http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
정상 혈청칼슘농도를 보이는 원발성 부갑상선 기능항진증 1 예
고충원(Choong Won Goh),임승길(Seung Kil Lim),송영득(Young Duk Song),이현철(Hyun Chul Lee),허갑범(Kap Bum Huh),이무상(Moo Sang Lee),박정수(Jung Soo Park),김태승(Tae Seung Kim) 대한내과학회 1996 대한내과학회지 Vol.51 No.1
Primary hyperparathyroidism is a relatively rare disease entity, which is characterized by symptoms of hypercalcemia and bone loss. With the introduction of routine determination of serum calcium concentration, the incidence of primary hyperparathyroidism has been dramatically increased. And stone complications appear to decrease after that (<5%). Hut some cases reveal mild symptoms of hypercalcemia, near normal serum calcium concentration and recurrent nephrolitiasis for many years. We experienced a case of primary hyperparathyroidism caused by a parathyroid adenoma in 49 year old male. He had suffered from recurrent nephrolithiasis for 14 years. PTH level was increased but repeatedly measured serum calcium concentration was within normal range. After surgical removal of single parathyroid adenoma, PTH returned to normal. And we report this case with a review of literatures.
항응고요법 중 재발한 신경색증을 동반한 원발성 항인지질증후군
김민희 ( Min Hee Kim ),고충원 ( Choong Won Goh ),김상현 ( Sang Hyun Kim ),한성훈 ( Seong Hoon Han ),장기준 ( Ki Jun Chang ),황진태 ( Jin Tae Hwang ),유성인 ( Sung In Yu ) 대한내과학회 2013 대한내과학회지 Vol.84 No.2
Anti-phospholipid syndrome is characterized by the occurrence of venous or arterial thrombosis in the presence of anti-phospholipid antibodies and is associated with morbidity during pregnancy. Arterial thromboses are less common than venous thromboses and most frequently manifest with features consistent with ischemia or infarction. Only a few cases of arterial thrombosis with primary anti-phospholipid syndrome have been reported in Korea. We report a 41-year-old man with anti-phospholipid syndrome who had abdominal pain due to a recurrent renal infarction, and we review the literature on anti-phospholipid syndrome. (Korean J Med 2013;84:269-273)
적혈구 증가증에서 거대 심혈관 혈전의 심혈관내 혈전 용해 및 혈관 성형술
이혜영 ( Hye Young Lee ),김병옥 ( Byung Ok Kim ),변영섭 ( Young Sup Byun ),고충원 ( Choong Won Goh ),김정훈 ( Jeong Hoon Kim ) 대한내과학회 2014 대한내과학회지 Vol.87 No.6
The benefit of thrombus aspiration during percutaneous coronary intervention in patients with acute myocardial infarction (AMI) is well established, however, the optimal management strategy for patients with a large thrombus burden after repeated thrombectomy (i.e., “failed” thrombectomy) is unknown. Here, we report the case of a 67-year-old male with polycythemia vera who was treated with intracoronary thrombolytic therapy in combination with mechanical thrombectomy. Repeated aspiration thrombectomy did little to reduce the coronary thrombus burden, thus, intracoronary urokinase infusions were applied to the thrombus containing lesion. Repeat coronary angiography 4 days later revealed markedly improved antegrade flow in the infarct-related artery, and successful revascularization was performed. This case demonstrates the potential utility of intracoronary thrombolytic therapy for select AMI patients with a large thrombus burden who are in a hypercoagulable state. (Korean J Med 2014,87:728-732)
급성관상동맥증후군(ACS) 환자에서 유산소운동과 스타틴 약물이 혈중지질과 hsCRP에 미치는 영향
김영주 ( Young Joo Kim ),김철 ( Chul Kim ),안재기 ( Jae Ki Ahn ),방인걸 ( In Keol Bang ),이건주 ( Kun Joo Rhee ),김병옥 ( Byung Ok Kim ),이병권 ( Byoung Kwon Lee ),고충원 ( Choong Won Goh ),변영섭 ( Young Sup Byun ),신영오 ( Youn 한국스포츠정책과학원(구 한국스포츠개발원) 2005 체육과학연구 Vol.16 No.4
