http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
오준석 ( Joon Seok Oh ),김성민 ( Sung Min Kim ),신용훈 ( Yong Hun Sin ),김중경 ( Joong Kyung Kim ),손영기 ( Young Ki Son ),안원석 ( Won Suk An ),김성은 ( Seong Eun Kim ),김기현 ( Ki Hyun Kim ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.3
Purpose: Quantification of the dialysis dose is an essential element in the management of hemodialysis. The author investigates the reliability of hemodialysis adequacy measured by ionic dialysance (Online clearance monitoring(R), OCM). Because OCM is a non-invasive and instantly accessible method, it could be replaced Kt/V derived from single-pool variable volume urea kinetic model (UKM). Methods: Kt/V using UKM and OCM were measured simultaneously in 51 patients who have received hemodialysis therapy via arteriovenous fistula. The analysis of the data collected from 186 hemodialysis sessions were performed. Results: Kt/V of conventional hemodialysis, high efficiency hemodialysis and hemodiafiltration measured by UKM were 1.39±0.24, 1.41±0.23 and 1.53±0.17, and by OCM were 1.24±0.17, 1.26±0.19 and 1.39±0.19, respectively. The data of UKM were significantly higher than those of OCM (p=0.00). Also, there were strong positive correlations between UKM and OCM in hemodialysis (r=0.80, p=0.00), high efficiency hemodialysis (r=0.65, p=0.00) and hemodiafiltration (r=0.67, p=0.00). Conclusion: The Kt/V using OCM measured by ionic dialysance provided slightly lower data than that of UKM derived from single-pool variable volume urea kinetic model, but it may be a reliable test to evaluate dialysis adequacy in conventional hemodialysis, high efficiency hemodialysis and hemodiafiltration.
증례 : 신장 ; Icodextrin과 포비돈액 반응으로 진단한 복막 투석액의 흉강 누출 1예
유현승 ( Hyun Sung Yoo ),남현경 ( Hyun Kyung Nam ),안원석 ( Won Seok An ),김성은 ( Seung Eun Kim ),김기현 ( Ki Hyun Kim ) 대한내과학회 2009 대한내과학회지 Vol.77 No.6
복막투석액의 흉강 누출은 복막투석 환자에서 그다지 흔하지 않은 비감염성 합병증이다. 보통 조영제를 사용하는 복강 전산화단층촬영으로 비교적 쉽게 진단할 수 있다. 저자들은 조영제 사용 복강 전산화단층촬영으로 진단할 수 없었던 복막투석액의 흉강 누출을 icodextrin과 포비돈액의 화학적 변색 반응으로 진단하여 화학적 흉막 유착술로 치료한 경험1예를 보고한다. 본 증례를 통해 복강 전산화단층활영 등의 방사선 검사에서 음성 소견이라도 복막투석 환자의 흉강 누출 가능성을 배제하지 못한다는 사실을 알 수 있으며, 흉강누출이 의심되나 방사선 검사에서 증거를 찾기 어려운 경우 icodextrin과 포비돈액의 화학적 변색 반응을 이용한 진단을 고려할 것을 제안한다. Hydrothorax occurs as a complication of peritoneal dialysis in about 2% of cases. When a pleural effusion occurs, the effusion should be analyzed as part of the differential diagnosis. A hydrothorax due to peritoneal dialysate leakage can be suspected based on higher glucose and lower protein content compared with serum. Computed tomography (CT) peritoneography, peritoneal scintigraphy, and magnetic resonance peritoneography are safe, accurate, and reliable methods for diagnosing hydrothorax. Here, we report a case of hydrothorax associated with dialysate leakage that could not be confirmed using standard CT peritoneography. We confirmed the leakage by observing the change in color to black in a test that involved adding povidone-iodine to the pleural fluid obtained by thoracentesis after a cycle of peritoneal dialysis with icodextrin solution. We propose using the icodextrin-povidone reaction as a test for hydrothorax caused by dialysate leakage. (Korean J Med 77:775-779, 2009)
성경험이 없는 전신홍반루푸스 환자에서 발생된 뾰족 콘딜로마
김용준 ( Yong Jun Kim ),변창규 ( Chang Kyoo Byon ),김은석 ( Eun Seok Kim ),김현정 ( Hyun Jeong Kim ),정일환 ( Il Hwan Jeong ),안원석 ( Won Suk An ),이상엽 ( Sang Yeob Lee ),이성원 ( Sung Won Lee ),정원태 ( Won Tae Chung ) 대한류마티스학회 2014 대한류마티스학회지 Vol.21 No.2
Anogenital infection with human papillomavirus (HPV) is one of the most common sexually transmitted infections worldwide. The majority of HPV infections are transient and subclinical, with subsequent clearance by the immune system. However, in some individuals, especially those with impaired immunity, HPV infection may persist and result in condyloma acuminatum, pre-cancerous cervical abnormalities, as well as cervical cancer. Because of the intrinsic immunological aberrations and immunosuppressive treatment, patients with systemic lupus erythematosus (SLE) have higher prevalence of anogenital HPV infection, and SLE itself appears to be a major risk factor for HPV infection. HPV infection is sexually transmitted via genital contact; autogenesis of condyloma acuminatum without sexual contact is rare. In this case, a 27-year old virgin female with SLE was admitted to our clinic, presenting anogenital condyloma acuminata. It report that SLE patient can have a disease of anogenital HPV infection, despite the lack of sexual contact. Therefore, we recommend that patients with SLE have regular gynecological evaluations, in addition to prophylactic HPV vaccinations.