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강성귀(Sung Kyew Kang),박성광(Sung Kwang Park),김원(Won Kim),이정민(Jung Min Lee),마명신(Myeong Sin Ma) 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.1
Huge hepatic cysts are rarely encountered in autosomal dominant polycystic kidney disease. Huge hepatic cyst bothers the patient either by compression or complications such as intracystic infections or hemorrhages. We report, here, alcohol instillation to treat a huge hepatic cyst causing compression symptom with improvement in size & symptom. A 49-year-old female patient presented with a 4-week history of indigestion and epigastric discomfort. Physical examination was remarkable for tender hepatomegaly. Computerized tomography revealed huge hepatic and kidney cysts. Ultrasonographic guided percutaneous drainage and four times alcohol sclerotherapy of the huge heptic cyst was successful. Relief of the symptoms was maintained after 18 days. This case shows that alcohol sclerotherapy can be a effective nonsurgical method of treating symptomatic huge hepatic cysts.
강성귀(Sung Kyew Kang),김원(Won Kim),김인희(In Hee Kim) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.4
Mannitol is an osmotic diuretic as a useful agent in the treatment of a variety of clnical conditions. In persons with normal renal function, the mannitol is almost excreted by kidney. Although various studies of the effectiveness of mannitol for the cerebral edema have been reported, but there are still few re- ports on acid-base disorder. This study is based on acid-base and electrolyte changes after the intravenous infusion of hypertonic mannitol for the purpose of preventing cerebral edema. Mannitol were intravenously infused with 300-900 mL for 90-minutes (group A), 1,200-2,600 mL for 24-hours(group B) and 3,200-4,900 mL for over 24-hours(group C) each. Each blood sample was drawn for gas analysis, and electrolytes through arterial line before and after mannitol infusion. In group A, blood pH is increased significantly from baseline level 7.43±4 0.07 to 7.46±0.04, and plasma HCO3 25.3±2.1 mEq/L to 28.9±2.9 mEq/ L each, but plasma K is decreased significantly from baseline level 4.3±0.6 mEq/L to 3.70.8 mEq/L In group B, blood pH is increased significantly from baseline level 7.420.02 to 7.47±0.06, and plasma HCO3 25.2±1.8 mEq/L to 29.1±2.9 mEq/L each, but plasma K is decreased significantly from baseline level 4.2±0.3 mEq/L to 3.8±0.5 mEq/L. In group C, blood pH is increased significantly from baseline level 7.41±0.01 to 7.52±0.04, and plasma HCO3 24.9±1.2 mEq/L to 27.7±2.5 mEq/L each, but plasma K is decreased significantly from baseline level 4.20.1 mEq/L to 3.9±0.2 mEq/L These results clinically used intravenous infusion of mannitol could induce metabolic alkalosis associated with hypokalemia, regardless of its dosage.
각종 갑상선질환에 있어서 혈청 Thyroxine 식에 관한 연구
강성귀 ( Sung Gui Kang ) 대한내과학회 1971 대한내과학회지 Vol.14 No.1
Serum thyroxine levels have been determined in various thyroid states with Tetrasorb kit of Abbott Lab. The principle is based on the release of 125I-thyroxine from 125I-thyroxine binding globulin by non-radioactive thyroxine in the serum. The serum thyrox