http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
장세정제 복용 후 발생한 횡문근융해증, 발작과 비심인성 폐부종의 합병증을 동반한 저나트륨혈증
손명수 ( Myung Su Son ),김효영 ( Heo Young Kim ),김용훈 ( Yong Hun Kim ),김원희 ( Won Hee Kim ),이소영 ( So Young Lee ),홍기연 ( Gi Youn Hong ),정훈 ( Hoon Jeong ),이용구 ( Yong Gu Lee ),양동호 ( Dong Ho Yang ),김형종 ( Hyung Jon 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.2
Oral sodium phosphate is commonly used to evacuate the colon and rectum before colonoscopy or colorectal surgery. However, this substance is known to cause electrolyte abnormalities including hyponatremia. The hyponatremic patient usually presents with headache, nausea, vomiting and confusion, but can also present with non-cardiogenic pulmonary edema, seizure and rhabdomyolysis. However, non-cardiogenic pulmonary edema, seizure and rhabdomyolysis caused by hyponatremia associated with bowel preparation have only rarely been reported. We report a case of severe complications including non-cardiogenic pulmonary edema, seizure and rhabdomyolysis associated with hyponatremia following ingestion of sodium phosphate for colonoscopy in a 41-year-old healthy male.
증례 : 신장 ; 뇌출혈을 동반한 Henoch-Schonlein 자반증 1예
김효영 ( Hyo Young Kim ),홍기연 ( Gi Youn Hong ),손명수 ( Myung Su Son ),이소영 ( So Young Lee ),김상훈 ( Sang Hoon Kim ),양동호 ( Dong Ho Yang ),김형종 ( Hyung Jong Kim ) 대한내과학회 2009 대한내과학회지 Vol.76 No.1
Henoch-Schonlein 자반증은 전신적인 백혈구파쇄성 혈관염을 특징으로 하는 질환으로 뇌혈관의 침범 및 뇌출혈은 드물게 보고되나, HSP 증상이 심한 고령의 환자에서 신경학적 증상이 있는 경우 의심해 보는 것이 진단 및 치료에 도움이 될 것으로 생각된다. Henoch-Schonlein purpura (HSP) is an immunologically medicated systemic vasculitis of small blood vessels affecting the skin, gastrointestinal tract, joints, and kidneys predominantly. Neurological complications in HSP include headache, focal cerebral deficit, coma, convulsion, subarachnoid hemorrhage, and chorea. However, intracerebral hemorrhage complicating HSP is rare. We describe a case of HSP with an intracerebral hemorrhage in a 67-year-old female who was diagnosed with HSP and complained of left homonymous hemianopsia and numbness in the right hand during treatment. Brain imaging showed an intracerebral hemorrhage in the occipital lobe. Her symptoms improved after conservative care. Ultimately, the patient died because of vasculitis and a worsening infection. We report the case of an elderly female with an intracerebral hemorrhage in HSP and review the literature. (Korean J Med 76:90-95, 2009)
유정환 ( Jeong Hwan Yoo ),황성규 ( Seong Gyu Hwang ),양동호 ( Dong Ho Yang ),손명수 ( Myung Su Son ),권창일 ( Chang Il Kwon ),고광현 ( Kwang Hyun Ko ),홍성표 ( Sung Pyo Hong ),박필원 ( Pil Won Park ),임규성 ( Kyu Sung Rim ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.4
Background/Aims: The prevalence of occult HBV infection depends on the prevalence of HBV infection in the general population. Hemodialysis patients are at increased risk for HBV infection. The aim of this study was to determine the prevalence of occult HBV infection in hemodialysis patients. Methods: Total of 98 patients undergoing hemodialysis in CHA Bundang Medical Center (Seongnam, Korea) were included. Liver function tests and analysis of HBsAg, anti-HBs, anti-HBc and anti-HCV were performed. HBV DNA testing was conducted by using two specific quantitative methods. Results: HBsAg was detected in 4 of 98 patients (4.1%), and they were excluded. Among 94 patients with HBsAg negative and anti-HCV negative, one (1.1%) patient with the TaqMan PCR test and 3 (3.2%) patients with the COBAS Amplicor HBV test were positive for HBV DNA. One patient was positive in both methods. Two patients were positive for both anti-HBs and anti-HBc and one patient was negative for both anti-HBs and anti-HBc. Conclusions: The present study showed the prevalence of occult HBV infection in HBsAg negative and anti-HCV negative patients on hemodialysis at our center was 3.2%. Because there is possibility of HBV transmission in HBsAg negative patients on hemodialysis, more attention should be given to prevent HBV transmission. (Korean J Gastroenterol 2013;61:209-214)
