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Hemorrhagic cholecystitis: report of a case
권정남 한국간담췌외과학회 2012 한국간담췌외과학회지 Vol.16 No.3
Hemorrhagic cholecystitis is an uncommon cause of abdominal pain that can be fatal. We report a case of hemorrhagic cholecystitis in a 75-year-old male taking an anticoagulant. The patient was brought to the hospital with uncontrolled right upper quadrant abdominal pain. On computed tomography, mild gallbladder wall thickening and high density with gallstones in the gallbladder suggested acute calculous cholecystitis or hemorrhagic cholecystitis. An urgent laparoscopic cholecystectomy was performed that revealed a gallbladder filled with large blood clots and two black stones. Patients who develop hemorrhagic complications were often receiving anticoagulation therapy or had pathologic coagulopathy. An early diagnosis of this potentially fatal condition is important to facilitate urgent surgical treatment.
권정남,김영균,최문경 대한동의생리학회,대한동의병리학회 2001 동의생리병리학회지 Vol.15 No.6
Paralysis is a neurological disease which suffers numerous people around the world as well as Korea. It is one of the main three causes of death. The two others are cancer and hearth disease. To make matters worse, particularly, paralysis ranks top in the list of death causes of Korean people. This researcher randomly sampled and analyzed medical records of 467 patients who was hospitalized and treated at Chinese Medicine hospital of Dongeui university after they were diagnosed as having cerebral hemorrahage through Brain CT and Brain MRI photography. The researcher checked those paralyzed patients from entering till leaving the hospital in regard to their high blood pressure distribution, average blood pressure, whether they took blood pressure medicines or not, and variations in blood pressure in accordance with the time period of hospitalization and whether or not the patients took medicines treating blood pressure. In terms of high blood pressure, 283(60.6%) patients among the total surveyed in this study were found having high blood pressure provided considered based on the contraction stage of blood pressure, while 257(55%) was under an equivalent status based on the relaxation stage of the same measure. Those who suffered from high blood pressure were occupied by 102 men, 59% of the total same sex, 172, and 181 women, 61% of the total equivalent sex, 297, when evaluated based on the contraction stage mentioned above while, 90 men and 167 women, the relaxation stage. Among all of the patients with high blood pressure, that is 283(contraction stage)and 257(relaxation stage), 1(0.4%) and 2(0.8%) were respectively at their 30s, 19(6.7%) and 18(7.0%) at their 40s and 49(17.3%) and 39(15.2%) at their 50s. 111(39.2%) and 107(41.6%) 87(30.7%) and 78(30.4%), and 16(5.7%) and 13(5.1%) respectively at their 60s, 70s and 80s. These indicate that an absolute majority of high blood pressure patients was occupied by those at their 60s and 70s. When all of the 467 patients were classified in terms of hospitalization period, 201 patients (43.04%) belonged to <1 Week's Group>, followed by 140(29.98%), <2 Weeks' Group>, 82(17.56%), <4 Weeks'group> and 44(9.42%), <8 Week's Group>. Categorized in accordance to whether they had took any medicines to control blood pressure at the time of entering hospital, the total subject was divided into A,B and C groups. Out of 467 patients, in detail, 191(40.9%) became under <Group A>, 215(46.4%), <Group B> and 61(13.06%), <Group C>. For all the patients selected for the study, mean blood pressure was 153.7/94.4 when they were hospitalized and 134.6/85.3 when they left hospital. In <Group C> whose 61 members began to take blood pressure medicines during hospitalization, average blood pressure significantly decreased to 148.0/93.1 after taking the medicines from 164.3/101.3 before the treatment. Consequently, the level of blood pressure in the part of the whole patients under survey here was significantly changed or decreased after they received proper treatments and according to the time period of their hospitalization.