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고압 산소 요법의 이론과 응용
Hyperbaric Oxygen Therapy - Basic Principles and Clinical Applications-

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Authors
윤덕노; 조수헌
Issue Date
1980-09
Publisher
서울대학교 의과대학
Citation
Seoul J Med, Vol.21 No.3, pp. 219-232
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.
ISSN
0582-6802
Language
Korean
URI
https://hdl.handle.net/10371/6668
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 21 No.3 (1980)
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