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조기호 ( Jo Gi Ho ),서정주 ( Jung Ju Sir ),이재령 ( Yi Jae Ryung ),정유나 ( Jung Yu Na ),이희숙 ( Lee Hee Sook ),서창인 ( Seo Chang In ),최승민 ( Choi Seung Mi ),주신배 ( Joo Sin Bae ) 전북대학교 의과학연구소 2013 全北醫大論文集 Vol.37 No.2
저자들은 특이 기저 질환 없는 환자에서 반복된 실신으로 비소세포 폐암이 현하였고 항암 치료 및 방사선 치료 후 실신이 호전 되었던 예를 문헌 고찰과 함께 보고하는 바이다. Although syncope is a common problem, lung cancer rarely presents with episodic syncope. We herein report a case of syncope as the initial presentation of the mediastinal lung cancer. A 54-year-old man presented to the emergency department after episode of syncope. On arrival, His blood pressure was 60/39mmHg and pulse rate was 35 beats per minute. The 12 leads electrocardiogram showed marked sinus bradycardia with 2:1 degree AV block. After treatment with intravenous administration of atropine and isoproterenol infusion, he recovered. The image studies revealed mediastinal tumor with lympadenopathy which was pathologically confirmed as the adenocarcinoma of lung cancer. He was treated with chemotherapy and radiation therapy and no further syncopal attacks were observed. This case emphasizes the importance of an appropriate evaluation and broad differential diagnosis for patients with episode of syncope.
전산화단층촬영에 의한 뇌졸중의 병형별 임상상에 대한 연구
정문성,양인석,주신배,김건중,한경아,지영구,한형수,박원,문성수,유병희,이홍순,이학중 대한내과학회 1990 대한내과학회지 Vol.38 No.4
Clinical features were analyzed in 585 patients with cerebrovascular disease who were admitted to the National Medical Center between January 1984 and June 1988 and whose subtypes were diagnosed by computed tomographic brain scan. The results of the stady were as follows: 1) The 585 cases consisted of 13% subarachnoid hemorrhage, 31% of cerebral hemorrhage, 35% of cerebral infarction, 13% of transient ischemic attack and 3% of cerebral embolism. 2) Both cerebral hemorrhage and infarction were most frequently seen in their seventh decade, followed by the sixth and fifth decades in hemorrhage, and sixth and eighth decades in infarction. 3) In the cerebral hemorrhage group, 55.8% of the subjects were associated with a known past history of hypertension and 5.4% of the subjects with diabetes. While 73.7% of the hemorrhages occured in the basal ganglia and thalamic area, only 19.2% of the subjects with diabetes. While 73.7% of the subjects with diabetes. While 73.7% of the hemorrhages occured in the basal ganglia and thalamic area, only 19.2% of the hemorrhages occurred in the subcortical lobar area. 4) In the group of cerebral infarction, 48.6% of the cases were associated with a known history of hypertension and 15.4% of the subjects with diabetes. The lesion sites of the infarction were the lobar area involving the cortex in 51.8% and the basal ganglia and thalamus in 42.6%. The former were mainly large in infarct size and wedge-shaped, while the latter were small and round in the shape of the infarction. The site, size and shape of the cerebral infarcts may suggest the presence of different mechanisms in the pathogenesis of cerebral infarction.