http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
심장 침습을 동반한 현저한 파골세포 모양의 거대세포로 구성된 원발성 폐평활 근육종 1예
송기룡 ( Ki Ryong Song ),조용선 ( Yong Seon Cho ),신성균 ( Sung Kyun Sin ),전호석 ( Ho Seok Jeon ),현우진 ( Woo Jin Hyun ),이양덕 ( Yang Deok Lee ),한민수 ( Min Soo Han ),노지영 ( Ji Young Rho ),김경희 ( Kyung Hee Kim ) 대한결핵 및 호흡기학회 2004 Tuberculosis and Respiratory Diseases Vol.57 No.3
순환기 : 심한 좌심방 석회화와 반복적인 좌심방 혈전 및 액와부 혈종
성석우 ( Seok Woo Seong ),안계택 ( Kye Taek Ahn ),김혜진 ( Hye Jin Kim ),천신혜 ( Shin Hye Cheon ),진선아 ( Seon Ah Jin ),신성균 ( Sung Kyun Sin ),정진옥 ( Jin Ok Jeong ) 대한내과학회 2012 대한내과학회지 Vol.82 No.6
저자들은 23년 전에 류마티스성 승모판 협착증, 좌심방 혈전이 동반되어 기계 판막을 이용한 승모판 치환술 및 좌심방 혈전 제거술을 시행한 뒤에 진행하는 좌심방의 심한 심내막 석회화와 좌심방 혈전 및 액와부의 혈종이 발생한 1예를 경험하였다. Left atrial wall calcification is frequently observed in patients with rheumatic valvular heart disease. However, massive left atrial wall calcification, so called porcelain or coconut atrium, with left atrium thrombi is very rare. Here, we describe the case of a 67-year-old male patient with porcelain atrium, recurrent left atrial thrombi, and a spontaneous axillary hematoma after mitral valve replacement and surgical thrombectomy due to rheumatic valvular heart disease. The patient underwent two valvular surgeries 20 years prior; therefore, we determined not to perform additional surgeries because of a high risk of morbidity, mortality, and the recurrence of atrial thrombi. The patient has been maintained on daily warfarin as an anti-thrombic therapy for more than 5 years without major embolic complications.
ST분절 상승 심근경색증 환자에서 시간 지연이 사망률에 미치는 영향
박용규 ( Yong Kyu Park ),정진옥 ( Jin Ok Jeong ),박재호 ( Jae Ho Park ),이현석 ( Hyeon Seok Lee ),이영달 ( Young Dal Lee ),최웅림 ( Ung Lim Choi ),진선아 ( Sun Ah Jin ),신성균 ( Sung Kyun Sin ),김준형 ( Jun Hyung Kim ),박재형 ( Ja 대한내과학회 2011 대한내과학회지 Vol.81 No.2
Background/Aims: The delay between the onset of myocardial infarction symptoms and primary percutaneous coronary intervention (PCI) is an important prognostic factor in patients with ST-segment elevation acute myocardial infarction (STEMI).We reviewed this delay in patients with STEMI and analyzed clinical outcomes. Methods: The study enrolled 3,399 patients (age, 61.4±12.8 years; 25.6% women) with STEMI who underwent primary PCIwithin 12 hours of symptom onset between October 2005 and February 2008 from the Korea Acute Myocardial Infarction Registry.The patients were divided into two groups according to the symptom-to-balloon time: group I (≤ 3 hours, n=955) and group II (>3 hours, n=2444). The in-hospital mortality rates and 1-year mortality and major adverse cardiac event (MACE) rates werecompared between the two groups. Results: The mean time interval from the onset of symptoms to arrival at the emergency room (ER) was 188.0±133.6 minutes(median, 152 minutes). The mean time interval from the ER to reperfusion (door-to-balloon time) was 97.8±67.9 minutes (median,80 minutes). The mean time interval from the onset of symptoms to reperfusion (symptom-to-balloon time) was 285.8±146.2minutes (median 250 minutes). The in-hospital mortality rate was significantly lower in group I as compared with group II (3.6%versus 5.2%, p=0.044). The 1-year mortality rate was also significantly lower in group I (4.7% versus 7.2%, p=0.012), while the1-year MACE rate was not significantly different between groups (17.9% versus 20.4%, p=0.179). Conclusions: This study demonstrates that there is a significant pre-hospital time delay in patients with STEMI in Korea and this time delay is associated with increased 1-year mortality. (Korean J Med 2011;81:199-207)
당뇨병성 케톤산혈증과 급성 췌장염을 동반한 부신 선종에 의한 쿠싱증후군 1예
한상우,박강서,전호석,서동현,이재민,신성균,현우진,박순현,구본정 대한당뇨병학회 2004 임상당뇨병 Vol.5 No.1
급성 췌장염은 다양한 임상양상으로 발현되는 질환으로 담석, 약물, 고지혈증 등에 의해서 유발된다. 쿠싱증후군에 의한 고코티솔혈증이 급성 췌장염의 한 원인일 수 있다는 몇몇의 보고들이 있었다. 저자들도 당뇨병성 케톤산혈증과 급성췌장염이 동반된 부신선종에 의한 쿠싱증후군환자를 경험하였고, 급성 췌장염을 일으킬만한다른 원인은 찾을 수 없었고 이에 따라 급성 췌장염의 원인이 고코티솔혈증이라고 추정된다. Cushing's syndrome is produced by the hypersecretion of adrenal glucocorticoids and characreized by moon face, central obesity, disappearance of diurnal variation of plasma cortisol level and unsuppressibility of plasma cortisol level by low-dose dexametasone. Acute pancreatitis is produced by alcohol, gallstone, drugs, and rarely by hyperlipidemia. Hyperlipidemia and excessive corticosteroid by Cushing's syndrome will cause acute pancreatitis. We report a rare case of Cushing's syndrome due to adrenocortical adenoma associated with acute pancreatitis and diabetic ketoacidosis which was manifested by hypertension, central obesity, left adrenal mass and complicated by pancreatic pseudocyst on pancreatic head. Left adrenalectomy and external drainage of pancreatic pseudocyst were performed and hypertension improved after the operation.
고형종양환자에서 항암화학요법 후 발생후 Typhlitis 1예
김용범,이수진,이영환,이유경,김정식,조인성,한현영,신성균 대한내과학회 2002 대한내과학회지 Vol.62 No.6
Typhlitis is a necrotizing enterocolitis of the cecum, ascending colon and terminal ileum. Typhlits has been reported in the severely neutropenic patients and likely results from a combination of neutropenia and defects in the bowel mucosa related to cytotoxic chemotherapy. This disease is most common in patients with leukemia who have undergone intensive myeloablative chemotherapy. Presumptive diagnostic criteria for typhlitis include fever, abdominal pain and tenderness, and radiologic evidence of right-sided colonic inflammation in patients with neutropenia. Recently, this disease is also reported in patients with solid tumor due to increasing challenges of high dose chemotherapy. We report a case of typhlitis developed in the circumstance of neutropenia induced by chemotherapy in a patient with malignant testicular tumor.