http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
조삼권(Sam Kwon Cho),정영호(Young Ho Jeung),이창익(Chang Ik Lee),황만근(Man Keun Whang),김정훈(Jeung Hun Kim),김동욱(Dong Wuk Kim),허충(Chung Hur),이진관(Jin Kwan Lee) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.3
Benign and malignant tumors are rarely encountered in the small intestine. Moreover, small bowel metastases arising from the lung carcinoma are very unusual. They often present as intestinal perforation and show a poor prognosis. We report a case of jejunal metastasis from sqamous cell carcinoma of the lung. The patient of this case complained of abrupt epigastric pain and vomiting. On phyical examination, we found whole abdominal tenderness and rebound tenderness. The free air was detected on chest radiography. Abdominal exploration confirmed multiple metastases on the jejunum and the liver, and revealed squamous cell carcinoma on the resection segment of the jejunum. The patient was discharged 9 days after palliative surgery without serious complication and died 2 months later. We report the case of small bowel metastasis from primary squamous cell carcinoma of the lung. (Korean J Gastroenterol 2001;38:211-214)
역설적 반응에 의하여 동시에 결핵성 뇌농양 및 결핵성 복막염이 발생한 증례 1예
안태홍 ( Tae Hong Ahn ),박민범 ( Min Bum Park ),이기조 ( Key Jo Lee ),정은호 ( Eun Ho Jung ),김진우 ( Jin Woo Kim ),서상렬 ( Sang Yeol Suh ),강석우 ( Seok Woo Kang ),김은나 ( Eun Na Kim ),한윤주 ( Yoon Ju Han ),조삼권 ( Sam Kwon C 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.66 No.6
역설적 반응은 감수성 있는 항결핵제를 복용중인 결핵환자에서 치료시작 당시의 병변이 악화되거나 새로운 병변이 생기는 현상이고 이는 치료실패와 감별을 요한다. 일반적으로 역설적 반응은 기존 항결핵 치료로 좋은 결과를 보이므로, 이러한 임상 경과를 잘 이해함으로써 불필요한 검사나 치료약제 변경 등을 하지 않고 적절히 치료할 수 있게 될 것이다. 저자들은 적절한 항결핵제 치료 중에도 역설적 반응으로 결핵성 뇌농양, 결핵성 복막염이 연속적으로 병발한 환자 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. While receiving appropriate treatment, patients with tuberculosis occasionally have unusual, paradoxical reactions, with transient worsening of lesions or the development of new lesions. This report is a case of tuberculosis brain abscess and tuberculosis peritonitis with intra-abdominal abscess that developed during appropriate anti-tuberculosis chemotherapy. A 45-year-old male patient had been diagnosed as with all-drug susceptible pulmonary tuberculosis with pleurisy. Subsequently, the patient underwent standard treatment with anti-tuberculosis therapy; the pulmonary lesions improved. Three months after initial treatment, the patient developed brain abscesses and peritonitis. With the addition of corticosteroid treatment, the patient`s neurologic symptoms were relieved. Exploratory laparotomy with surgical drainage was performed and a diagnosis of tuberculosis peritonitis was confirmed on biopsy. Anti-tuberculosis therapy was continued for 19 months, the patient improved eventually without further complications, although the therapeutic regimen had not been altered. In this case, the paradoxical response to treatment may have been involved in the pathogenesis of disease.
상부 위장관 내시경 검사 시 전처치로서의 Propofol의 효과
정영호,최정일,이진관,나인균,허충,조종대,정수룡,조삼권 대한소화기내시경학회 2000 Clinical Endoscopy Vol.20 No.3
Background/Aims: Benzodiazepine is generally used when sedation is required for endoscopy, while propofol, a phenol-derived intravenous anesthetic agent, appears to have a more suitable phamacokinetic profile. The aim of this study was to evaluate the effectiveness and safety of propofol as premedication for upper gastrointestinal endoscopy. Methods: Between July 1998 and October 1998, 44 male patients and 70 female patients were involved in this study. The relative ease of upper gastrointestinal endoscopy, patient's tolerance, and amnestic effects on 64 patients with propofol was compared with 50 patients with non-sedation. Pulse rate and arterial oxygen saturation was monitored. The endoscopist and patients replied to a questionnaire. Results: Patients receiving propofol tolerated endoscopy much more than patients with non-sedation (p<0.01). The change in pulse rate was less variable but arterial oxygen saturation showed a statistically significant decrease in patients receiving propofol (p<0.01). Propofoinduced complete amnesia in 93.7% of the patients and partial anesthesia in 4.7%. Most of the patients receiving propofol accepted the same sedative methods in their next endoscopy (p<0.01). Conclusions: Propofol is highly effective, with a short recovery time and satisfaction of the patients, but careful monitoring is recommended because of its untoward effect of hypoxia. It is recommended that propofol be used as a premedication especially in patients who are apprehensive about a repeated endoscopy.