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간문맥 및 상장간막정맥 혈전증에서 상장간막동맥으로 Urokinase를 투여하여 치료한 1예
이혁 ( Hyeug Lee ),김태호 ( Tae Ho Kim ),오현종 ( Hyun Jong Oh ),김진일 ( Jin Il Kim ),박수헌 ( Soo Heon Park ),한준열 ( Joon Yeol Han ),김재광 ( Jae Kwang Kim ),최규용 ( Kyu Young Choi ),정인식 ( In Sik Chung ),이상훈 ( Sang Hoo 대한소화기학회 2006 대한소화기학회지 Vol.48 No.1
Portal and mesenteric venous thrombosis is an uncommon disease, but clinically important, because it accounts for 5% to 15% of acute mesenteric ischemia. The diagnosis is often delayed because the conditions are nonspecific abdominal symptoms. In addition, when this occurs in young individual without any known predisposing factor, the diagnosis may become even more difficult. The treatment of mesenteric venous thrombosis involves anticoagulation therapy alone or in combination with surgery. The addition of thrombolytic therapy to the treatment of portal and mesenteric venous thrombosis may enhance the clearance of thrombus and hasten the clinical improvements. We present a case of mesenteric venous thrombosis treated with catheter- directed infusion of urokinase via the superior mesenteric artery and systemic anticoagulation. (Korean J Gastroenterol 2006;48:46-50)
증례 : 소화기 ; 등쪽 췌장무발생과 폐 낭종성병변을 동반한 위의 중복낭종
임성민 ( Sung Min Lim ),이혁 ( Hyeug Lee ),전은정 ( Eun Jung Jeon ),오정환 ( Jung Hwan Oh ),이상학 ( Sang Haak Lee ),최상욱 ( Sang Wook Choi ),이성 ( Seong Lee ) 대한내과학회 2009 대한내과학회지 Vol.76 No.2
위의 중복 낭종은 드문 선천성 기형으로, 본 증례에서는 특별한 증상 없이 건강 검진에서 발견된 폐의 낭종성 병변으로 내원하여 우연히 진단되었다. 폐의 낭종성 기형과 동반된 식도 중복이나 위의 중복은 보고되고 있으며, 환자의 경우도 연관된 선천성 기형 가능성을 배제할 수 없는 상태이다. 또한 특별한 증상은 없었지만, 검사에서 우연히 췌장의 배쪽 무발생이 발견되었으며, 우리나라에서 위의 중복낭종과 동반하여 보고된 증례는 없다. 이에 저자들은 문헌고찰과 함께 증례를 보고하는 바이다. Gastric duplication cysts and dorsal pancreatic agenesis are rare congenital anomalies, and little is known of the association between these two anomalies. A 17-year-old woman was admitted with a cystic lung mass detected as part of a health screening program. Chest computed tomography (CT) showed a cystic lung lesion in the right lower lobe and an incidental cystic abdominal mass. She had no specific symptoms or signs. Abdominal CT and endoscopic ultrasonography (EUS) revealed a 9×7×5.5-cm cystic mass and agenesis of the body and tail of the pancreas. The cyst was removed successfully using laparoscopic gastric wedge resection. Microscopically, the muscle coat of the cyst wall was fused with the muscle layer of the stomach. Therefore, the cystic mass was diagnosed as a gastric duplication cyst. We present a patient with a pulmonary cystic lesion associated with two congenital anomalies: a gastric duplication cyst and dorsal pancreatic agenesis. (Korean J Med 76:203-208, 2009)