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이시래,최창필 대한신장학회 1987 Kidney Research and Clinical Practice Vol.6 No.2
Over the years results with all types of treatment have progressively improved, which allows for encourgement and optimism. CAPD is increasingly used not only because of econornic advantages but also the improved clinical and metabolic results. An excellent control of blood glucose level is made possible by using the intraperitoneal route three to four times a day for administration of insulin. Since the insulin delivered intraperitoneally in absorbed from the peritoneal cavity via the hepatic portal system which is the site of entry for pancreatic insulin, it seem likely that this would be a $quot;physiologic$quot; delivery route. Because of certain similarties between physiological insulin secretion and intra- peritoneal insulin administration, it is expected that the intraperitoneal administration of insulin during CAPD will give excellent diabetic control and achieve more desirable long term results in diabetic end stage renal disease. We reviewed some authors articles for the administration of insulin in diabetics during CAPD and shared our experiences in this article. During the last 4 years, we have treated 17 diabetics with CAPD. Good control of blood sugar was achieved by intraperitoneal administration of insulin. Average period required to control blood sugar was 13 days. After our patients blood sugar was stablized, their daily average insulin requirement was 46 units, ranged from 8 to 162 units.
파라티푸스 경과중 발생한 세뇨관간질신염에 의한 급성신부전증 1예
송준희,김용진,한재호,김원근,최창필,성영호 대한신장학회 1991 Kidney Research and Clinical Practice Vol.10 No.2
Tubulointerstitial nephritis (TIN) is one of the several important causes which induce acute renal failure. The two most common causes of acute renal failure due to TIN are infection and drugs. However TIN has been rarely reported in typhoid and paratyphoid fever. Renal biopsy was done in a 27years old male patient with documented paratyphoid fever who had clincical evidence of nonoliguric acute renal failure. Histological findings consistent with TIN were seen. The occurrence of TIN with typhoid and paratyphoid fever must be suspected in patient with acute renal failure.
Nifedipine과 Captopril이 혈액투석중 동반된 심한 고혈압에 미치는 영향
박진석,이시래,박요한,이성숙,곽시영,최창필,홍과표 대한신장학회 1987 Kidney Research and Clinical Practice Vol.6 No.2
We investigated the antihypertensive effects of sublingual nifedipine, the calcium channel blocker, and of captopril, the angiotensin converting enzyme inhibitor, on the patients with moderate to servere hypertension developed during hemodialysis. In the patients to whom nifedipine was given sublingually (n=10) the initial blood pressure was 20820/ 118+-16mmHg, plasma renin activity (PRA) was 8.8± 12.3ng/ml/h, and aldosterone was 631±426pg/ml. After sublingual administration of nifedipine the decrease in blood pressure was noted at 5 minutes. The decrease became significant at 15 minutes (p$lt;0.001) in systolic blood pressure (SBP) and at 20 minutes (p$lt;0. 001) indiastolic blood pressure (DBP). The maximal antihypertensive effects were noted at 150 minutes in SBP and at 120 minutes in DBP, and the reductions were 69±17 mmHg and 39±13mmHg, respectively. Captopril was orally given to 6 patients of whom PRA was low in 3 (low-renin group) and normal to high in others (high-renin group). The initial blood pree was 210+20/123+12 mmHg in high-renin group and 213± 21/117±21 mmHg in low-renin group. 30 minutes after completion of hemodialysis the blood pressure decreased to 173±15/97±6 mmHg in high-renin group and 207±21/107±12mmHg in low-renin group. Although statistically not significant, the change in blood pressure was more prominent in the former. These results indicate that the antihypertensive effect of sublingual nifedipine is prompt and safe and suggest that it be of effect in the management of severe hypertension which develops during hemodialysis. The captopril may be used prior to initiation of hemodialysis in the patients with episodes of severe hypertension during hemodialysis, especialy with high renin level but it requires furthr study.