http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
기관지내시경 검사 전처치로 사용한 리도케인에 의한 과민반응 1례
박찬욱,류운석,라동집,심성준,한종대,이동욱 대한알레르기학회 1999 천식 및 알레르기 Vol.19 No.2
Fiberoptic bronchoscopy is a valuable diagnostic and therapeutic procedure in many clinical situations and is relatively simple to perform with proper technique. Local anesthetic technique is often preferable to general anesthesia for bronchoscopies since these examinations are mostly undertaken as outpatient procedures. Inhaled topical lidocaine, used to produce anesthesia of the repiratory tract prior to bronchoscopy, may cause anaphylactoid reaction in patients. However lidocaine hypersensitivity reaction is uncommon. We report the case of death due to hypersensitivity to topical lidocaine spray given during routine premedication for this procedure. The possibility of bronchospasm secondary to an adverse reaction to premedication or anesthesia must also be considered.
악성 종양 , 만성 염증성 질환 , 및 철 결핍성빈혈 환자에서의 혈중 Erythropoietin 및 Tumor Necrosis Factor α
원종호(Jong Ho Won),라동집(Dong Jip Ra),홍대식(Dae Sik Hong),박희숙(Hee Sook Park) 대한내과학회 1993 대한내과학회지 Vol.45 No.5
N/A Objectives: The aim of this study was to determine the serum erythropoietin (S-EPO) level in anemia of chronic disorders (ACD) and the influence of tumor necrosis factor α (S-TNFα) to S-EPO. We also investigated the relationship between S-EPO and S-TNFα levels and other factors, such as fever and consumptive syndrome. Methods: Serum erythropoietin (S-EPO) and tumor necrosis factor alpha (S-TNFα) levels were measured by radioimmunoassay in 35 patients with anemia, classified into three groups according ta their etiology: neoplastic (n=17), chronic inflammatory (n=9), iron deficiency (n=9), and 10 normal controls. Resultr: The iron deficiency anemia group showed a higher mean S-EPO level (mean value±SEM, 229,05±50.50mU/ml) than the neoplastic (25.09±3.85 mU/ml; p<0.0001), chronic inflammatory (24.38±4.98 mU/ml; p<0.0001), and normal control groups (11.96±0.99 mU/ml; p<0.0001). The neoplastic group showed a higher mean S-TNFα level (6.22±0.33 fmol/ml) than the iron deficiency (3.26±0.18 fmol/ml; p<0.0001) and normal control groups (4.06±0.12 fmol/ml; p<0.0001). The chronic inflammatory disorder group showed a higher mean S-TNFα level (5.39α0.52 fmol/ml) than the iron deficiency anemia group (p<0.0001). There were no significant differences of S-EPO and S - TNFα Level of ACD group in febrile subjects (9 patients with fever and 17 patients without fever) and in weight loss (10 patients with weight loss and 16 patients without weight loss). Conclusion: These data suggested that the cause of ACD is thought to be the inappropriate erythropoiesis and TNFα may preferentially inhibits erythropoiesis.
김진홍,이문성,조성원,심찬섭,라동집,최재동 대한소화기내시경학회 1992 Clinical Endoscopy Vol.12 No.1
The septum formation(web) of bile duct is an uncommon disease. Its rarity and vague symptoms result in delayed diagnosis. However, the increased use of endoscopic retrograde cholangiopancreatography(ERCP) and percutaneous transhepatic cholangiography(PTC) have resulted in greater awareness of this entity and understanding of its natural history as well as an increased frequency of diagnosis. We have experienced 4 cases of common bile duct web, which were associated with stones in the bile duct, confirmed by operation.