http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Amphetamine 중독에 의한 횡문근 융해 급성신부전
조윤숙(Yun Sook Cho),김태형(Tae Hyung Kim),김형완(Hyoung Wan Kim),김봉룡(Bong Ryong Kim),김준완(Joon Wan Kim),박정진(Jeong Jin Park),손인(In Sohn) 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.3
Amphetamine toxicity is well known in western countries since several decades ago. Taken in excessive amount, amphetamine causes systemic symptoms such as hyperpyrexia, tachycardia, hyperkinesia, delirium, seizure and circulatory collapse. Acute renal failure following amphetamine ingestion is caused by the direct toxicity of the drug, circulatory collapse, coagulopathy, retroperitoneal hematoma or tubular ob-struction by rhabdomyolysis. This is a case of a am-phetamine intoxicated 41-year male patient presenting with features of acute renal failure, which is not accompanied by circulatory collapse, nor by coagulo-pathy. Muscle enzymes and bone scan findings were compatible with nontraumatic muscle injuries, and the renal pathology was tubular necrosis with specific myoglobin casts. Therefore a drug induced rhabdo-myolysis causing myoglobinuric tubular injury is highly suspected. The fact that the outcome of the renal disease itself was good despite fatal dosage of this drug is also compatible with myoglobinuric renal failures reported by foreign authors. This is probably the first reported case of acute renal failure caused by amphetamine associated rhabdomyolysis in Korea.
박정진(Jeong Jin Park),임선희(Seon Hee Lim),김봉룡(Bong Ryong Kim),김형완(Hyoung Wan Kim),김준완(Joon Wan Kim),김태형(Tae Hyong Kim),장유현(Yoo hyun Jang),이계희(Kyu Heui Lee),양대현(Dae Hyun Yang) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.1
Idiopathic portal hypertension (IPH) is a rare disease characterized by overt splenomegaly and portal hypertension in the absence of cirrhosis or vascular obstruction. The most common cause of death in IPH patients is known to be variceal bleeding, which is usually treated with surgical method. Recently, interventional radiologic methods such as transjugular intrahepatic portocaval shunt, ballon-occluded retrograde transvenous obliteration, or partial splenic embolization (PSE), have been tried to control portal hypertension. A 24-year-old man presented with repeated gastrointestinal bleeding due to rupture of esophageal varices, but his liver function tests were completely normal and any possible etiologies of his portal hypertension couldn’t be demonstrated. He was diagnosed as IPH by laparoscopic liver biopsy after PSE, which could control portal hypertension as well. For twelve months after PSE, he hasn’t experienced bleeding again. We report the case of PSE to control portal hypertension in a patient with IPH who presented with variceal bleeding. (Korean J Gastroenterol 2001;38:48-52)
일과성 뇌허혈에서 혈당의 변화가 국소 뇌조직의 신경전달물질 농도변화에 미치는 영향에 관한 실험적 연구
김봉룡,박정률,박윤관,정흥섭,이기찬,이훈갑 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.8
Hyper glycemia during either global or regional ischemia is widely known to be detrimental, and ischemia induced release of diverse neurotransmitters and the ensuing activation of specific postsynaptic receptors have been suggested to play a important role in the development of ischemic selective vulunerability. This study was undertaken to investigate the influence of blood glucose change on tissue concentration of some catecholamies ; dopamine, norepinephrine, serotonin, of the transient ischemic rat's brain, estimated by high performance liquid chromatography(HPLC) assay system, following trnasient bilateral forebrain ischemia in the rat's model subjected to 20 minutes of normothermic ischemia by two vessels occulusion plus profound hypotension. Norepinephrine, dopamine and serotonin levels were measured in the frontal cortex, hippocampus and striatum respectively by HPLC. The concentrations of catecholamines were significantly decreased in all sampled ares in experimental groups compared with the control group(p<0.05), respectively(average decrease rate : norepinephrine 71%, dopamine 89%, serotonin 80% in frontal cortex ; norepinephrine 33%, dopamine 35%, and serotonin 78% in striatum). Dopamine was relatively decreased in concentration in frontal cortex and hippocampus, and serotonin was relatively decreased in striatum. But no statistic significancy(p>0.05) of catecholamines level between each experimental group(hyper-, hypo- and normoglycemic group) according to the change of blood sugar. The results suggested that blood glucose level did not influence the tissue concentration of dopamine, norepinephrine and serotonin in frontal cortex, hippocampus and striatum of transient ischemic rat's brain.
김봉룡,서중근,이훈갑 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.12
Ten patients with degenerative lumbar spine diseases were treated using TSRH(Texas Scottish Rite Hospital) universal instrumentation system. The patient population consisted of 6 men and 4 women with a mean age of 56 years(43 to 65 years). All patients suffered chronic back pain with other neurological symptoms and signs. Neurological improvement was obtained in all cases postoperatively. Complications include pneumonia in 1 case, deep vein thrombosis in 1 case, flaccid neurogenic bladder in 1 case. Autogenous bone graffobtained from iliac bone, between transverse process provided excellent bony fusion in 7 cases on radiologic evaluation between 9 months to 12 months after operation. TSRH universal instrumentation system have several advantages compared with other pedicle screw rod systems easy to handle, low morbidity, shorter operative time and easier relieval of root compression.
김태형,임선희,장유현,김형완,김준완,김봉룡,박정진,이계희,최신은 대한소화기내시경학회 2001 Clinical Endoscopy Vol.23 No.1
The prevalence of intestinal tuberculosis has been markedly decreased with the development of antituberculoug chemotherapy, improved economic conditions, preventive medicine and early detection and treatment of pulmonary tuberculosis. An even more impressive resurgence of pulmonary and extrapulmonary tuber culosis has been seen in recent years among persons infected with the human immunodeficiency virus. The most common signs of infeshna1 tuberculosis is the ileocecal region, and duodenum is a rare site. Symptoms and signs of duodenal tuberculosis are nonspecific. The gross pathologic appearance of the duodeznal tuberculous lesions has to its traditional categoriration into three farms. 1) ulcerative, 2) hypertrophic, and 3) ulcerohypertrophic (mixed). Hypertrophic lesions of the duodenal tuberculosis should be differentiated from duodenal adenocarcinoma and lymphoma. We herein report a case of duodenal tuberculosis presenting as intraluminal protruding mass in gastroduodenoscopy and multiple intraabdomina1 lymphadenopathy on abdominal CT. We have confirmed the duodena1 tuberculosis by endoscopic biopsy, and review the current literatures.