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우황(牛黃).웅담(熊膽).사향(麝香) 약침을 이용한 Bell's palsy 환자의 이후통(耳後痛) 치험 6례
윤경진,최유진,여인호,김정현,이참결,노정두,이은용,Yun, Kyung-Jin,Choi, You-Jin,Yeo, In-Ho,Kim, Jung-Hyun,Lee, Cham-Kyul,Roh, Jeong-Du,Lee, Eun-Yong 척추신경추나의학회 2012 척추신경추나의학회지 Vol.7 No.2
Objectives : The aim of this study was to report Bell's palsy patients with postauricular pain treated by Calculus Bovis Fel Ursi Moschus(BUM) Pharmacopuncture. Methods : The 6 patients were treated by the Korean medica treatment including herbal medication, dry needle acupuncture and physical therapy. We performed BUM Pharmacopuncture in Yepung for the treatment of postauricular pain once or twice. We have evaluated the effect of BUM Pharmacopuncture by Visual Analog Scale(VAS). Results : After BUM Pharmacopuncture for the treatment of postauricular pain, VAS were decreased in all cases. Conclusions : It was suggested that BUM Pharmacopuncture might have effect on control of auricular pain in Bell's palsy. Further, systemic studies will be needed to evaluate obvious effect of BUM pharmacopuncture on postauricular pain of Bell's palsy.
牛黃· 熊膽· 麝香 약침을 이용한 Bell’s palsy
윤경진(Yun Kyung-jin),최유진(Choi You-jin),여인호(Yeo In-ho),김정현(Kim Jung-hyun),이참결(Lee Cham-kyul),노정두(Roh Jeong-du),이은용(Lee Eun-yong) 척추신경추나의학회 2012 척추신경추나의학회지 Vol.7 No.2
Objectives : The aim of this study was to report Bell s palsy patients with postauricular pain treated by Calculus Bovis·Fel Ursi·Moschus(BUM) Pharmacopuncture. Methods : The 6 patients were treated by the Korean medica treatment including herbal medication, dry needle acupuncture and physical therapy. We performed BUM Pharmacopuncture in Yepung for the treatment of postauricular pain once or twice. We have evaluated the effect of BUM Pharmacopuncture by Visual Analog Scale(VAS). Results : After BUM Pharmacopuncture for the treatment of postauricular pain, VAS were decreased in all cases. Conclusions : It was suggested that BUM Pharmacopuncture might have effect on control of auricular pain in Bell s palsy.
갱년기 여성의 경항통에 대한 홍화 약침 치료의 임상적 고찰
박재연,윤경진,최유진,김민석,유성진,이참결,노정두,이은용,Park, Jae-Yeon,Yun, Kyung-Jin,Choi, You-Jin,Kim, Min-Seok,Yu, Sung-Jin,Lee, Cham-Kyul,Roh, Jeong-Du,Lee, Eun-Yong 대한약침학회 2011 Journal of pharmacopuncture Vol.14 No.4
Objectives: The purpose of this research was to examine the effect of Carthami-Flos Pharmacopuncture on posterior neck pain of menopausal women. Methods: We treated 20 female patients with neck pain patient(45-60 yr) into two groups and treated Group A with Carthami-Flos Pharmacopuncture and common acupuncture and Group B with common acupuncture. The efficacy of treatment was measured by VAS, NDI and MENQOL scores of before and after 30 days to start treatment. Results: Both group A and B represented effective improvement in VAS and NDI of neck pain and MENQOL scores. And group A was more effective than B group statistically. Conclusions: It was suggested that Carthami-Flos Pharmacopuncture treatment might have effect on posterior neck pain treatment of menopausal women.
