http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
박철기 ( Choul Ki Park ),주광로 ( Kwang Ro Joo ),김경엽 ( Kyung Yup Kim ),오원택 ( Won Taek Oh ),맹치훈 ( Chi Hoon Maeng ),임성직 ( Sung Jig Lim ),이정일 ( Joung Il Lee ) 대한내과학회 2008 대한내과학회지 Vol.75 No.5
간내 원발성 종괴가 없는 간외담관 간세포암은 간세포암의 매우 드문 형태로 진단함에 있어 간외담관암과 감별이 매우 힘든 질환이다. 저자들은 황달을 주소로 내원한 69세 여자 환자에서 수 차례의 ERCP를 통한 조직 검사로 상기 질환을 진단하였기에 문헌고찰과 함께 보고한다. Obstructive jaundice associated with hepatocellular carcinoma (HCC) is an uncommon symptom caused by intraductal tumor growth, the migration of tumor necrosis, blood clots within the biliary tract, or compression of the biliary tract by the tumor. Most cases of icteric-type HCC involve a main tumor in the liver parenchyma. Bile duct HCC without a primary hepatic tumor is extremely rare, but because it shows similar clinical manifestations and imaging results to extrahepatic bile duct cancer, it is possible to misdiagnose this condition as a primary bile duct tumor or choldocholithiasis. Recently, we experienced a case of obstructive jaundice associated with an extrahepatic bile duct tumor in a 69-year-old woman. Upon radiologic studies and endoscopic cholangiography, the cause of obstructive jaundice was initially attributed to the bile duct tumor itself. However, subsequent analysis indicated that the condition was, in fact, due to bile duct thrombi associated with extrahepatic bile duct HCC. (Korean J Med 75:559-563, 2008)
증례 : 호흡기 ; 신장을 침범한 결정성 경화증에서 발생한 폐의 임파관평활근종증 1예
박소희 ( So Hee Park ),손주웅 ( Ju Woong Son ),박철기 ( Choul Ki Park ),박명재 ( Myung Jae Park ),유지홍 ( Jee Hong Yoo ),강홍모 ( Hong Mo Kang ) 대한내과학회 2011 대한내과학회지 Vol.81 No.6
저자들은 신장의 혈관근 지방종과 간질로 결절성 경화증을 진단 받고 추적관찰 중인 환자에서 발생한 점진적인 호흡곤란으로 시행한 흉부 전산화 단층 촬영과 병리 조직 소견에서 HMB-45 양성의 폐 림프관 혈관종증을 진단한 1예를 경험하였기에 문헌과 함께 보고하는 바이다. Tuberous sclerosis is an autosomal dominant disorder characterized by facial skin lesions, epilepsy, and mental retardation. Pulmonary involvement in tuberous sclerosis is rare and shows characteristic reticulonodular infiltration and cystic changes. Lymphangioleiomyomatosis is characterized by the progressive proliferation of smooth muscle cells and occurs in 0.1-1% of patients with tuberous sclerosis. We encountered a case of pulmonary lymphangioleiomyomatosis associated with tuberous sclerosis and bilateral renal angiomyolipoma in a 31-year-old female patient. This case is reported here along with a brief review of the literature. (Korean J Med 2011;81:775-779)
증례 : 순환기 ; 수술 중 발생한 저체온증에 의한 심실 무수축과 이후 발생한 부정맥
박현진 ( Hyun Jin Park ),손주웅 ( Ju Woong Son ),임규성 ( Kyu Seong Lim ),박철기 ( Choul Ki Park ),박소희 ( So Hee Park ),백승숙 ( Seung Sook Paik ),김우식 ( Woo Shik Kim ) 대한내과학회 2011 대한내과학회지 Vol.81 No.3
저자들은 특이 병력 없는 환자에서 수술 중 저체온에 의해 발생한 심실 무수축과 부정맥을 경험하였기에 이를 보고하는 바이다. A 55-year-old man underwent a posterior decompression and fusion under general anesthesia. Near the end of the operation, the pressure waveform from the radial artery became flat, and his oxygen level could not be measured using pulse oximetry. Palpation of the carotid artery revealed no heart rate, and ventricular asystole was diagnosed. The patient was given cardiovascular drugs, but his hemodynamic status deteriorated, leading to severe hypotension, with sinus bradycardia, sinus tachycardia, sinus arrest, and paroxysmal supraventricular tachycardia. The patient had hypothermia based on an axillary temperature of 31.9℃. After active warming, his cardiovascular status stabilized. (Korean J Med 2011;81:382-386)