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이준욱(Joon Wook Lee),이성수(Seung Su Lee),박영민(Young Min Park),배시현(Si Hyun Bae),신제현(Je Hyun SHin),변병훈(Byung Hun Byun),최종영(Jong Young Choi),윤승규(Seung Kew Yoon),이영석(Young Sok Lee),이창돈(Chang Don Lee),차상복(Sang 대한소화기학회 2001 대한소화기학회지 Vol.38 No.4
Congenital non-parasitic splenic cysts comprise approximately 10% of all splenic cysts. Clinical manifestations in patients with splenic cyst are often nonspecific and ultrasound or CT is useful for its diagnosis. Total splenectomy has been the major way of treatment. However, currently, spleen-saving procedures are strongly recommended because of the immunological role of the spleen. One of such procedures, the percutaneous treatment with sclerosing agents has already been reported with a good result. In this report, we present a case of a 12×17 cm sized giant congenital splenic cyst treated with percutaneously using ethanol as a sclerosing agent. Seven-times of injections (total 140mL, 20mL/time, every 3 days) into the cystic cavity through the inserted catheter were performed for 3 weeks. After the treatment, the size of cyst decreased markedly in 8 months. On the basis of these results, we may conclude that the percutaneous ethanol ablation therapy is an alternative to surgical treatment for splenic cyst. (Korean J Gastroenterol 2001;38:300-303)
증례 : 순환기 ; 실수로 설치된 쇄골하동맥 카테터에 대한 경피적 혈관 봉합 매개기구 이용
이성수 ( Seong Soo Lee ),고재훈 ( Jae Hoon Ko ),임경숙 ( Kyung Suk Lim ),신범수 ( Beom Su Shin ),이가연 ( Ga Yeon Lee ),최승혁 ( Seung Hyuk Choi ) 대한내과학회 2014 대한내과학회지 Vol.87 No.2
저자들은 쇄골하동맥을 통해 케모포트가 실수로 삽입된 상태에서 Perclose를 이용하여 성공적으로 혈관봉합을 한두 증례에 대해 보고하였다. 중심정맥관 삽입 시 발생할 수있는 잘못된 쇄골하동맥 천자 및 도관 삽입에 대하여 봉합-매개 혈관폐쇄기구를 이용한 경피적 혈관봉합은 효과적인 지혈 방법으로 고려될 수 있으며 한편으로 혈색전에 의한 뇌졸중 발생을 염두에 두고 시술 중에 주의가 필요하다. Central venous catheterization is performed to secure pathways for large amounts of saline, drug infusion, parenteral nutrition support, and hemodialysis. Accidental subclavian artery cannulation is a possible complication of central venous catheterization. Here, we report two cases of 8 Fr. chemoports inadvertently inserted in subclavian arteries during internal jugular venous catheterizations. The chemoports were removed successfully, and puncture sites were repaired using suture-based closure devices (Perclose). One patient experienced minor neurological complications after the procedure. With effective management, the patient was treated with no sequelae. To our knowledge, this is the first report of stroke after procedures using suture-based devices. (Korean J Med 2014;87:200-204)
X형 배근을 적용한 PC기둥-거더 접합부의 구조적 성능에 관한 실험적 연구
이용구(Lee Yong-Koo),홍갑표(Hong Kap-Pyo),이성수(Lee Seung-Su),전호민(Chun Ho-Min),조광수(Cho Kwang-Su),권윤한(Kwon Yun-Han) 대한건축학회 2009 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.29 No.1(구조계)
In the long-span sub-micro vibration control structures, one of the essential factor together with vibration control comply a term of works. therefore applying precast concrete is a point of the present time when we consider to reduction of a term of works. we must devise other special floor system, if it go over the maximum manufactured precast concrete member size. The purpose of this experimental study is to examine the structural properties of X-braced PC column-girder joint in long span sub-micro vibration control structure system of length over 17 meter. The test result showed that X-brace was appeared stress concentration and each point strains of reinforcement bar appeared load-strain curve.
비혈연간 동종조혈모세포이식 환자에서 발생한 다발성 근염 1례
김형준,김동욱,이승훈,김현재,이성수,신호진,박치영,김유진,박윤희,민창기,이석,박성경,이종욱,민우성,김춘추 대한조혈모세포이식학회 2001 대한조혈모세포이식학회지 Vol.6 No.2
조혈모세포이식을 받은 환자에서 만성 이식편대 숙주질환의 증상으로 발생할 수 있는 다발성근염은 전세계적으로 매우 드물게 보고되고 있으며 국내에서는 만성 골수성 백혈병에서 비혈연간 조혈모세포 이식환자에서 만성 이식편대 숙주질환의 증상으로 발생한 다발성 근염의 보고가 아직까지 없는 상태로서 저자들은 본 증례를 통하여 이를 경험하고 치료를 통해 증상의 호전을 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Polymyositis has been described as a rare complication in patients who develop chronic graft versus host disease (GVHD) after allogeneic hematopoietic stem cell transplantation (HSCT). Seven months after HSCT, a 26-year-old man developed polymyositis as a manifestation of chronic GVHD. His symptoms included proximal muscle weakness, myalgia, malaise and weight loss. The clinically suspected diagnosis of polymyositis was confirmed by examining the serum muscle enzymes, electromyographic, and histopathologic findings. Magnetic resonance imaging finding is not routinely used for the diagnosis of polymyositis, but, in our patient, it guided the location of the muscle biopsy and was useful in assessing the disease activity. His clinical condition improved with steroid therapy. We report our experience with 1 case of polymyositis that occurred after unrelated allogeneic stem cell transplantation.