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증례 : 신장 ; 감염성 장염에 합병된 신정맥 혈전증 1예
최재혁 ( Jae Hyuc Choi ),천종운 ( Jong Woon Cheon ),강기훈 ( Kee Hoon Kang ),김승현 ( Seung Hyun Kim ),김충현 ( Chung Hyoun Kim ),윤경현 ( Kyung Hyun Yun ),서금수 ( Kum Soo Seo ) 대한내과학회 2014 대한내과학회지 Vol.87 No.6
신정맥 혈전증은 신증후군에 이차적으로 발생하는 경우가 가장 흔하다. 감염과 관련한 신정맥 혈전증의 증례는 신우신염 및 신농양에 의한 것이 간혹 보고되었다. 71세의 여자가 복통, 구토 및 수양성 설사, 발열을 주소로 내원하였다. 복부 CT에서 전반적인 소장벽의 비후와 함께 좌측 신정맥 혈전증이 발견되었다. 금식 및 항생제 치료로 감염성 장염은 금방 호전되었고 함께 발견된 신정맥 혈전증에 대하여 항응고치료를 시작하였다. 3개월 뒤 시행한 복부 CT에서 신정맥 혈전은 많이 감소되었으나 국소적으로 약간 남아 있었다. 항응고요법을 4개월 더 시행한 후 촬영한 복부 CT에서 잔여혈전은 큰 변화가 없었다. 그 후 와파린을 clopidogrel로 교체 하였고 8개월 뒤 시행한 추적 복부 CT에서 신정맥 혈전은 더 이상 보이지 않았다. Renal venous thrombosis occurs, for the most part, as secondary to nephrotic syndrome. In relation to infection, cases complicated with acute pyelonephritis and renal abscess have been reported. A 71-year-old woman was admitted due to vomiting, abdominal pain, watery diarrhea, and fever. Abdominal computed tomography (CT) revealed diffuse thickening of the small intestinal wall and left renal venous thrombosis. The enteritis rapidly resolved with conservative treatment including fasting and antibiotic therapy, anticoagulation therapy was started. After 3 months, the renal vein thrombosis had much improved, but a tiny remnant thrombus was seen on follow-up abdominal CT. After 4 months of additional anticoagulation therapy, the remnant thrombus remained unchanged, at which point warfarin was switched to clopidogrel, an antiplatelet agent, and after 8 months the remnant thrombus was no longer visible on abdominal CT. (Korean J Med 2014,87:743-746)
김현수 ( Hyun Soo Kim ),천종운 ( Jong Woon Cheon ),김민수 ( Min Su Kim ),정창길 ( Chang Kil Jung ),김경록 ( Kyung Rok Kim ),최재원 ( Jae Won Choi ),강동우 ( Dong Woo Kang ),김선영 ( Sun Young Kim ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.2
Hyun Soo Kim, Jong Woon Cheon, Min Su Kim, Chang Kil Jung, Kyung Rok Kim, Jae Won Choi, Dong Woo Kang and Sun Young Kim1 Departments of Internal Medicine and Pathology1, DongKang Medical Center, Ulsan, Korea Actinomycosis is a chronic suppurative disease and caused by Actinomycosis species, principally Actinomyces israelii, which are part of the normal inhabitant on the mucous membrane of the oropharynx, gastrointestinal tract, and urogenital tract. It usually affects cervicofacial, thoracic and abdominal tissue. Cervicofacial type has the highest percentage of occurrence with 50%. Actinomycosis frequently occurs following dental extraction, jaw surgery, chronic infection or poor oral hygiene. It may also be considered as an opportunistic infection in immunocompromised patients such as malignancy, human immunodeficiency virus infection, diabetes mellitus, steroid usage or alcoholism. But, actinomycosis rarely occurs in adults with normal immunity and rare in the esophagus. We report an unusual case of esophageal actinomycosis which was developed in a patient with normal immunity and improved by therapy with intravenous penicillin G followed oral amoxicillin, and we also reviewed the associated literature.
군산시 도시환경 System과 연계한 그린라인파크 조경계획에 관한 연구 : 오성산 공원을 중심으로 Focus on Mt.O-Sung Park
김세천,천종운,오동현 전북대학교 농업과학기술연구소 1997 農大論文集 Vol.28 No.1
I analyzed the present situation of O-sung mountain area selecting six area into A area to F area. The result is as follows; 1. I made a blueprint consicering park facilities site classified by space and fprmation ; A area is rest space, B area center management space, C area mountains ans forests area, D area a space for an education and prospect, E area youth tranning space and F area family recreation space. 2. I established the plan of land use selecting six area into landscape facility, recreation facility, exercise facility, amusement facility, culture facility, convenient facility management facility and the others facility. 3. I established a plan for an arrangement facility of six area.