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Hyporeninemic Hypoaldosteronism 3예
조광호,박성광,강성귀,백홍선 대한신장학회 1986 Kidney Research and Clinical Practice Vol.5 No.1
Hyporeninemic hypoaldosteronism(HH) has been characterized as combination of hyperkalemia, decreased plasma renin activity(PRA) and aldo- sterone although blood cortisol level are reserved. We are reporting 3 cases of HH, of which first case involves 59 year-old male with diabetic nephropathy, who has been on hemodialysis for 6 years. He had lowered PRA and aldosterone in the blood with severe hyperkalemia although blood cortisol level were normal. Therefore, we administered Kalimate. Second case involves 28 year-old female with diabetic nephropathy and hypertension. Therefore, she is receiving injection of insuline and antihypertension drugs without hemodialysis yet. She also had decreased PRA and aldosterone with normal cortisol level and increased K in the blood. Third case involves 39 year-old female, who developed uremia with hydronephrosis after irradiation therapy for ovary cancer. She also had decreased PRA and aldosterone with normal cortisol level in the blood but increased K in the plasma. Therefore, she has been on hemodialysis for one year. We experienced cardiac arrest twice predialysis period this patient. Therefore, fludrocortisone therapy(Q. 6 mg/day) had good response from this patient. In summary, we are suggesting that, in patients with hyperkalemia and renal disease, HH syndrome should he thought of.
조광호,박상옥,박래준,Cho, Kwang-Ho,Park, Sang-Ock,Park, Rae-Joon 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.1
We found out that there exists threshold dose for the decreased platelet count when we apply change of the platelet count to the defense of the ultrasound experiment. Those diminution is definite effects from the defense of the ultrasound. The number of the platelet count is decreased when we are exposed to ultrasound simultaneously. This should not be occurred. It is easy to use the number of the platelet count in the measurement of the biological dosage and intensity in high dosage relatively due to definite quantative relationship. The biological index to understand synergic effects. which are present when two harmful environmental factors are operating at the same time is functionally assending and antagonistic. There are scattered many factors as physical, Chemical, or physiochemically elements which are harmful to human body in the environment in consideration of ultrasound and the other factors. This experiment is demonstrating that we can use the change of the platelet as an index representing synergic effects of ultrasound.