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기관지내시경 검사 전처치로 사용한 리도케인에 의한 과민반응 1례
박찬욱,류운석,라동집,심성준,한종대,이동욱 대한알레르기학회 1999 천식 및 알레르기 Vol.19 No.2
Fiberoptic bronchoscopy is a valuable diagnostic and therapeutic procedure in many clinical situations and is relatively simple to perform with proper technique. Local anesthetic technique is often preferable to general anesthesia for bronchoscopies since these examinations are mostly undertaken as outpatient procedures. Inhaled topical lidocaine, used to produce anesthesia of the repiratory tract prior to bronchoscopy, may cause anaphylactoid reaction in patients. However lidocaine hypersensitivity reaction is uncommon. We report the case of death due to hypersensitivity to topical lidocaine spray given during routine premedication for this procedure. The possibility of bronchospasm secondary to an adverse reaction to premedication or anesthesia must also be considered.
김대영,류운석,한종대,이동욱,심성준,박찬욱,김안나,최용석,이헌영 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1
Inflammatory pseudotumor of the liver is a rare benign lesion of the liver, histologically characterized by a mixture of inflammatory cells (predominantly plasma cells, lymphocytes, foamy iiistiocytes and occasionally polymorphonuclear leukocytes) in a stroma consisting of interlacing bundles of fibroblasts and collagenous tissue. Inflammatory pseudotumor of the liver has been characterized by high incidence in infancy and young male adulthood and by complaints of the intermittent high fever and body weight loss. Due to clinical presentation and morphological appearance, it was often misdiagnosed as primary liver cancer or abscess. If accurate diagnosis is made, an unnessary hepatectomy can be avoided. We experienced a case of inflammatory pseudotumor of the- liver presented with fever, weight loss and right upper quadrant pain. This tumor was regressed under antibiotic therapy.
간경변 환자에서 부제정맥 파열로 인한 복벽 내 혈종 및 혈복강 1예
박찬욱,이동욱,김배영,심성준,한종대,류운석,이계성,김형렬 대한소화기학회 2000 대한소화기학회지 Vol.35 No.5
We experienced a case of 40-year-old woman with liver cirrhosis, who complained of jaundice and abdominal distension. She was diagnosed as having hemoperitoneum & abdomial wall hematoma due to rupture of a distended paraumbilical vein. Portal hypertension often leads to collateralization of blood flow via variceal vessels, which shunt blood from the portal to the systemic circulation. Rupture of an intra-abdominal varix is an unusual complication of portal hypertension. The differential diagnosis and management of hemoperitoneum in this cirrhotic patient are discribed, with a review of 21 previously reported cases of intra-abdominal variceal bleeding.
고콜레스테롤혈증 환자에서 Simvastatin 단독 또는 Ramipril과 병합요법의 혈관내피세포 의존성 이완능에 대한 효과
고광곤 ( Go Gwang Gon ),손지원 ( Son Ji Won ),안정열 ( An Jeong Yeol ),류운석 ( Lyu Un Seog ),한승환 ( Han Seung Hwan ),김대성 ( Kim Dae Seong ),김형식 ( Kim Hyeong Sig ),신미승 ( Sin Mi Seung ),인태훈 ( In Tae Hun ),최인석 ( Choe 한국지질동맥경화학회(구 한국지질학회) 2002 韓國脂質學會誌 Vol.12 No.4
Objective: Because the mechanisms of the biological effects of statin and angiotensin converting enzyme inhibitor therapies differ, we studied the vascular responses to these therapies in hypercholesterolemic patients. Methods: We administered simvastatin
이동욱,정은아,차동엽,최환원,박이병,심성준,한종대,이상미,송인관,류운석 대한내분비학회 1999 Endocrinology and metabolism Vol.14 No.3
Periodic paralysis associated with hyperthyroidism occurs in 2.0% of Graves disease and is characterized by myasthenia or bilateral flaccid paralysis of lower extremity, in some cases, it may be accompanied with cardiac arrhythmias which are mostly due to hypokalemia. The most common type of cardiac arrhythmias associated with hyperthyroidism is sinus tachycardia, 1015% of patients have atrial fibrillation. Rarely, ventricular tachycardia or ventricular fibrillation develop and lead to cardiac arrest in severe case. A 26-year-old man was admitted to the hospital because of weakness of lower extremity. The initial EKG showed ventricular tachycardia. The laboratory results were, TSH 0.08 μU/mL, free T4 4.11 ng/mL, T3 2.88 ng/mL, serum K 1.9 mEq/L. He was diagnosed as ventricular tachycardia associated with hypokalemic thyrotoxic periodic paralysis. His symptoms improved during the treatment with propylthiouracil and potassium replacement. We report a case of thyrotoxic periodic paralysis presenting as ventricular tachycardia with rief review of literatures (J Kor Soc Endocrinol 14:587-591, 1999).