정훈 ( Hun Jeong ),이용구 ( Yong Gu Lee ),김효영 ( Hyo Young Kim ),김상훈 ( Sang Hoon Kim ),손명수 ( Myung Su Son ),조양현 ( Yang Hyun Cho ),김형종 ( Hyung Jong Kim ),양동호 ( Dong Ho Yang ),이용희 ( Yong Hee Lee ),홍순원 ( Sun W 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.1
The association between malignancy and glomerular disease has been reported in older patients. Although the relationship between membranous glomerulonephritis or minimal change disease and solid tumors or hematologic malignancies, respectively, are known widely, focal segmental glomerulosclerosis have been described rarely in patients with solid tumors. We describe a patient with renal cell carcinoma who presented to nephrotic syndrome, volume overload and renal failure. On renal biopsy at contra-lateral kidney of renal cell carcinoma, the patient was diagnosed at focal segmental glomerulosclerosis. The proteinuria and renal function were ameliorated after resection renal cell carcinoma. We suggest that the focal segmental glomerulosclerosis is associated with renal cell carcinoma. This is the first case of the clinical cause of focal segmental glomerulosclerosis associated with renal cell carcinoma of papillary type.
증례 : 소화기 ; 경피경간 담낭 배액로를 통한 유두부 풍선 확장술 1예
김대영 ( Dae Young Kim ),권창일 ( Chang Il Kwon ),전경식 ( Gyeong Sik Jeon ),유정환 ( Jeong Hwan Yoo ),윤해리 ( Har Ry Yoon ),이정길 ( Jeong Guil Lee ),손명수 ( Myung Su Son ) 대한내과학회 2014 대한내과학회지 Vol.86 No.2
담관 결석을 동반한 담관염에 대한 치료 방법으로 우선적으로 권고되는 내시경역행췌담관조영술(endoscopic retrograde cholangiopancreato-graphy, ERCP)은 위절제술, 십이지장 게실 등으로 인한 해부학적 변화 등으로 인해 임상적으로 시행할 수 없는 경우가 있다. 이런 환자에서 대체 방법으로 경피간 경유 경로를 통한 유두부 풍선 확장술(pneumatic balloon dilatation, PBD)을 시행할 수 있다. 그러나 본 환자는 간 속 담관 확장도 없어 경피간경유담관배액술(percutaneous transhepatic biliary drainage, PTBD) 또한 시행할 수 없었던 드문 증례로 PTGBD 경로를 통해 풍선 카테터를 유두부에 삽입하여 PBD를 시행하여 성공적으로 담관염이 호전되었고 특별한 합병증 없이 퇴원하였다. PTGBD 경로를 통한 PBD는 담관 내 결석 등에 의한 담관염 치료를 위해 이용될 수 있는 대체 치료 방법이다. Endoscopic retrograde cholangiopancreatography (ERCP) fails occasionally due to a surgically altered anatomy, periampullary diverticulum, difficult cannulation, or poor general condition of the patient. In these cases, alternative treatment options are necessary, including percutaneous transhepatic biliary drainage (PTBD) or percutaneous transhepatic gallbladder biliary drainage (PTGBD). Here, we report a case of cholangitis treated with percutaneous transhepatic gallbladder papillary balloon dilatation (PTGBPBD). A 61-year-old male was admitted for cholangitis associated with biliary sludge. ERCP cannulation had failed due to the position of the papilla within a large periampullary diverticulum, and PTBD had failed due to a non-dilated intrahepatic bile duct. Following PTGBD, papillary balloon dilatation was completed successfully through the PTGBD tract. The patient tolerated the procedure and was discharged without complications. We conclude that PTGBPBD is an acceptable and safe procedure in a patient with cholangitis who underwent failed ERCP or PTBD procedures. (Korean J Med 2014;86:208-212)