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급성 Paraquat 중독환자의 임상적 고찰 및 혈액투석요법으로 생존한 2 예
정철호,강종식,이준상,황순철,전건웅 대한내과학회 1987 대한내과학회지 Vol.33 No.5
Paraquat has been widely as a herbicide in Korea since 1970. Human ingestion results in transient impairment of liver and kidney function and a characteristically progressive respiratory failure with a high mortality rate. Hemodialysis has been used as a treatment for paraquat poisoning. To the beet of our knowledge the use of hemodialysis in the treatment of paraquat poisoning has not been reported in Korea, however. We have analyzed 12 cases of paraquat poisoning who were admitted to W.M.B.H. from January 1985 to June 1986. Four cases were treated by hemodialysis with ultrafiltration; two of them died and two have survived without complications. All eight cases not treated by hemodialysis died. We suggest that early and prolonged hemodialysis with ultrafiltration may prove to be helpful in saving lives of patients with paraquat poisoning.
김진호,김한일,강종식,박종하,이준상,정철호,전건웅 대한내과학회 1986 대한내과학회지 Vol.31 No.4
Miliary tuberculosis is an unusual cause of adult respiratory distress syndrome. In this case, We described one patient with miliary tuberculosis who developed adult respiratory distress syndrome. The chest radiography on admission was normal. During hospitalization repeated chest X-rays revealed a miliary pattern followed by diffuse pulmonary infiltration, and severe respiratory distress developed. The disgnosis of tuberculosis was suspected early, appropriate therapy was initiated, and he survived. The experience with this case serves to emphasize that miliary tuberculosis should be considered in patients presenting with adult respiratory di8tress syndrome of unknown causes.
김재하,이준상,강종식,황순철,최호정,백옥지,전건웅,신윤원,오용식 대한내과학회 1988 대한내과학회지 Vol.35 No.2
A 32-year-old sailor was studied who had a history of sexual intercourse with multiple heterosexual partners in foreign countries including Africa. We suspected that he had been infected by the Human Immunodeficiency Virus 2 years prior to our study. His wife tested positive and his two children tested negative for the Human T-cell Lymphotropic Virus type III antibody. We experienced the first Korean patient who was classified by the Center for Disease Control as having AIDS stage IV, and had candidal esophagitis, Kaposi`s sarcoma and bilateral retinitis but no generalized lymphadenopathy. We report this case with a review of the literature.