A Clinical Study on Pulmonary Functions in Scoliosis

Pre-and post-operative pulmonary functions were studied in 7 patients with scoliosis along with arterial blood gas analysis at the Seoul National University Hospital from April to August , 1980. The results were as follows; 1. Preoperative values of FVC and FEV, were 89.8±11. 79(8.e.)% and 90.9±13.36(s.e.)% of the predicted normal values. 2. Postoperative value of VC were 46.5±5. 96(s.e.) % of the predicted normal value. 3. Pre-, intra-and post-operative PaO, were 99.3± 4. 63(s.e.) % torr, 193.7±18. 71(s.e.) torr and 90.4± 2.13(s.e.) torr, respectively

Clinical studies on hemorrhagic diathesis in massive blood transfusion

Studies of blood coagulation parameters were carried out in 20 patients of SNUH who received a large number (6~21 pints) of transfusions of stored blood anticoagulated with acid-citrate-dextrose solution. All patient didn't develop hemorrhagic diathesis, but developed slight dilutional thrombocytopenia (126, 000±58, 000)/mm3 and other test (e.g. PTT, PT, Fibringen, Euglobulin lysis time and FDP test) was within normal limit. It is concluded that although several factors may be involved, dilutional thrombocytopenia due to stored blood is the primary cause of bleeding which follows massive blood transfusions

Relationship between colloid osmotic pressure (COP) and prognosis of critically ill patients

The relationship between colloid osmotic pressure (COP) and the outcome of pulmonary edema in 20 critically ill patients who were admitted and treated in RICU, Seoul National University Hospital was evaluated from January to July, 1980. The COP value in 17 non-pulmonary edema patients was 19.6±2. 56 (S.D.) mmHg and that in 3 pulmonary edema patients was 13.O±O. 37 (S.D.) mmHg (p<0.05). The pulmonary edema was diagnosed by clinical signs, auscultations and chest X-ray findings. The values of protein and albumin in non-pulmonary edema group were 7. 4±0. 73 (S.D.) and 4.1± O. 77(S.D.) mg%, respectively and those of pulmonary edema group were 4. 6±0. 45(S.D.) and 2. 6±0. 26 (S.D.) mg%, with significant differences between 2 groups (p<0.05). 3 pulmonary edema patients were treated vigorously and were eventually discharged after recovery from pulmonary edema

Anesthetic Experiences with the Very Aged -An analysis of 16 years period (1966~198l)-

From the analysis of operations of the aged '(over 70 years of age) during 16 years period from 1966 through 1981, the followings were 'obtained: 1. Total operations were 1, 082 with 668 males (61. 7%) and 414 females (38.3%). 2. General surgery took the most frequent -operations, 3. Abdominal surgery was most predominant and stomach was the most frequent lesion as a single organ. 4. N20 - 0 2-Halothane with or without muscle relaxant had been the most frequent type-of .anesthetic, and spinal anesthesia was increased .abruptly in 1981, 'and there was no clear relationship between the type of anesthetic and -death. 5. Over 70% of operations were carried within 3 hours and there was no clear relationship between the duration of anesthesia and death. 6. Emergency operations occupied 13. 6% of total operations and all deaths occurred within the emergencies with 15. 4% of total emergencres. 7. Malignancies were 36.4% of total operations and stomach cancer was most frequent in number and the ratio per each organ operations.· 8. The most frequent cause of death was sepsis and the most frequent diseases was perforated appendicitis

A Case of pneumothorax following huge ovarian cyst removal

A case of pneumothorax following huge ovarian cyst removal is reported. Pneumomediastinum and subcutaneous emphysema are noted on postoperative fifth day. In this case, pulmonary barotrauma, especially to chronically collapsed both basal lung and subsequent alveolar rupture is believed to be the cause

A Clinical Study on the Mortality Cases in Respiratory Intensive Care Unit

A clincal study was performed on the mortality cases among the patients who were admitted in the Respiratory Intensive Care Unit in Seoul National University Hospital from 1979 to 1982. The total number of patients who were managed in Respiratory Intensive Care Unit in this period was 2,727 and the mortality cases among them were 243 and the overall mortality rate was 8.996. The mortality rate in 1979 was 19.196 but this was reduced to 4.6% in 1982. The highest mortality rate was recorded by the patients of Department of Neurosurgery. This was 66.7% in 1979 but reduced to 6.3% in 1982. The mean mortality rate under 1 year of age in this period showed 20.5% which was the highest. The mortality rate in each sex in the adopted duration showed no significant difference from each other. The ventilators which were used for respiratorysupport were one kind of pressure regulated mode (Bird) and several models of volume and time regulated type (Bennet MA·), Emerson, Faregger, Bourns and Searle). The causes of death were low cardiac output, sepsis, brain demage, respiratory failure, and others in order of their prevalence