Monoclonal Gammopathy of Undetermined Significance가 동반된 강직성 척추염 환자에서 발생한 AA형 및 AL형 심아밀로이드증
김우현 ( Woohyeon Kim ),김선아 ( Seon A Kim ),윤경진 ( Kyung Jin Yun ),나수진 ( Soo Jin Na ),현지인 ( Ji In Hyun ),정정임 ( Jung Im Jung ),곽승기 ( Seung Ki Kwok ),박성환 ( Sung Hwan Park ) 대한류마티스학회 2014 대한류마티스학회지 Vol.21 No.3
심아밀로이드증의 궁극적 치료는 아밀로이드 침착의 병인에 달려 있으므로 증상치료와 함께 초기에 아밀로이드증의 원인을 밝히는 것이 무엇보다 중요하다. 강직성 척추염에서 AA형 아밀로이드증이 심장을 침범하는 경우는 흔치 않으며, 특히 본 증례는 동반질환인 MGUS와 연관된 AL형 심아밀로이드증이 심장 조직검사를 통해 함께 진단되어 치료를 시행한 경우로, 이와 같은 예는 국내 보고된 사례가 없어 저자들이 경험한 1예를 문헌고찰과 함께 보고한다. Amyloidosis is a clinical disorder caused by extracellular deposition of proteinaceous insoluble fibrils in various tissues, resulting in organ compromise. Amyloid L (AL) amyloidosis is the most common type of systemic amyloidosis, which occurs in association with multiple myeloma or monoclonal gammopathy of undetermined significance (MGUS). Secondary amyloid A (AA) amyloidosis is a complication of chronic inflammatory conditions, such as rheumatoid arthritis or ankylosing spondylitis. We report a case of a 49-year-old manwith a 11-year history of ankylosing spondylitis, who was recently diagnosed with MGUS presented with cardiac amyloidosis of both the AA and AL types. We report this case along with a review of relevant literature.
박인규 ( In Kyu Park ),황윤진 ( Yoon Jin Hwang ),권형준 ( Hyung Jun Kwon ),윤경진 ( Kyung Jin Yoon ),김상걸 ( Sang Geol Kim ),천재민 ( Jae Min Chun ),박진영 ( Jin Young Park ),윤영국 ( Young Kook Yun ) 대한외상학회 2012 大韓外傷學會誌 Vol.25 No.4
Purpose: Severe pancreaticoduodenal injuries are relatively uncommon, but may result in high morbidity and mortality, especially when management is not optimal, and determining the appropriate treatment is often difficult. The objective of this study was to review our experience and to evaluate the role of a pancreaticoduodenectomy (PD) in treatment of pancreaticoduodenal injuries. Methods: We performed a retrospective review of 16 patients who underwent an emergency PD at our hospital for severe pancreaticoduodenal injury from 1990 to 2011. Demographic data, clinical manifestations, mechanism and severity of the injury, associated injuries, postoperative complications and outcomes were reviewed. Results: The mean age of the 16 patients was 45±12 years (mean±standard deviation), and 15(93.8%) patients were male. All patients underwent an explorative laparotomy after a diagnosis using abdominal computed tomography. Almost all patients were classified as AAST grade higher than Ⅲ. Thirteen(83.3%) of the 16 patients presented with blunt injuries; none presented with a penetrating injury. Only one(6.3%) patients had a combined major vascular injury. Fifteen patients underwent a standard Whipple`s operation, and 1 patient underwent a pylorus-preserving pancreaticoduodenectomy. Two of the 16 patients required an initial damage-control procedure; then, a PD was performed. The most common associated injured organs were the small bowel mesentery(12, 75%) and the liver(7, 43.8%). Complications were intraabdominal abscess(50%), delayed gastric emptying(37.5%), postoperative pancreatic fistula(31.5%), and postoperative hemorrhage (12.5%). No mortalities occurred after the PD. Conclusion: Although the postoperative morbidity rate is relatively higher, an emergency PD can be perform safely without mortality for severe pancreaticoduodenal injuries. Therefore, an emergency PD should be con-sidered as a life-saving procedure applicable to patients with unreconstructable pancreaticoduodenal injuries, provided that is performed by an experienced hepatobiliary surgeon and the patient is hemodynamically stable. (J Trauma Inj 2012;25:115-121)
증례 : 혈액종양 ; 50대 남자 환자에서 대세포 폐암으로 오인된 원발성 종격동 융모막암 1예
