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노동효 ( Dong Hyo Noh ),김학렬 ( Hak Ryul Kim ),조경화 ( Kyung Hwa Cho ),김동 ( Dong Kim ),신성남 ( Seong Nam Shin ),신정현 ( Jeong Hyun Shin ),송정섭 ( Jung Sub Song ),황기은 ( Ki Eun Hwang ),김소영 ( So Young Kim ),김휘정 ( Hwi 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.67 No.2
Chemical pneumonitis induced by hydrocarbon aspiration is rare in Korea. Kerosene is a petroleum distillate with low viscosity and high volatility. We report two adult cases of chemical pneumonitis caused by the accidental aspiration of kerosene. They were treated successfully with antibiotics and systemic corticosteroids, and recovered without complications.
지속성 천식발작으로 치료도중 발생한 가성동맥류 1예-증례 보고-
김동,신정현,노동효,정형철,조경화,황기은,김휘정,정은택,김학렬 대한중환자의학회 2010 Acute and Critical Care Vol.25 No.4
Pseudoaneurysm formation in the pulmonary vasculature is a rare but fatal condition. Several etiologies have been described including trauma, complication after cardiac or other surgeries, tuberculosis, necrotizing pneumonia, congestive heart disease, atherosclerosis, cancer and vasculitis. We report a case of pseudoaneurysm found in a patient being treated with status asthmaticus, who developed complications of pneumonia and brain abscess secondary to sepsis.
김재권,신익상,노동효,김용철,김승환,최준호,박은미,이상재,윤경호,유남진,이은미,오석규,정진원,김남호 대한심장학회 2009 Korean Circulation Journal Vol.39 No.6
Background and Objectives: During coronary angiography and interventional procedures, catheters that are engaged in a coronary ostium are routinely flushed, typically with normal saline, to expel blood from the catheter or to inject a pharmacologic agent. Saline contains sodium and chloride ions. Such injections may affect the electrophysiologic properties of the myocardium; however, the effect of normal saline on ventricular repolarization has not been established in patients with variant angina. Subjects and Methods: We studied 51 consecutive patients with variant angina. Five mL of normal saline (NS) or 5% dextrose solution (DW) were infused into the left coronary artery in random order. We measured the heart rate, QT interval, and T-wave amplitude using Mac-Lac 5.2. Results: The baseline clinical characteristics were not different between the NS {n=30 (14 males); mean age, 56±10 years} and the 5% DW groups {n=21 (7 males); mean age, 59±10 years}. The changes in the mean corrected QT (QTc) interval were significantly increased at the time of infusion of NS compared to 5% DW (45.1±30.3 vs. 20.9±23.3 ms, p=0.004). There was a T-wave amplitude change >0.2 mV in at least one-lead in 27 patients (90.0%) during NS infusion compared to 7 patients (33.3%) during 5% DW infusions (p=0.001). No significant changes in heart rate and blood pressure were noted during of the infusions. Conclusion: NS was associated with prolongation of ventricular repolarization in patients with variant angina.
안근무력증으로 내원한 환자에서 진단된 그레이브스병 1예
최준호 ( Jun Ho Choi ),노동효 ( Dong Hyo Noh ),박병현 ( Byoung Hyun Park ),조정구 ( Chung Gu Jo ) 대한내과학회 2008 대한내과학회지 Vol.75 No.1
Myasthenia gravis and autoimmune thyroid disorders often overlap. It is known that hyperthyroidism occurs in 2~17.5% of patients with myasthenia gravis. Thyrotoxicosis may influence the clinical course of myasthenia gravis. Overlapping clinical features may cause diagnostic confusion when Graves` disease and myasthenia gravis co-exist. Thus, various tests may be needed to distinguish these two diseases. It is clinically important to screen patients with myasthenia gravis for the co-existence of autoimmune thyroid disorders and vice versa. We cared for a patient with Graves` disease associated with ocular myasthenia gravis who presented with fluctuating double vision and ptosis. Ocular myasthenia gravis was diagnosed by electrophysiologic study and presence of acetylcholine receptor antibody. The patient had a favorable clinical and laboratory response to treatment with an anticholinesterase (pyridostigmine) and an antithyroid drug (propylthiouracil), and he had minimal symptoms at the 9-month follow-up examination. (Korean J Med 75:98-102, 2008)