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Barbiturate 혼수치료에서 환자의 동공 빛 반사의 의의
DC Field | Value | Language |
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dc.contributor.author | 정현호 | - |
dc.date.accessioned | 2015-05-19T17:31:03Z | - |
dc.date.available | 2015-05-19T17:31:03Z | - |
dc.date.issued | 2008 | - |
dc.identifier.issn | 1739-8708 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/108295 | - |
dc.description.abstract | Objective : The aim of this study was to examine the significance of pupillary light reflex (PLR) during barbiturate coma therapy (BCT) against severe brain swelling. Methods : Between January 2003 and October 2007, 28 patients (traumatic brain injury: 15) underwent BCT because of maintained severe brain swelling after operation. All the patients maintained 3-6th wave per minute activity on electro-encephalography, and PLR were checked every 2 hours during BCT. The patient's performance was checked using Glasgow outcome scale (GOS) at the average 19.6 days (1-60 days) after BCT. Results :Twenty one patients had PLR at the start of BCT. Among 21 patients, 12 patient's PLR were vanished during BCT. Nine of 12 patients were dead (GOS=1), two had severe disability (GOS=2), and one stayed persistent vegetative state (GOS =3). But other nine patient's group, who showed prompt PLR continuously during BCT, got more improved GOS, compared with PLR vanished patient's group; 7 of 9 patients ranked more than GOS score 3. Conclusion :Our clinical data suggest that the maintaining prompt PLR during BCT is a positive finding to predict good outcome. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 57~61 | - |
dc.relation.isPartOf | Journal of Korean Neurotraumatology Society (대한신경손상학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Barbiturate 혼수치료에서 환자의 동공 빛 반사의 의의 | - |
dc.title.alternative | The significance of papillary light reflex of patient in barbiturate coma therapy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학) | - |
dc.contributor.googleauthor | 조평구 | - |
dc.contributor.googleauthor | 황 금 | - |
dc.contributor.googleauthor | 변진수 | - |
dc.contributor.googleauthor | 허 철 | - |
dc.contributor.googleauthor | 홍순기 | - |
dc.contributor.googleauthor | 정현호 | - |
dc.identifier.doi | 10.13004/jknts.2008.4.2.57 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03775 | - |
dc.relation.journalcode | J01522 | - |
dc.identifier.pmid | Barbiturate coma therapy; Pupillary light reflex; Severe brain swelling | - |
dc.subject.keyword | Barbiturate coma therapy | - |
dc.subject.keyword | Pupillary light reflex | - |
dc.subject.keyword | Severe brain swelling | - |
dc.contributor.alternativeName | Jung, Hyun Ho | - |
dc.contributor.affiliatedAuthor | Jung, Hyun Ho | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 4 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 57 | - |
dc.citation.endPage | 61 | - |
dc.identifier.bibliographicCitation | Journal of Korean Neurotraumatology Society (대한신경손상학회지), Vol.4(2) : 57-61, 2008 | - |
dc.identifier.rimsid | 35465 | - |
dc.type.rims | ART | - |
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