http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
만성 신부전 환자에서 clopidogrel에 의해 유발된 호중구감소증 1예
홍기연 ( Gi Youn Hong ),선한경 ( Han Gyung Seon ),정준구 ( Joon Gu Cheong ),주세경 ( Sae Kyung Joo ),강민경 ( Min Kyoung Kang ),이지은 ( Ji Eun Lee ),김주환 ( Ju Hwan Kim ),구승원 ( Seung Won Koo ),박경미 ( Kyoung Mi Park ),이소영 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.1
Clopidogrel, a thienopyridine derivative, is an anti-platelet agent that acts as an antagonist of the platelet adenosine diphosphate receptor and considered for essential prophylaxis for intracoronary stent thrombosis in the treatment of ischemic heart disease. Clopidogrel is considered as safe as aspirin but a few cases of severe hematologic adverse reactions associated with clopidogrel had been reported such as neutropenia, aplastic anemia, thrombocytopenic purpura, and thrombocytopenia. We report a rare case of neutropenia induced by clopidogrel in chronic renal failure in a patient who underwent percutaneous coronary intervention.
김정호,홍기연,김기석,최정훈,민부기,Kim, Jung-Ho,Hong, Gi-Youn,Kim, Kie-Sock,Choi, Jung-Hoon,Min, Bu-Kie 대한생식의학회 1994 Clinical and Experimental Reproductive Medicine Vol.21 No.1
To improve in vitro embryonic cell development, this study was desigend to culture in vitro fertilized early embryos of mouse in two different systems; conditioned medium alone and ampullary cells co-culture. Thirty two of 83 embryos(38.6%) were blocked in the 2 cell stage by co-culture, as compared to forty of 42 embryos(95.2%) in control group for 24hours culture. And all the embryonic cells cultured for conditioned medium alone were blocked for 48 hours culture. Twenty seven of 46 embryos (58.7 %) which overcome culture block in 2 cell stage by cocultured were developed morular and expanded blastocyst, and ninteen of 46 embryos(26.1 %) underwent hatching for 96 hours culture. The cellular fragmented rates for embryo were 26.2% in medium alone; 10 fragmented blastomere were graded mild status and 1 fragmented blastomere in severe status. On the other hand, the fragmented rate for 48 hours co-cultured were 15.7%03/83); 8 fragmented embryos were graded mild status, moderate status in 3 fragmented embryos and severe in 2 fragmented embryos respectively. In conclusion, the co-culture of embryos with ampullary cells is good to improve quality of embryos and overcome of culture block as well as development of cell cleavage.
증례 : 신장 ; 뇌출혈을 동반한 Henoch-Schonlein 자반증 1예
김효영 ( Hyo Young Kim ),홍기연 ( Gi Youn Hong ),손명수 ( Myung Su Son ),이소영 ( So Young Lee ),김상훈 ( Sang Hoon Kim ),양동호 ( Dong Ho Yang ),김형종 ( Hyung Jong Kim ) 대한내과학회 2009 대한내과학회지 Vol.76 No.1
Henoch-Schonlein 자반증은 전신적인 백혈구파쇄성 혈관염을 특징으로 하는 질환으로 뇌혈관의 침범 및 뇌출혈은 드물게 보고되나, HSP 증상이 심한 고령의 환자에서 신경학적 증상이 있는 경우 의심해 보는 것이 진단 및 치료에 도움이 될 것으로 생각된다. Henoch-Schonlein purpura (HSP) is an immunologically medicated systemic vasculitis of small blood vessels affecting the skin, gastrointestinal tract, joints, and kidneys predominantly. Neurological complications in HSP include headache, focal cerebral deficit, coma, convulsion, subarachnoid hemorrhage, and chorea. However, intracerebral hemorrhage complicating HSP is rare. We describe a case of HSP with an intracerebral hemorrhage in a 67-year-old female who was diagnosed with HSP and complained of left homonymous hemianopsia and numbness in the right hand during treatment. Brain imaging showed an intracerebral hemorrhage in the occipital lobe. Her symptoms improved after conservative care. Ultimately, the patient died because of vasculitis and a worsening infection. We report the case of an elderly female with an intracerebral hemorrhage in HSP and review the literature. (Korean J Med 76:90-95, 2009)