疹) 일례(一例) (Pityriasis Rosea in Pig: A Case Report)

  • 권남석;박영준;이정길
    • 대한수의학회지
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    • 제19권2호
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    • pp.159-160
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    • 1979
  • Pityriasis rosea in a 2-month old pig is described. Lesions were confined to the abdomen and groin. They consisted of raised, erythematous papules with distinct borders. Microscopic examination of the lesions revealed a nonspecific dermatitis with acanthosis, moderate infiltration of mononuclear cells and eosinophils in the upper dermis. The known occurrence of the disease will help differentiate the condition from other dermatoses.

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내장신경 반복차단예에 대한 임상적 연구 (A Clinical Evaluation of Repeated Splanchic Nerve Block)

  • 성낙순;윤덕미;오흥근
    • The Korean Journal of Pain
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    • 제3권2호
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    • pp.108-118
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    • 1990
  • Splanchnic nerve block (SNB) is performed to relieve intractable upper abdominal pain caused by carcinoma of the upper G-I tract. Not all patients achieve satisfactory pain relief; therefore, a second or third nerve block trial may need to be performed. In this study, an attempt was made to analyze the possible factors which might affect the result of repeated SNB in 42 the patients among 264 patients who received SNB at Severance Hospital during the period from January 1985 to December 1989. The results are as follows: 1) Among the 42 patients, including 30 males and 12 females, the fifties and forties were the major age groups. 2) Among the underlying diseases, stomach cancer was the most common (18 cases) and pancreatic cancer was next (14 cases). 3) The main locations of pain were the upper abdomen, epigastrium and entire abdomen in decreasing order. 4) Among the thirty-nine cases of first SNB combined with ascites, 13 cases received a repeat block, 81.0% of whom had had metastatic lesion. 5) There were 54.2% who had had single or combined treatment, operation, chemotherapy or radiotherapy before SNB. 6) Twently seven cases (64.3%) had received opioid medication for pain control. 7) In the 75% alcohol group, 11.7% of patients required a second block, and in the pure and 50% alcohol group, 9.6% of patients required a second block within two weeks of the first block. Three cases in both of these repeated block groups required a third block; representing 3.9%, of the 75% alcohol group and 1.6% of the pure and 50% alcohol group. 8) The volume of alcohol used was more than 16 ml bilaterally in both cases. 9) The points of the inserted needle were positioned in the upper and anterolateral part of the $L_1$ vertebra on both sides on the anteroposterior roentgenogram. The contrast media was spread upward along the anterior margin of the vertebral body and posteriorly in repeat block. The frequency of repeat block was higher in cases with ascites or metastasis. The instance of repeat block within 2 weeks of the first block was lower in the pure and 50% alcohol group than in the 75% alcohol group. Thus, alcohol concentration and patient status may be considered factors which influence the result of repeated SNB. We suggest early application of SNB in upper abdominal cancer patients.

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First Record of a Gaper Champsodon longipinnis (Perciformes: Champsodontidae) from Korea

  • Han, Song-hun;Kim, Maeng Jin;Song, Choon Bok
    • Fisheries and Aquatic Sciences
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    • 제18권3호
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    • pp.297-300
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    • 2015
  • This is the first report of Champsodon longipinnis (Champsodontidae) collected from Korea. The specimen (100.9 mm in standard length) was caught by a bottom trawl in the coastal waters off Busan, Korea. This species is characterized by the following morphological traits: body with small denticulate scales except abdomen around pelvic fin base; posterior end of maxilla extending beyond margin of eye; dark pigmentation on most of the first dorsal fin, upper half of the first to the fourth soft ray of the second dorsal fin, and partial upper lobe of caudal fin. We add C. longipinnis to the Korean fish fauna and suggest a new Korean name, "Jeom-ak-eo-chi," for the species.

