http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
선천성 Antithrombin III 결핍증에서 발생한 폐색전증 1 예
박형관,박창민,고경행,임명수,김유일,황준화,임성철,김영철,박경옥,Park, Hyeong-Kwan,Park, Chang-Min,Ko, Kyoung-Haeng,Rim, Myung-Soo,Kim, Yu-Il,Hwang, Jun-Hwa,Lim, Sung-Chul,Kim, Young-Chul,Park, Kyung-Ok 대한결핵및호흡기학회 1999 Tuberculosis and Respiratory Diseases Vol.47 No.3
저자들은 갑작스런 흉통을 주소로 내원한 젊은 남자에서 AT III 결핍증에 의한 폐색전증을 진단하고 세 자녀 모두에서도 AT III 결핍이 확인됨으로써 폐색전증을 동반한 선천성, 가족성 AT III 결핍증을 경험하였기에 문헌고찰과 함께 보고한다. We report a case of congenital and familial antithrombin III deficiency developing massive pulmonary thromboembolism. A 44-year-old man was admitted to our hospital because of sudden chest pain and severe dyspnea. Five years ago, he was operated due to a mesenteric vein thrombosis of unknown cause. On admission, radioisotopic venogram showed deep vein thrombosis and lung scintigram showed multiple segmental perfusion defects. His plasma antithrombin III level was 10.5 mg/dL which was less than 50% of normal and those of a son and two daughters were also decreased. After treatment with tissue plasminogen activator, heparin and coumadin, his symptom and lung scintigram were significantly improved. As far as we reviewed, there were very rare reports with congenital antithrombin III deficiency presenting as pulmonary thromboembolism in Korea.
고칼슘혈증을 보인 폐암환자에서 부갑상선호르몬(PTH)과 부갑상선호르몬관련단백질(PTHrP)이 동시에 증가된
김유일 ( Yu Il Kim ),김규식 ( Kyu Sik Kim ),유영권 ( Young Kwon Yu ),박창민 ( Chang Min Park ),임명수 ( Myung Soo Rim ),고경행 ( Kyung Haeng Ko ),황준화 ( Jun Hwa Hwang ),박형관 ( Hyeong Kwan Park ),임성철 ( Sung Chul Lim ),김영철 대한결핵 및 호흡기학회 1999 Tuberculosis and Respiratory Diseases Vol.47 No.4
선천성 Antithrombin 3 결핍증에서 발생한 폐색전증
박형관 ( Hyeong Kwan Park ),박창민 ( Chang Min Park ),고경행 ( Kyoung Haeng Ko ),임명수 ( Myung Soo Rim ),김유일 ( Yu Il Kim ),황준화 ( Jun Hwa Hwang ),임성철 ( Sung Chul Lim ),김영철 ( Young Chul Kim ),박경옥 ( Kyung Ok Park ) 대한결핵 및 호흡기학회 1999 Tuberculosis and Respiratory Diseases Vol.47 No.3
한국 성인에서 경비 기관 삽관시 튜브의 적절한 깊이에 대한 연구
소정일,류진호,문원식,전병조,황준화,허탁,민용일 대한응급의학회 2000 대한응급의학회지 Vol.11 No.2
Background: Nasotracheal intubation is one of techniques of airway management that is essential for the emergency physician to master. It is very important to determine the optimal initial depth of tube in nasotracheal intubation, prior to obtaining a chest radiograph. The average distandce from the external naris to the carina is 32cm in the adult male and 27 to 28cm in the adult female in American. We thought that this distance would be inappropriate to Korean adults because of the difference of body habitus. So we studied the proper depth of nasotracheal tube in korean adults and evaluated the factors influencing to that distance. Methods: A prospective study was performed to determine the distance from the external naris to the carina in 127 Korean adults examined by flexible fiberoptic bronchoscopy from October 1998 to August 1999. In addition, the influence of age, height and weight to that distance was evaluated in korean adults. Results: The distance from the external naris to the carina in Korean adults was 31.0±1.3 cm in male and 27.6±1.6 cm in female. That distance was positive related to height and weight, but not to age. Conclusion: If the tip of the nasotracheal tube be placed at 2cm above the carina, proper depth of nasotracheal tube should be 29cm in male and 26cm in female in Korean adults. And the distance from the external naris to the carina was related to height and weight.
김영철,박경옥,이정훈,박종춘,강광원,김준우,황준화,장일권,박형관,박창환 대한내과학회 1997 대한내과학회지 Vol.53 No.4
Hepatopulmonary syndrome consists of a triad of liver dysfunction, intrapulmonary vascular dilatation, and hypoxemia. This is one of the main causes of arterial hypoxemia in patients with chronic liver disease. The vascular abnormalities are precapillary dilatation, direct arterial-venous communication, and dilated pleural vessels. In this article, we report a case of hepatopulmonary syndrome in a 62-year-old woman who had complained progressively worsening dyspnea, platypnea, and orthodeoxia. She had huge splenomegaly, clubbing fingers and cyanosis of lip and fingers. Arterial blood gas analysis showed refractory arterial hypoxemia and orthodeoxia suggesting right-to-left $quot;shunting$quot;. Chest X-ray showed increased interstitial markings on the lower part of right lung, In ^(99m)Tc-labeled macroaggregated albumin (MAA) lung perfusion scan, there was no perfusion defect in the lung, but labeled radionuclide were taken up in the intraabdominal organs, kidney, liver and spleen. The amount of shunted radionuclide were about 58 percent. In contrast echocardiography, microbubbles which were injected via cephalic vein were visualized in the left atrium at 4 cardiac cycles after leaving the right ventricle indicating intrapulmonary right-to-left $quot;shunting$quot; rather than intracardiac shunt. Pulmonary angiographic finding revealed diffuse blotchy arterial dilatation on both lung fields, especially lower lobes of both lungs. Current modalities of treatment of hepatopulmonary syndrome are the therapeutic embolization of direct arterial-venous communication for focal vascular dilatations, and TIPSS (Transjugular intrahepatic porto-systemic shunt) or liver transplantation for diffuse intrapulmonary vascular dilatations. Despite our recommendation of TIPSS, she refused the procedure and is under home oxygen therapy.