http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
증예(症例) : 수은 증기 흡입 후 발생한 화학성 폐렴 1예
김기회 ( Ki Hoi Kim ),김정관 ( Jeong Gwan Kim ),박성현 ( Sung Hyun Park ),송지은 ( Ji Eun Song ),오왕국 ( Wang Guk Oh ),이중철 ( Joong Chul Lee ),김영 ( Young Kim ),곽진영 ( Jin Young Kwak ) 전북대학교 의과학연구소 2010 全北醫大論文集 Vol.34 No.2
Mercury has been used widely in many industries and medicines throughout the centuries. Three forms of mercury exist as elemental, inorganic and organic. Mercury poisoning can result from vapor inhalation, ingestion, injection, or absorption through the skin. The pulmonary system is most affected in acute inhalation exposure of elemental mercury vapor. The reports of acute poisoning after inhalation of mercury vapor are rare. We report a case of a 63-year old man with chemical pneumonitis after inhalation of mercury vapor as folk remedy. After d-penicillamine as chelating agent and steroid treatment, symptoms and radiologic findings are improved.
증예(症例) : 가족성 선종성 용종종 환자에서 진단된 위선종 1예
김정관 ( Jeong Gwan Kim ),김기회 ( Ki Hoi Kim ),박성현 ( Sung Hyun Park ),송지은 ( Ji Eun Song ),오왕국 ( Wang Guk Oh ),김지웅 ( Ji Woong Kim ),조진웅 ( Jin Woon Cho ) 전북대학교 의과학연구소 2010 全北醫大論文集 Vol.34 No.2
가족성 선종성 용종증은 전대장에 수 많은 선종성 용종있는 드문 유전성 질환이다. 최근 연구에 의하면, 가족성 선종성 용종증에서 용종은 대장뿐만 아니라 위, 십이지장, 회장과 공장에도 발생한다. 대장외 병변의 양상은 다양하며, 대장 용종은 암의 발생과 연관이 높아 만약 치료하지 않은 경우 악성화 가능성의 거의 100%이다. 가족성 선종성 용종증 환자에서 위저부에 용종 동반율은 27~73%로 적지 않은 수이며 위선종의 발생율도 60%로 많은 수가 동반된다18,19). 그러나 위암의 동반율은 1% 이하인 것으로 보고되었다20). 저자들은 가족성 선종성 용종증 진단후 전대장 절제 및 회장낭-항문 문합술을 시행 받은 환자에서 위 내시경상 다수의 중증도 이형성증의 위선종이 발견되어 수술적 치료를 한 환자를 경험하였기에 보고하는 바이다. Familial adenomatous polyposis (FAP) is a rare genetic disorder in which the large intestine is diffusely carpeted by numerous adenomatous polyps. According to the recent studies, FAP is a disease which produces polypoid lesions not only in the large intestine but also in the stomach, duodenum, ileum and jejunum. The natural course of extracolonic lesions is variable, but the colonic polyps are associated with high incidence of cancer. The risk of malignant change is virtually 100% if untreated. The incidence of gastric antral polyp with FAP was reported 27~73%. And prevalence of gastric adenoma with FAP was reported to 60%. And prevalence of gastric cancer with FAP was reported to less than1%. We experienced a case of gastric high grade adenomatous polyps treated by surgery, which was found after total colectomy and ileal pouch-anal anastomosis because of FAP.
브롬산 나트륨 중독 후 발생한 심한 급성 신부전 예 1
박성현 ( Sung Hyun Park ),김기회 ( Ki Hoi Kim ),김정관 ( Jeong Gwan Kim ),송지은 ( Ji Eun Song ),오왕국 ( Wang Guk Oh ),김정화 ( Jung Hwa Kim ),이광영 ( Kwang Young Lee ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.1
Bromate is an oxidizing agent used as a permanent wave neutralizer. Accidental or deliberate ingestion of bromate has rarely been reported, but is potentially severe. We report a 36-year-old female hairdresser, who was admitted due to nausea and vomiting after ingestion of sodium bromate. The patient was successfully treated with hemodialysis therapy and renal function recovered without any complication. The clinicians must remember that early therapeutic measures, including hemodialysis, should be taken as soon as possible to prevent irreversible hearing loss and renal failure.
