http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
증례 : 혈액종양 ; 종격종 자세포종양 항암 치료 2개월 후 발생한 골수형성이상증후군
양범희 ( Bum Hee Yang ),신선혜 ( Sun Hye Shin ),김지혜 ( Ji Hye Kim ),김민선 ( Min Sun Kim ),박실비아 ( Silvia Park ),장준호 ( Jun Ho Jang ),정철원 ( Chul Won Jung ) 대한내과학회 2016 대한내과학회지 Vol.90 No.5
Here, we report on a 20-year-old patient with a primary nonseminomatous mediastinal germ cell tumor (MGCT) who developed myelodysplastic syndrome (MDS) 2 months following chemotherapy with cisplatin, etoposide, ifosfamide, and paclitaxel. Bone marrow examinations revealed that the MDS was a refractory anemia with excess type II blasts and complex chromosomal abnormalities. With the onset of MDS occurring rapidly following chemotherapy, it is unlikely to have been caused by the therapy. We discuss the association between primary nonseminomatous MGCTs and hematological malignancies, including the possibility of a common clonal origin. (Korean J Med 2016;90:460-463)
소모성 응고 장애가 병발된 대동맥류의 중재시술 및 연속된 수술로 성공적으로 치료한 증례
김지현 ( Jee Hyun Kim ),양범희 ( Bum-hee Yang ),이주희 ( Ju-hee Lee ),이상엽 ( Sang Yeub Lee ),배장환 ( Jang-whan Bae ),황경국 ( Kyung-kuk Hwang ),김상민 ( Sang Min Kim ) 대한내과학회 2016 대한내과학회지 Vol.90 No.6
Aortic aneurysm-induced chronic consumptive coagulopathy is a very rare complication but can be a source of critical complications and mortality. A 72-year-old man presented with a rapidly expanding descending thoracic aortic aneurysm with a penetrating ulcer and an infrarenal abdominal aortic aneurysm complicated by chronic coagulopathy. We were aware of the bleeding risk during surgical replacement based on the patient’s chronic coagulopathy status and successfully performed endovascular repair of the thoracic aortic aneurysm with a penetrating ulcer. Platelet transfusion, antiplatelet agents, and proteinase inhibitors improved the coagulopathy. A delayed type Ib endoleak developed, and the coagulopathy recurred 2 months later when the patient presented with purpura of both lower legs. We successfully managed the condition by elective surgical replacement of the entire aorta after improving the coagulopathy with platelet replacement and administration of proteinase inhibitors. (Korean J Med 2016;90:537-541)