http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
호스피스완화의료에서 젊은 암 환자의 자녀와의 상담 평가 - 유아기, 아동기, 청소년기로 구분하여
박은주 ( Eun Ju Park ),박권오 ( Kwonoh Park ),오소연 ( So Yeon Oh ) 대한의료커뮤니케이션학회 2019 의료커뮤니케이션 Vol.14 No.1
Background: In this study, consultations with children of young patients with cancer were evaluated by dividing the child’s age into infancy, childhood, and adolescence to ensure the necessity and importance of appropriate intervention, coordination, and communication. Methods: From June 2017 to February 2019, medical records and consultation records were reviewed by selecting suitable cases among patients hospitalized in hospice palliative care unit at a Pusan national university Yangsan hospital. The consultation was conducted on several occasions by nurses, doctors and social workers from the time the patient was hospitalized to the day before death. Results: The cases of consultation were as follows: female patient with stomach cancer with a child in infancy, patient with gastric cancer with a child in childhood, and male patient with rectal cancer with a child in adolescence. Conclusion: It is ideal for parents to initiate communication with their children on their terminal status, so multidisciplinary teams must first support the motivation. In consultations with children, we should first explain the information about the cancer status of the parents, followed by the future clinical course, estimated life expectancy, and changes related to terminal status. Additionally, we must attempt to manage the psychological and emotional concerns of children. This study may support the creation of an atmosphere for in-depth research on family interviews of young patients with cancer in Korea. We think that this will contribute as basic data for some guidelines for communication based on the age of children in consultations with patients with terminal cancer.
증 례 : 림프절외 변연부 B-세포 림프종과 동반된 루프스양사구체신염 1예
김의창 ( Eui Chang Kim ),이현석 ( Hyun Suk Lee ),임용석 ( Yong Seok Lim ),이준호 ( Jun Ho Lee ),오소연 ( So Yeon Oh ),이현순 ( Hyun Soon Lee ),김민영 ( Min Young Kim ) 대한내과학회 2016 대한내과학회지 Vol.90 No.1
이 증례에서 저자들은 전신부종으로 내원한 49세 남환에서 루프스양사구체신염을 동반한 림프절외 변연부 B-세포 림프종을 진단하였고 항암화학요법으로 치료한 증례를 경험하였다. 현재까지 루프스양사구체신염의 발병 기전, 원인, 치료, 예후에 대해 잘 알려지진 않았으나, 이 질환이 진단된 경우 적극적으로 원인질환을 평가하고 조기에 적절히 치료하는 것이 신장의 예후에 있어서 중요할 것으로 생각된다. Lupus-like glomerulonephritis is an immune complex disease with features of lupus nephritis in the absence of systemic lupus erythematosus (SLE). We report a 49-year-old man diagnosed with lupus-like glomerulonephritis associated with extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT). He was admitted to the hospital for edema. At admission, the serum creatinine was 2.2 mg/dL and the urine protein level was 3.9 mg/day. A renal biopsy showed features of lupus nephritis with no clinical or serological evidence of SLE. Extranodal marginal zone B-cell lymphoma of MALT was discovered concurrently. After successful chemotherapy, the lupus-like glomerulonephritis and lymphoma entered complete remission. (Korean J Med 2016;90:50-54)
증례 : 혈액종양 ; 어린선 환자에서 발생한 혈관면역모세포 T세포림프종 1예
이상혁 ( Sang Hyuk Lee ),이재명 ( Jae Myung Lee ),범선희 ( Sun Hee Beom ),홍석호 ( Suk Ho Hong ),오소연 ( So Yeon Oh ) 대한내과학회 2010 대한내과학회지 Vol.79 No.2
혈관면역모세포 T세포림프종은 비호지킨림프종의 약 1~2%를 차지하는 드문 질환으로, 피부 병변과 과감마글로불린혈증 또는 용혈성빈혈, 흉수와 복수 등을 자주 동반하는 것으로 알려져 있다. AITL에 흔히 동반되는 피부질환은 홍반성판 또는 결절이나 구진의 형태로 나타나며 조직검사상 악성 림프종 세포들의 침윤을 볼 수 있다. 어린선은 전신적인 피부의 과각화증을 보이는 질환으로 유전적 혹은 후천적 경우가 있으며 유전적인 경우가 대부분이다. 저자들은 유전성으로 추정되는 어린선과 자가면역성용혈성빈혈을 동반한 AITL의 두 가지 드문 질환이 병발한 증례를 보고한다. Angioimmunoblastic T cell lymphoma (AITL), which accounts for only 1~2% of non-Hodgkin`s lymphomas, is commonly accompanied by skin lesions. Those associated with AITL include erythematous plaques, nodules or rashes. Histological examination of most lesions shows infiltration by malignant lymphocytes. Ichthyosis is a generalized skin disease characterized by hyperkeratosis, in which the skin acquires an appearance resembling fish scales. Some cases may be acquired, but most have a genetic basis. We report a case of AITL with associated ichthyosis that is considered to be inherited. (Korean J Med 79:206-209, 2010)