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증례보고 : 베타 수용체 차단제와 칼슘 통로 차단제를 복용 중인 환자에서 상완신경총 차단 후 지연 발생한 심정지
이종연 ( Jong Yeon Lee ),이형석 ( Hyung Suk Lee ),박사현 ( Sa Hyun Park ),길현주 ( Hyun Jue Gill ),이상우 ( Sang Woo Lee ),김승호 ( Seung Ho Kim ),정금희 ( Kuem Hee Chung ),김민성 ( Min Sung Kim ),이헌락 ( Heon Rak Lee ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.6
A Bezold-Jarisch reflex (BJR) mediated vasovagal syncope is the most common neurally mediated reflex characterized by the sudden failure of the autonomic nervous system and have been reported in patients undergoing a peripheral nerve block. The concomitant administration of a β-adrenoreceptor antagonist and calcium channel blocker have a synergistic suppressant effect on the autonomic nervous system and interact with the anesthetics significantly. We report a case of a 57-year-old female patient with essential hypertension controlled with lercanidipine and carvedilol. Cardiac arrest developed with spontaneous respiration 50 min after the brachial plexus block to remove a plate in the humerus. Epinephrine was administered and the pulse immediately returned to a normal sinus rhythm. This event might be vasovagal syncope mediated by BJR, and realted to the antihypertensive medication used. (Korean J Anesthesiol 2006; 51: 752~5)
HBsAg 양성 간경변증 환자에서 일시적인 혈중 alpha fetoprotein (α-FP) 상승의 간세포암종 발생에 대한 의의
이헌영 ( Lee Heon Yeong ),정재훈 ( Jeong Jae Hun ),강윤세 ( Kang Yun Se ),김연수 ( Kim Yeon Su ),문희석 ( Mun Hui Seog ),박기오 ( Park Gi O ),이엄석 ( Lee Eom Seog ),김선문 ( Kim Seon Mun ),서승원 ( Seo Seung Won ),이상우 ( Lee Sa 대한소화기학회 2004 대한소화기학회지 Vol.43 No.4
Background/Aims: Serum alpha fetoprotein (α-FP) measurement has a limitation to detect hepatocellular carcinoma (HCC) because it is elevated in various liver diseases. Therefore, we studied the sensitivity and specificity of high α-FP in the diagnosis of HCC. Methods: We studied 253 patients with HBsAg positive liver cirrhosis prospectively. We analyzed incidence of HCC related cut-off values of serum α-FP levels. During the follow-up period, we analyzed sensitivity and specificity of cut-off values of α-FP for the diagnosis of HCC, and α-FP elevation rate in relation to mass size. Results: One hundred and twenty-five patients had a transient elevation of α-FP levels above 20 ng/mL. The corresponding incidences of HCC were 27.2% (34/125) and 15.6% (20/128 patients without elevation of α-FP), respectively with a statistically significant difference (p=0.03). Among 54 patients with HCC, 18 patients (33.0%) had levels of α-FP below 20 ng/mL on the time of diagnosis of HCC. When we defined cut-off values of serum α-FP as 20, 100 and 500 ng/mL, the corresponding sensitivity and specificity for HCC were 62.9% and 24.0%, 7.4% and 54.2%, 77.3% and 91.9%, respectively. We studied sensitivity according to cut-off values of α-FP defined as 20, 100, 200, 500 ng/mL in patients with small HCC below 2 cm. The corresponding sensitivity were 50.0%, 43.7%, 25.0%, 18.7%, respectively. In patients with levels of serum α-FP below 20 ng/mL, percentages of mass size less than 2 cm, 2~3 cm, 3~5 cm and more than 5 cm were 50.0%, 25.0%, 28.5% and 25.0%, respectively. Conclusions: We suggested that in order to detect HCC, careful periodic monitoring with α-FP, ultrasonography and abdominal computed tomography is needed in patients with HBsAg positive liver cirrhosis and whose serum level of α-FP is above 20 ng/mL. (Korean J Gastroenterol 2004;43:252-259)
내시경적 경화요법 후 문맥체순환계 측부 혈관의 변화에 대한 분석: 자기공명 혈관조영술을 이용한 연구
박철희 ( Chul Hee Park ),전훈재 ( Hoon Jai Chun ),정록선 ( Rok Sun Jeong ),김경오 ( Kyung Ho Kim ),김용식 ( Yong Sik Kim ),김영선 ( Young Sun Kim ),진윤태 ( Yoon Tae Jeen ),이홍식 ( Hong Sik Lee ),엄순호 ( Soon Ho Um ),이상우 ( Sa 대한내과학회 2003 대한내과학회지 Vol.64 No.4
Background : This study was aimed at evaluating the changes of collateral circulation, using MR angiography (MRA), which is a non-invasive and a useful tool for viewing the porto-systemic circulation as a whole, following endoscopic injection sclerotherap