http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
증례 : 순환기 ; 위암 환자에서 발생한 피하매몰 중심정맥포트 골절 및 심장 내 전위 1예
길상현 ( Sang Hyun Gil ),조규민 ( Gu Min Cho ),김수정 ( Soo Jeong Kim ),유지한 ( Ji Han Yu ),김은옥 ( Eun Ok Kim ),이종민 ( Jong Min Lee ),임근우 ( Keun Woo Lim ) 대한내과학회 2010 대한내과학회지 Vol.78 No.2
저자들은 자발적으로 중심정맥포트가 골절된 후 이상 전위되어 우심방 내 고리에 감입되어 기존의 올가미를 사용한 경피적 제거술로 포획이 어려워 고주파 전극도자를 사용하여 감입된 중심정맥포트를 심장 내로 이동시켜 개흉술 없이 경피적으로 제거한 경험을 하였기에 문헌고찰과 함께 보고하는 바이다. A central venous port catheter is widely used to administer fluids, chemotherapeutic agents, and parenteral nutrition; however, similar to other invasive procedures, it has numerous potential complications. Among them, distal migration of a fractured centr
간세포암에서 담관 침범으로 다량 출혈을 일으킨 혈액담즙증
이경은 ( Kyung Eun Lee ),김창욱 ( Chang Wook Kim ),김민주 ( Min Ju Kim ),박진희 ( Jin Hee Park ),조규민 ( Gu Min Cho ),장정원 ( Jeong Won Jang ),이영석 ( Young Sok Lee ),이창돈 ( Chang Don Lee ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.1
Massive bleeding hemobilia occurs rarely in patients with hepatocellular carcinoma (HCC) without any invasive procedure. Upper gastrointestinal bleeding in patient with cirrhosis and abdominal pain with progressive jaundice in patient with HCC were usually thought as variceal bleeding and HCC progression respectively. We experienced recently massive bleeding hemobilia in patient with HCC who was a 73-year old man and showed sudden abdominal pain, jaundice and hematochezia. He had alcoholic cirrhosis and history of variceal bleeding. One year ago, he was diagnosed as HCC and treated with transarterial chemoembolization periodically. Sudden right upper abdominal pain occurred then subsided with onset of hemotochezia. Computed tomography showed bile duct thrombosis spreading in the intrahepatic and extrahepatic ducts, while an ampulla of vater bleeding was observed during duodenoscopy. Hemobilia could be one of the causes of massive bleeding in patients with cirrhosis and HCC especially when they had sudden abdominal pain and abrupt elevation of bilirubin. (Korean J Gastroenterol 2013;61:46-49)
횡문근융해증과 경한 신손상을 동반한 급성 A형 간염 1예
조규민,김창욱,성현진,허준,전부석,이종환,심은희,이석종,이창돈 영남대학교 의과대학 2012 Yeungnam University Journal of Medicine Vol.29 No.1
A 48-year-old male visited the emergency room of the authors’ hospital due to nausea, vomiting, and myalgia for four days. Acute hepatitis A was identified from the serologic marker of the hepatitis A virus. Mild elevation of the serum creatinine and creatinine phosphokinase(CPK) suggested rhabomyolysis, which was confirmed with the serum aldolase, myoglobin, and urine myoglobin. With supportive care, both the liver and renal func- tions were recovered gradually and fully. This case shows that rhabdomyolysis can be one of the mechanisms of renal complication in cases of acute symptomatic hepatitis A.