성인 비만 여성 체형의 유형별 특성에 관한 연구 (A Study on Characteristics of Different Obese Women's Body Types)

  • 이진희;최혜선
    • 대한인간공학회지
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    • 제17권1호
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    • pp.103-114
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    • 1998
  • This study was carried out on 132 obese women who satisfied both of the conditions for the obesity: over 1.6 in Rohrer index and over 90cm in bust girth. The purpose of the study was to classify the body types of the obese women and find out their respective characteristics. The characteristics of the body shape were as follows. The one was that the height of the front waist was higher than that of the back waist. The other was that the depth of the front abdomen was high, which implies the protruding of the abdominal region. Five factors were extracted as the result of the factor analysis. Body types were classified 4 types(type 1 : long upper torso, type 2 : obese torso, type 3 : short and less upper torso, type 4 : obese arms and legs) according to the cluster analysis.

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신체만족도와 신체인지도에 따른 의복맞음성(Apparel Fit) 만족도 (Apparel Fit by Body Perception and Body Satisfaction)

  • 이경림;박숙현
    • 복식
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    • 제54권1호
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    • pp.69-81
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    • 2004
  • The purpose of this study was to find out apparel fit satisfaction according to item(jacket, pants, skirt) by body perception and body satisfaction. This research was done by a survey method. Descriptive Statistics, Pearson's Correlation, Crosstabs were used for data analysis. The results of this study are as follows. 1) Correlation between body perception and body satisfaction : The subjects were less satisfied with larger or thicker girth of upper body. The subjects were less satisfied with thicker upper arm, lower arm, waist and lower abdomen. The subjects were more satisfied with taller height. The subjects were less satisfied with larger or thicker girth of lower body. The subjects were less satisfied with thicker hips. thighs, calves, ankles, and longer crotch length. However, they were more satisfied with longer legs. 2) Apparel fit by body perception and body satisfaction: The subjects who were less satisfied with thicker upper arm, waist, thighs and wider hips were less satisfied with the upper arm area, waist area. hip area of jacket. The subjects who were more satisfied with longer arms were more satisfied with the sleeve length of jacket. The subjects who were less satisfied with wider shoulder width were less satisfied with the upper back width of jacket. It means the shoulder width affected more the upper back width of jacket than shoulder width of jacket. The subjects who were less satisfied with wider hips were less satisfied with the hip area of pants and skirt. The subjects who were less satisfied with thicker thighs were less satisfied with the thigh area and the hip area of pants and skirt. The subjects who were less satisfied with longer crotch length were less satisfied with the crotch length of pants. 3) Difference between actual body and perceived body by Rohrer Index: Rohrer Index 109 calculated by average of the ideal height(165.83cm) and weight(49.78kg) of the subjects ranged in thin body type(below 120). The subjects tended to perceived their bodies fatter than their actual bodies. Also, the subjects tended to perceived their lower bodies fatter than upper bodies.

25-34세 여성에서 일반인과 비만인의 체형 인지에 대한 비교연구 (The Comparative Study of the Actual, the Perceptive and the Ideal Body Shape of the Obese Female and the Non-obese Female in their Twenties and Thirties)

  • 박현정;양정민;진용재;김동일
    • 대한한방부인과학회지
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    • 제21권2호
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    • pp.214-231
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    • 2008
  • Purpose: The purpose of this research is a comparative study of the actual, the perceptive and the ideal body shape of the obese and non-obese female in their twenties and thirties Methods: The actual, the perceptive and the ideal body shape of the obese female and the non-obese female were collected and statistically analyzed in 25-34 years old. Results: In 25-29 years old the obese group and the non-obese group shows considerable difference in the weight, abdomen, calf circumstance in their actual body shape, but they recognize similar size as their ideal body shape in the hip, thigh and calf circumstances. They recognized that they are fatter than the actual body shape in the thigh, hip, and calf circumstances in common. In 30-34 years old the obese group and the non-obese group shows considerable difference in the weight, upper arm, abdomen, hip, thigh, calf circumstances in the actual body shape, but they recognize similar size as their ideal body shape in the thigh, hip, and calf circumstances. They recognized that they are fatter than the actual body shape in the weight, upper arm circumstances in common. Conclusion: These new data about body shape in 25-34 years women could be adopt as a useful clinical tool for body image related patients such as obesity, PCOD and postpartum patient in Korean women.

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