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혈장교환술로 치유된 혈전성 혈소판 감소성 자반증 1 예
이은엽,정영태,김무영,조군제,문건식,윤영권 대한내과학회 1995 대한내과학회지 Vol.48 No.2
Thrombotic thrombocytopenic purpura (TTP) is uncommon, but not rare and fulminating disease characterized by disseminated occlusions of the microcirculations and a syndrome of hemolytic anemia, thrmobocytopenia, neurologic symptom, fever and renal failure. Recently we experienced a case of TTP in a 23-year-old man with microangiopathic hemolytic anemia, severe thrombocytopenia, seizure, dysarthria and renal failure. This patient was treated successfully with exchange plasmapheresis.
F-18 FDG 양전자단층촬영을 이용한 생존심근 평가 후 수술한 허혈성 심근병증 환자의 수술 결과
김재성,김연중,이동수,김유경,홍석근,이영탁,문건식,원태경,황홍곤 대한핵의학회 2000 핵의학 분자영상 Vol.34 No.4
Purpose: We investigated the operative outcome after bypass surgery in patients selected using viability criteria on F-18 FDG PET. Materials and Methods: Rest-24hr delay redistribution imaging of Tl-201 SPECT and F-18 FDG PET were performed in 11 patients. Seven of these 11 patients (6 men, 1 woman) were evaluated to have viable myocardium by F-18 FDG PET. Changes in symptoms and left ventricular ejection fraction (LVEF) after operation were evaluated. Results: In seven of 11 patients, a significant amount of viable myocardium was found on F-18 FDG PET and Tl-201 SPECT. Severity of both chest pain and dyspnea improved markedly in all patients. Mean LVEF improved from 22% to 32%. Conclusion: F-18 FDG PET could be used to select the patients who will benefit from coronary artery bypass surgery. (Korean J Nucl Med 2000;34:276-84)