본 연구는 급성관상동맥증후군(Acute coronary syndrome; ACS) 환자에 대한 유산소운동과 스타틴약물 요법이 혈중지질과 hsCRP에 미치는 영향을 알아보고자 시행되었다. 연구대상자는 관상동맥증후군으로 입원하여 약물처방 및 경피적 관상동맥 중재술(Percutaneous coronary intervention; PCI)을 받고 운동 프로그램에 의뢰된 환자들로서, 실험군은 스타틴요법과 운동요법을 병행한 병행요법군(n=15)과 운동요법만 시행한 운동요법군(n=14) 그리고 스타틴요법만 시행한 약물요법군(n=8)으로 구성되었다. 실험기간은 병원 내에서 감독 하에 실시한 유산소운동 기간 6주와 자가운동 기간 8주의 총 14주 이었으며 실험기간 동안 지속적인 위험인자 관리 및 운동에 대한 상담을 실시하였다. 실험 전후에 혈중지질(TC, TG, LDL-C, HDL-C) 및 high-sensitivity C-reactive protein(CRP)과 그 밖에 체질량지수(body mass index, BMI), 최대산소섭취량(VO2max) 변화를 확인하기 위하여 연구대상자들에게 실험기간 전후에 각각 채혈, 인체계측, 운동부하검사를 실시하였다. 연구결과 얻어진 자료는 윈도우용 SPSS/PC+version 11.0 통계패키지를 이용하여 처리하였다. 염증반응 지표인 hsCRP를 포함한 혈중지질, BMI, VO2max 변인들의 기간별 집단별 차이를 알아보고자 반복측정에 의한 이원배치 분산분석을 실시하였고, 사후검증으로 t-test와 Bonferroni`s 검정을 적용하였다. 연구 결과는 다음과 같다. 실험 전후에 있어서, 병행요법군에서 HDL-C, hsCRP 수치가 유의하게 증가(p<.05), 감소(p<.01)되었고, VO2max 또한 유의하게 향상되었다(p<.01). 운동요법군에서도 HDL-C 수치가 유의하게 증가되었으며(p<.05), VO2max가 유의하게 향상되었으나(p<.05), 약물요법군에서는 혈중지질을 비롯해 hsCRP, BMI, VO2max 모두에서 의미 있는 차이가 나타나지 않았다. 이상의 결과로 보아, 운동요법과 스타틴요법의 병행요법이 향후 심혈관 질환자의 재발 방지에 긍정적인 효과가 있을 것으로 사료된다. This study was designed to evaluate the effect of aerobic exercise and statin therapy on blood lipids and high-sensitivity C-reactive protein (hsCRP) in patients who had undergone successful percutaneous coronary intervention (PCI). Thirty seven male and female patients were studied. All subjects consist of three groups; 1) treated with statin and exercise (SE, n=15), 2) treated only with exercise (EO, n=14), 3) treated only with statin (SO, n=8). All patients were received medication once daily (aspirin and clopidogrel with or without statin) and completely performed supervised aerobic exercise for 6 weeks and home exercise program for 8 weeks. Instruction for diet and exercise was given continuously during experiment. Laboratory measurement includes serum lipids (TC, TG, HDL-C, LDL-C), hsCRP and body mass index (BMI). Cardiopulmonary capacity (VO2max) was assessed by symptom-limited exercise test. All measurements were performed at baseline and after 14 weeks. The results were as follows. In SE, HDL-C (p<.05) and VO2max (p<.01) were significantly improved, and hsCRP (p<.01) was significantly deceased after therapy. And also, HDL-C (p<.05) and VO2max (p<.05) in EO were significantly improved. But there was no alteration of blood lipids, hsCRP, BMI and VO2max in SO. These findings suggested that combination of exercise and statin therapy was the best rehabilitation in patients treated PCI.
발작성 고혈압을 주소로 한 급성 간헐성 포르피리아 1예
신정아,이지선,변영섭,고충원,이병권,김병옥,이건주 白中央醫療院 2004 仁濟醫學 Vol.25 No.1
Acute intermittent porphyria is a disorder that results from partial porphobilinogen deaminase deficiency and accumulation of overproducted porphyrin and its precusors. This makes variable manifestations such as abdominal pain, nausea, vomiting, contipation, peripheral neuropathy, seizure, psychotic symtoms, respiratory failure, tachycardia, and hypertension. When acute paroxysmal hypertension presents, it is difficult to differentiate from pheochromocytoma. We experienced a case of young female with acute intermittent porphyria presenting paroxysmal recurrent headache, palpitation, chest discomfort and paroxysmal hypertension. Initially blood pressure was 160/100 mmHg and checked high paroxysmally on follow up. Rhythm was sinus tachycardia. She did not complain any other specific symptoms. Although her clinical manifestations were suspicious for pheochromocytoma, laboratory findings were not compatible to it. In searching other causes of secondary hypertension mimickng ph대chromocytoma, elevated urine porphobilinogen level was detected and we could make diagnosis of acute intermittent porphyria. If AIP was not beared in mind as a cause of secondary hypertension, diagnosis would be delayed more.