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육안적 혈뇨를 동반한 Nutcracker Syndrome 환자 1예
윤정이,한대석,양승철,안철우,이호영,노정우,강신욱,서정건,최규헌,노현진,전노원,박형천,권건호 대한신장학회 1998 Kidney Research and Clinical Practice Vol.17 No.1
Nutcracker syndrome(renal vein entrapment syndrome) is probably more common than previously suspected. The nutcracker phenomenon refers to compression of left renal vein between aorta and superior mesenteric artery that results in elevation of pressure in left renal vein and develoment of collateral veins. This syndrome occurs in relatively young and previously healthy patients and is characterized by intermittent gross hematuria due to left renal vein hypertension, at times associated with flank pain, aMominal pain or varicocele. We report a 17 years-old male patient with this syndrome presented with flank pain, abdominal pain, and intermittent gross hematuria for 3 months. Urinalysis revealed protein(-), blood(+++), many RBC with only 1% of dysmorphic RBC. IVP and cystoscopy showed no remarkable finding but do- ppler ultrasonography and abdominal spiral CT revealed compression of left renal vein between aorta and superior mesenteric artery. Renal venography showed compression of left renal vein and collateral circulation to left gonadal vein and the pressure gradient between left renal vein and inferior vena cava was llmmHg. The nutcracker syndrome should be considered as one of the causes of nonglomerular hematuria. All patients with unexplained severe left flank or abdominal pain, or unilateral hematuria from the left on cystoscopy, should be studied by selective renal venography and pressure measurement in inferior vena cava and renal veins. The patient with this typical syndrome could be treated surgically, by transposition of left renal vein and resection of collateral veins as the procedure of choice to correct the underlying pathologic process and eliminate these troublesome symptoms.
Hyperglycemia 환자에서의 TNA (Total Nutrient Admixture) 효과
윤정이,김진선,나현오,이명덕 한국병원약사회 1998 병원약사회지 Vol.15 No.1
This study investigate whether hyperglycemia patient's nutrition and glucose tolerance that were failed by IVH(Intra Venous Hyperalimentation) are improved by TNA(Total Nutrient Admixture). This research was conducted from March 1995 to October 1996 with 21 patients ; ① group A was treated with TNA administration after IVH(12 patients), ② group B was started with TNA(9 patients). As a result of observing glucose, insulin dose and nutritional condition retropectively before and after TNA administration, ① the glucose of group A - mean glucose was 289.4±82.71 before IVH administration and was 332.2±66.3 after IVH administration - decreased to 261.3±73.31 after a week, 237.9±45.40 after 2 weeks and 187.7±51.1(㎎/㎗) after 3 weeks ; ② the mean glucose of group B also decreased to 180.8±60.0 after TNA administration - before was 229.9±93.7(㎎/㎗) ; ③ insulin dose went down after TNA administration than before ; ④ the nitrogen balances of group A and B showed both positive conditions - the nitrogen balances of group A were 0.6±3.9 and 3.0±3.2 respectively when finished IVH and TNA administration, and group B was 1.7±4.6.
의약분업 이후 병원약국 업무 변화 Ⅱ : 주사제 조제 업무의 확대
윤정이 한국병원약사회 2001 병원약사회지 Vol.18 No.1
2000년 7월 1일부터 무균조제료가 신설됨에 따라 본원 약제과에서는 무균소제 업무를 확대하고자 업무개선 활동을 실시하였다. 무균조제료는 의사의 처방에 따라 무균조제대에서 약사가 직접 조제한 경우에 한하여 산정하는 것으로, 이중 만 8세 미만 소아 또는 면역기능이 저하된 환자들을 대상으로 하여 병원약사회에서 정한 아픔을 기준으로 '원내무균조제 약품 목록'을 만들어 각 병동에서의 혼합 조제 현황을 조사하였다.