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Cuillain-Barre 症候群 疑症 患者의 治驗 1例
김동은,신광식,김경훈,정승현,신길조,이원철 대한한방성인병학회 2000 韓方成人病學會誌 Vol.6 No.1
Guillain-Barre syndrome, what is called acute inflammatory polyneuritis, is a disorder in which the body's immune system attacks parts of the peripheral nervous system. The cause and mechanism of this syndrome are unknown yet. The typical Guillain-Barre syndrome could be diagnosed by the patient's symptoms and physical exams such as the rapid onset of weakness, paralysis and loss of reflexes. The analysis of CSF and electrical test of nerve and muscle function can be performed to confirm the diagnosis. Most of cases usually occur shortly after a viral infection. This is the clinical report about the one patient suspected as Guillain-Barre syndrome. The patient, 71-year-old man had the weakness of both legs after upper respiratory infection. We characterized him as the state of Kiheo(氣虛) and Kansineumheo(肝腎陰虛) and prescribed for him Buzhongyigi-tang(補中益氣湯) and Siwa-tang added to Liuweidihuang-tang(四六湯). Therefore his symptoms took a turn for the better.
THE CAST SYNDROME : Report of a Case
金東垠,金顯周,韓董洙 中央醫學社 1941 中央醫學 Vol.10 No.5
A case of cast syndrome is presented and the previously described cases are reviewed. In our case, 44 years old male developed pernicious vomiting and abdominal distension, 21 hours after being placed in single hip spica cast because of the subtrochauteric fracture of the left femur. X-rays of the abdomen revealed markedly distended stomach. The patient responded well to conservative management.
Ultrasound-guided transhepatic computed tomography cholecystography in beagle dogs
김동은,박승조,김철현,윤수아,최지혜 대한수의학회 2019 Journal of Veterinary Science Vol.20 No.4
This study was performed to evaluate the feasibility of ultrasound-guided computed tomography (CT) cholecystography and to establish an optimal protocol. In 8 healthy beagles, CT cholecystography was conducted using four contrast formulas; two dilution ratios (1:1 vs. 1:3) and two total volumes (8 mL vs. 16 mL) of 300 mgI/kg iohexol after ultrasound-guided percutaneous contrast injection into the gallbladder. CT images were obtained at 3, 10, and 30 min after injection and assessed qualitatively and quantitatively. For all contrast formulas, CT cholecystography showed the gallbladder and the intra- and extrahepatic bile ducts. The volume of the gallbladder and size of bile duct were significantly larger when using a volume of 16 mL iohexol than an 8 mL volume regardless of the dilution ratio. The distinction between the common bile duct and duodenum, the filling of the gallbladder, and the patency of bile duct were effectively assessed using a 16 mL volume of contrast agent with either dilution ratio. Beam-hardening artifacts deteriorated CT image quality for visualizing the biliary system when using the dilution ratio of 1:1. Patency of the bile tract could be easily evaluated using a curvilinear planar reconstruction. There was no significant difference in CT scan time among the different conditions. Minor leakage of contrast agent temporarily occurred after contrast injection in 30% of 32 sets of CT cholecystography. Ultrasound-guided percutaneous cholecystography can visualize both gallbladder and biliary tract with minimal artifacts using a contrast agent volume of 16 mL with a 1:3 dilution ratio.