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고압 산소 요법의 이론과 응용 : Hyperbaric Oxygen Therapy - Basic Principles and Clinical Applications-
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 윤덕노 | - |
dc.contributor.author | 조수헌 | - |
dc.date.accessioned | 2009-08-09T15:36:42Z | - |
dc.date.available | 2009-08-09T15:36:42Z | - |
dc.date.issued | 1980-09 | - |
dc.identifier.citation | Seoul J Med, Vol.21 No.3, pp. 219-232 | - |
dc.identifier.issn | 0582-6802 | - |
dc.identifier.uri | https://hdl.handle.net/10371/6668 | - |
dc.description.abstract | Carbon monoxide poisoning is one of the most
serious public health problems in Korea. According to authors' recent survey on the incidence of CO poisoning, the severity of health hazards by this invincible demon is threatening one. Among 30 millions of people who depend on the coal briquette as a domestic fuel for heating and for cooking, almost one million are suffering from noxiousness of coal briquette gas, especially from carbon monoxide. More than 85% of the intoxicated by CO are mild cases with those symptoms such as headache, emesis and chest pain, but around 15% of the intoxicated are semi-comatous or comatous. The fatal cases have been estimated around three to four thousands annualiy. In Korea, we are employing very unique underfloor heating system calied as 'ONDOL' . The coal briquette gas passes through the horizontal flues below the mudplastered stone floor covered by oil paper and exhausts out through the chimney located in the opposite side of the fire place. The regurgitations of the exhausted gas by weather conditions, poorly built chimney and broken /lues take place and linally leak into the room through the door or broken /loor pad. However, the anthracite coal is the only available underground energy source in KOTea, and the cost of it is very reasonable taken into consideration of our developing economic status. Initially, authors studied this serious health problem in the point of view of Preventive Medicine since 1963. The extensive status surveys brought us such a disappointing conclusion that carbon monoxide poisoning in Korea is entailed by so many complex socio-economic and cultural variables besides the true medical emergency. These variables arc acting as an unshaken impediment on the way to linal solution of this preventable accident. Authors' second approach to this problem by seeking more effective therapeutic measures seems to be out of the realm of Preventive Medicine. But, general indifference of the health authorities concerned and the clinicians to this social malady as inevitable accident pushed us to the territory of the clinical practice by opening the Hyperbaric Chamber Unit (one man, clinical type, designed by author, 1965) in Seoul National University Hospital at January 19, 1969. It has been more than 10 years since our initiation of the Hyperbaric Chamber Unit in Seoul National University Hospital. More than 2,200 CO poisonings have been benefited by this single one-man hyperbaric chamber with dramatic recovery rate of almost to 98%. Now, there are more than 130 hospitals operating Hyperbaric Chamber Unit in South Korea. We have 43 general hospitals with Hyperbaric Chamber Unit in Seoul City. We suppose this number ranks the next to U.S.A. in the world in the size, but not in the varieties. because we don't have any operating type. We reviewed the papers on hyperbaric oxygenation, mainly published since 1960. We summarized this review for the references and understandings of the clinicians and para-medical personnels working in the Hyperbaric Chamber Unit. As long as we use anthracite coal briquette as our most popular domestic fuel, we can't help living under this awful risk all the time. The development of Hyperbaric Oxygen Therapy in Korea may seem a little bit curious because this unit is still regarded as one of very expensive medical luxuries in the view of cost-benefit outcome. We resolve this problem by local supply of economic cost. We hope we can apply the Hyperbaric Oxygen Therapy to many other clinical indications in near future, overcoming present emphasis on the treatment of CO poisoning in Korea. | - |
dc.language.iso | ko | - |
dc.publisher | 서울대학교 의과대학 | - |
dc.title | 고압 산소 요법의 이론과 응용 | - |
dc.title.alternative | Hyperbaric Oxygen Therapy - Basic Principles and Clinical Applications- | - |
dc.type | SNU Journal | - |
dc.contributor.AlternativeAuthor | Yun, Dork Ro | - |
dc.contributor.AlternativeAuthor | Cho, Soo Hun | - |
dc.citation.journaltitle | 서울 의대 잡지 | - |
dc.citation.journaltitle | 서울 의대 학술지 | - |
dc.citation.journaltitle | Seoul Journal of Medicine | - |
dc.citation.endpage | 232 | - |
dc.citation.number | 3 | - |
dc.citation.pages | 219-232 | - |
dc.citation.startpage | 219 | - |
dc.citation.volume | 21 | - |
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