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상부 소화관 출혈에 대한 HSE 국주에 의한 내시경적 지혈성적에 대한 고찰
박용주 ( Park Yong Ju ),김영철 ( Kim Yeong Cheol ),홍득민 ( Hong Deug Min ),김두섭 ( Kim Du Seob ),윤중근 ( Yun Jung Geun ),이성주 ( Lee Seong Ju ) 대한내과학회 1992 대한내과학회지 Vol.42 No.4
N/A Abstract Background: Hemostasis of upper gastrointestinal bleeding had been tried by various method. Method : Two-hundred-and-eight patients with upper gastrointestinal hemorrhage were treated by endoscopic local injection of hypertonic saline-epinephrine (HSE) solution at our hospital during the 2-year period from February 1989 to January 1991. Result : The 208 cases included 115 gastric ulcers, 36 duodenal ulcers, 28 stomach cancers, 14 Mallory-weiss syndromes, 13 marginal ulers, and other diagnosis. A total of 45 cases (21.6%) had serious systemic diseases such as decompensatory liver cirrhosis, postoperative bleeding, malignant tumors of other organ, cerebrovascular disease and renal failure. In cases without serious systemic disease, permanent and temporary hemostasis were demonstrated in 98.8% and 1.2% respectively. In cases with serious systemic disease, permanent and temporary hemostsis were demonstrated in 68.9% and 17.8% respectively. An apparent hemostatic effect was not evident in 13.3%. Conclusion : Local injection of HSE solution can be repeated in large does and applied for various types of hemorrhage, producing excellent hemostasis.
이상호,배윤상,이지혁,심재광,양윤식,윤중근,설상영 인제대학교 1998 仁濟醫學 Vol.19 No.2
저자는 좌측 고관절 전치환술을 시행받은 후 다발성 피부결절이 나타나, 피부조직 검사 결과 전이성 선암이 있었다. 원발암을 추적 검사한 바, 진행된 위선암을 보인 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Multiple cutaneous metastases from gastric adenocarcinoma are rare and usually notified after diagnosis of primary cancer. Recently, we experienced a case of gastric adenocarcinoma presenting as multiple cutaneous metastases which developed after total hip replacement arthroplasty and transfusion. So, we report this case with a brief review of literatures.