http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
충수돌기염 진단에 사용되는 영상의학검사의 선택에 영향을 미치는 요인
이용찬(Yong Chan Lee),류석용(Seok Yong Ryu),조석진(Suk Jin Cho),이상래(Sang Lea Lee),오성찬(Sung Chan Oh),김홍용(Hong Yong Kim) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.74 No.5
Purpose: The aim of this study is to evaluate the advanced radiographic imaging that’s used for making the diagnosis of an acute appendicitis, and also the factors that influence selecting the imaging modality. Methods: We retrospectively reviewed the data of 420 patients who underwent an appendectomy as an emergency procedure in our hospital from January 1, 2005, to December 31, 2006. All the cases were categorized into three groups by the radiologic imaging tests. One was the ultrasonography (US) only group, another was the computed tomography (CT) only group and the third was both the US and CT scan group. Age, gender, height, weight, the Alvarado score (AS) and the body mass index (BMI) were compared between the 3 groups. I assessed the reason for choosing computed tomography (CT) to assist in making the diagnosis. Results: Four hundred twenty patients underwent operative exploration under the presumed diagnosis of appendicitis. Of those, 348 patients underwent US, 48 underwent CT scanning and 24 underwent both US and CT scanning. The mean age and BMI were significantly higher in the CT only group (P<0.001 and P=0.008, respectively). The most common reason for choosing CT scanning was that the physician suspected other diseases other than appendicitis due to an atypical presentation on the physical examination. Conclusion: US was the most commonly used radiologic imaging study for making the diagnosis of appendicitis. CT was more frequently used for the old or obese patients for making the differential diagnosis.
고영길,안지영,류석용,이상래,조석진,김미란,Ko, Young-Gil,Ahn, Ji-Young,Ryu, Seok-Yong,Lee, Sang-Lae,Cho, Suk-Jin,Kim, Mi-Ran 대한임상독성학회 2006 대한임상독성학회지 Vol.4 No.2
Neurotoxic shellfish poisoning (NSP) can result from eating filter-feeding shellfish carrying brevetoxins produced by the marine dinoflagellate Krenia brevis (formally Gymnodinium breve). Brevetoxins enhance sodium entry into cells via voltage-sensitive sodium channels and have an excitatory effect. The incubation period is three hours (range 15 minutes-18 hours). NSP is characterized by gastroenteritis combined with neurologic symptoms. Gastrointestinal (GI) symptoms include abdominal pain, nausea, diarrhea and burning pain in the rectum. Neurologic symptoms are paresthesia, reversal of hot and cold temperature sensation, myalgia, headache, vertigo, and ataxia. Other symptoms may include malaise, tremor, dysphagia, bradycardia, decreased reflexes, dilated pupils, seizure, and coma. The health problem caused by K. breviscan be associated with a red tide bloom. We encountered 3 cases of neurotoxic shellfish poisoning. They all presented with GI and neurologic symptoms andrecovered after conservative treatment.
복부 둔상 환자에게 간 손상 예측을 위한 Liver Transaminase의 유용성
이종석 ( Jong Seok Lee ),오성찬 ( Sung Chan Oh ),김혜진 ( Hye Jin Kim ),조석진 ( Suk Jin Cho ),이상래 ( Sang Lae Lee ),류석용 ( Seok Yong Ryu ) 대한외상학회 2010 大韓外傷學會誌 Vol.23 No.2
Purpose: The liver is the second most common organ injured by blunt abdominal trauma. The purpose of this study was to determine the utility of liver transaminase in screening blunt abdominal trauma patients for traumatic liver injury. Methods: We retrospectively reviewed the medical records of 231 patients who sustained blunt trauma and were at risk for traumatic liver injury between June 2009 and August 2010. All of them underwent a focused assessment with sonography for trauma (FAST) and abdominal computed tomography (CT). Based on the diagnosis of abdominal CT, patients were divided into two groups: group I with liver injury and group II without liver injury. We compared the two groups and calculated the sensitivity, the specificity and the predictive values of serum aspartate aminotransferase (AST) and serum alanine aminotransferase (ALT) by using multiple cutoff values. Results: Of 231 patients with no abdominal free fluid in the FAST, 33 had traumatic liver injury on abdominal CT. The mean AST and ALT levels in group I (311.6 IU/L and 228.1 IU/L, respectively) were significantly higher than the values in group II (48.4 IU/L and 35.6 IU/L, respectively). The cutoff to distinguish liver injury is 60 IU/L for AST and 58 IU/L for ALT, with 93.8% sensitivity and 79.8% specificity for AST, and 90.6% sensitivity and 87.4% specificity for ALT. Conclusion: We recommend that all patient with suspected blunt abdominal trauma be evaluated using serum liver transaminase as a screening test for liver injury even though no abdominal free fluid is shown on the FAST. If AST > 60 IU/L and/or ALT > 58 IU/L, abdominal CT was useful to confirm liver injury in this study (J Korean Soc Traumatol 2010;23:151-156).