송지은 ( Ji Eun Song ),김기회 ( Ki Hoi Kim ),김정관 ( Jeong Gwan Kim ),박성현 ( Sung Hyun Park ),오왕국 ( Wang Guk Oh ),문경철 ( Kyung Chul Moon ),김정화 ( Jung Hwa Kim ),이광영 ( Kwang Young Lee ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.1
Thin basement membrane nephropathy (TBMN) is characterized by persistent hematuria, mild proteinuria, normal renal function and family history of hematuria. Many studies report that TBMN commonly occurs together with other glomerular diseases such as minimal change nephrotic syndrome, membranous nephropathy, IgA nephropathy and focal segmental glomerulosclerosis. Especially, the case of TBMN with minimal change nephrotic syndrome has been rare. We report a case of adult minimal change nephrotic syndrome with TBMN in a 44-year-old female with general edema and microscopic hematuria. On renal biopsy, electron microscopic examination demonstrated diffuse thinning of glomerular basement membrane with the thickness less than 250nm and diffuse foot process effacement. Treatment with corticosteroid resulted in complete remission of proteinuria.
증예(症例) : 모야모야 병과 동반된 관상동맥질환 4 예
박성현 ( Sung Hyun Park ),김기회 ( Ki Hoi Kim ),김정관 ( Jeong Gwan Kim ),송지은 ( Ji Eun Song ),오왕국 ( Wang Guk Oh ),장미영 ( Mi Young Jang ),박종필 ( Jong Pil Park ) 전북대학교 의과학연구소 2010 全北醫大論文集 Vol.34 No.2
현재까지 한국에서 모야모야 병과 동반된 관상동맥질환은 매우 드물며 단 4례만이 보고되어 저자들은 이러한 환자 4례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. 본 증례들은 모야모야 병이 전신 혈관 질환이라는 주장을 뒷받침할 수 있으며 모야모야 병을 추적관찰 할 때 관상동맥질환의 가능성에 대해 점검할 필요가 있을 것으로 생각하는 바이다. Moyamoya disease is an occlusive intracranial arteriopathy with an abnormal cerebrovascular collateral network at the base of brain. Although the etiology and pathogenesis remains unknown, there are several reports that moyamoya disease should be regarded as a progressive systemic disease. There are many reports which showed this disease is correlated with renal artery stenosis. However, it is rare for it to be associated with coronary artery disease. We experienced four cases of coronary artery disease associated with moyamoya disease in our center. The coronary angiography showed significant stenosis of coronary artery. Three of these patients were underwent percutaneous coronary intervention. One patient had three vessel disease and have been doing medical treatment. We concluded that the patient with moyamoya disease can be affected coronary artery and should be evaluated about the coronary artery disease.
IgA 신병증 환자에서 발생한 신장을 침범한 전신홍반루푸스
송지은 ( Ji Eun Song ),장미영 ( Mi Young Jang ),오왕국 ( Wang Guk Oh ),김정관 ( Jeong Gwan Kim ),박성현 ( Sung Hyun Park ),김기회 ( Ki Hoi Kim ),황민호 ( Min Ho Huang ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.3
Renal involvement in systemic lupus erythematosus (SLE) is a typical manifestation of the disease. The occurrence of non-lupus nephritis, especially IgA nephropathy (IgAN), in patients with SLE has rarely been reported. We describe the case of a 21-year-old woman who was diagnosed with IgAN and subacute necrotizing lymphadenitis, and her renal lesion biopsy was typical of lupus nephritis (ISN/RPS Class III). Although IgAN and lupus nephritis share some common physiopathological characteristics, their laboratory, histopathologic findings, and the extra-renal clinical manifestations are different and support a different pathogenesis. Our case highlights the importance of a renal biopsy in patients with lupus and urinary alterations despite underlying IgAN. A correct diagnosis would permit the most appropriate immunosuppressive treatments to be considered.