김영신 ( Young Shin Kim ),한치화 ( Chi Wha Han ),정윤화 ( Yun Hwa Jung ),정민영 ( Min Young Jeong ),고성우 ( Seong Woo Go ),윤경진 ( Kyung Jin Yun ),정한희 ( Han Hee Chung ) 대한내과학회 2014 대한내과학회지 Vol.86 No.5
남자에서 발생된 성선 외 융모막암은 매운 드문 종양으로 종격동에서 발생하는 경우 폐암이나 호지킨 림프종으로 오인되기 쉽다. 특히 일반적인 나이를 비롯하여 전이 방식 등 생식세포암의 임상적 특징을 보이지 않는 경우와 경피적 침생검에서 분화도가 좋지 않은 상피암 형태로 관찰되는 경우 진단이 지연될 수 있다. 저자들은 50대의 남자에서 경피적 생검 결과 대세포 폐암이 의심되어 절제술을 시행한 후 원발성 종격동 융모막암으로 진단된 1예를 경험하였기에 교훈적인 증례로 보고하는 바이다. Primary mediastinal choriocarcinoma is an extremely rare extragonadal germ cell malignancy. A 58-year-old male presented with a lung mass, which was incidentally discovered during a periodic medical checkup. Percutaneous needle biopsy showed poorly differentiated carcinoma with large pleomorphic morphology. After the patient underwent right upper lobectomy and lymphadenectomy, the final diagnosis was choriocarcinoma. The patient received four sequential cycles of BEP chemotherapy (bleomycin, etoposide, cisplatin). After completion of BEP chemotherapy, follow-up positron emission tomography (PET) showed a complete metabolic response. Although the mediastinum is one of the most common primary sites of extragonadal germ cell tumors, primary mediastinal choriocarcinoma is liable to be misdiagnosed as lung cancer or Hodgkin lymphoma. Notably, large cell carcinoma of the lung can be confused with choriocarcinoma even after percutaneous needle biopsy. We report a case of primary mediastinal choriocarcinoma mimicking large cell carcinoma of the lung in a male patient in his 50s. (Korean J Med 2014;86:641-646)
개복 수술로 확인된 외상성 췌장 손상 환자에 대한 임상적 고찰
황보선미 ( Seon Mi Hwang Bo ),권영봉 ( Young Bong Kwon ),윤경진 ( Kyung Jin Yun ),권형준 ( Hyung Jun Kwon ),천재민 ( Jae Min Chun ),김상걸 ( Sang Geol Kim ),박진영 ( Jin Young Park ),황윤진 ( Yun Jin Hwang ),윤영국 ( Young Gook 대한외상학회 2011 大韓外傷學會誌 Vol.24 No.2
Purpose: Althoughpancreas injury is rare in abdominal trauma,it posesa challengeto the surgeon because its clinicalfeaturesare not prominentand the presence of main duct injurycannot be easily identified by imaging studies. Furthermore, severe pancreas injuries require a distal pancreatectomy or a pancreaticoduodnectomy which are associated considerable morbidity and mortality. We reviewed the clinical features of and outcomes for patients with pancreas injury. Methods: For 10 years from Jan. 2001 to Dec. 2010, thirty-four patients were diagnosedas having pancreas injury by using an explo-laparotomy. Patients successfully treated bynon-operative management were excluded. Patients were divided into early (n=18) and delayed surgery groups (n=11) based on an interval of 24hours between injury and surgery. The clinical features of and the outcomes for the patients in both groups were compared. Results: Males were more commonly injured (82.4% vs.17.6%). The mean age was 37.2 years. The injury mechanisms included vehicle accidents (62.9%, 22/34), assaults (20%, 7/34), and falls (11.4%, 3/34)). The head and neck of the pancreas was most commonly injured, followed by the body and the tail (16, 12, and 6 cases). Of the 34 patients, 26 (76.5%) patients had accompanying injuries. Grade 1 and 2 occurred in 14 (5 and 9) patients, and grade 3, 4, and 5 occurred in 20 (16, 3, and 1) patients. The early and delayed surgery groups showed no difference in surgical outcomes. Two patients with grade 3 in the early surgery group died after surgery,one due tomassive hemorrhage and the other due to septic shock. Of the five patients initially managed non-operatively,three developed peripancreatic necrosis and two developed pseudocyst. All five patients were successfully cured by surgery. Conclusion: All cases of pancreas injury in this study involved blunt injury, and accompanying injury to major vessels or the bowel was the major cause of mortality. Surgery delayed for longer than 24 hours after was not associated with adverseoutcomes.