http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
급성심근경색 환자에게 적용된 정맥-정맥 체외막산화기의 임상 효과
김수완,성길명,이재근,Kim, Su Wan,Seong, Gil Myeong,Lee, Jae-Geun 제주대학교 의과학연구소 2018 The Journal of Medicine and Life Science Vol.15 No.2
Extra-corporeal membrane oxygenation (ECMO) has the potential to rescue patients in cardiac arrest or respiratory failure. ECMO has two systems such as veno-arterial and veno-venous circulation. In cardiac arrest resulting from acute myocardial infarction, veno-arterial ECMO is mandatory for systemic circulation and oxygenation. A 75-year old female patient underwent primary coronary intervention for acute myocardial infarction. Despite successful revascularization, recurrent ventricular tachycardia and heart failure were progressing. We performed a veno-arterial ECMO through the femoral artery and vein, then the patient seemed to be stable clinically. However, laboratory studies, echocardiography, and vital signs indicated multi-organ failure and decreasing cardiac function. We found out an error that we performed veno-venous ECMO instead of veno-arterial ECMO. We added a femoral artery cannula and exchange the circuit system to veno-arterial ECMO. While the systemic circulation seemed to be recovered, the left ventricular function was decreased persistently. A hypovolemia resulting from pulmonary hemorrhage was occurred, which lead to ECMO failure. The patient died of cardiac arrest and multi-organ failure 23 hours after ECMO. Because the color of arterial and venous circuits represent the position and efficacy of ECMO, if unexpected or abnormal circuit colors are detected, prompt and aggressive evaluation for ECMO function is mandatory.
아스피린 탈감작으로 호전된 아스피린 과민증을 동반한 난치성 만성 두드러기 2예
오민수 ( Min Su Oh ),성길명 ( Gil Myeong Seong ),이혜숙 ( Hye Sook Lee ),임길채 ( Gil Chai Lim ),이재천 ( Jae Chun Lee ) 대한천식알레르기학회 2012 천식 및 알레르기 Vol.32 No.1
Background: Chronic urticaria is a disease which is defined as hives with itching which waxed and waned for more than 6 weeks. In some cases, hives are intractable and refractory even while on medical treatment. Aspirin can cause and exacerbate chronic urticaria. We experienced two cases of intractable aspirin-sensitive chronic uriticaria which were successfully controlled by aspirin desensitization. Case History: Two adult patients had been suffering from hives with itching which were diagnosed as aspirin sensitive chronic urticaria. Their hives had worsened during medical treatment and had been exacerbated by aspirin administration. Results: Aspirin desensitization was attempted in each patient and the hives were successfully treated without having hives of daily administration of aspirin 300 mg. Conclusion: Aspirin desentization can be used as a treatment option in patients with chronic urticaria with aspirin sensitivity. (Korean J Asthma Allergy Clin Immunol 2012;32:51-55)
중증 열성혈소판감소증후군 환자에서 혈장교환술 치료 중 발생한 치명적 폐손상
오현주 ( Hyunjoo Oh ),유정래 ( Jeong Rae Yoo ),성길명 ( Gil Myeong Seong ),김선형 ( Sun Hyung Kim ),허상택 ( Sang Taek Heo ) 대한내과학회 2020 대한내과학회지 Vol.95 No.3
Severe fever with thrombocytopenia syndrome (SFTS) caused by the SFTS virus (SFTSV), a novel Phlebovirus, is endemic to South Korea, central and northeastern China, and western Japan. SFTS poses a threat to public health because of its high mortality and secondary transmission. Ticks and domestic animals are hosts for SFTSV in endemic areas. There is no specific treatment for SFTS, and avoiding tick bites is the best way to prevent infection. Early therapeutic plasma exchange (TPE) is a rescue therapy in patients with rapidly progressive SFTS. Here, we present a patient with SFTS who was improving on TPE but died suddenly due to acute lung injury after TPE. (Korean J Med 2020;95:211-215)
김지영 ( Ji Young Kim ),이재천 ( Jaechun Lee ),이종후 ( Jong Hoo Lee ),성길명 ( Gil Myeong Seong ),정선영 ( Sun Young Jeong ),현창림 ( Chang Lim Hyun ) 대한천식알레르기학회 2012 천식 및 알레르기 Vol.32 No.1
Background: Asthma is characterized by the symptoms of breathlessness, wheezing, chest tightness and cough, and variable airflow limitations that are reversible spontaneously or with treatment. The symptoms may be exacerbated by aggravating factors, such as exercise. Case History: A 45 year old female patient presented at our clinic with breathlessness, chest tightness, wheezing and cough, especially during and after exercise. She visited regional hospitals, had undergone diagnostic bronchial provocation tests with methacholine and exercise, and had received medical treatments for asthma. Results: At presentation, spirometry exhibited an abnormal flow-volume curve, which was confirmed as large airway narrowing by chest computed tomography and bronchoscopic examination. Pathologic examination revealed focal calcification under the normal airway surface without inflammation. Conclusion: We report the case of idiopathic tracheobronchial stricture in a patient with asthma-mimicking symptoms. (Korean J Asthma Allergy Clin Immunol 2012;32:61-65)
배재석 ( Jae Seok Bae ),김진석 ( Jin Seok Kim ),허상택 ( Sang Taek Heo ),성길명 ( Gil Myeong Seong ),정진호 ( Jin Ho Jeong ),김조헌 ( Jo Heon Kim ) 대한류마티스학회 2011 대한류마티스학회지 Vol.18 No.3
Kikuchi disease, also called histiocytic necrotizing lymphadenitis, is an uncommon, idiopathic and generally self-limited disease, characterized by cervical lymphadenopathy. It can present systemic symptoms and signs, but ocular involvement is unusual. We report a 35-year-old woman who presented sudden decreased visual acuity and a swollen lymph node on the left side of her neck. On laboratory findings, there were no evidences of infection, autoimmune disease and systemic vasculitis. She was diagnosed with Kikuchi disease and bilateral retinal vasculitis by histologic analysis of lymph node, fundoscopy and fluorescein angiography.