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박철홍 ( Chul Hong Park ),김동욱 ( Dong Uk Kim ),박종만 ( Jong Man Park ),황경림 ( Kyung Lim Hwang ),나해정 ( Hae Jung Na ),이민진 ( Min Jin Lee ),장선미 ( Sun Mi Jang ),서형일 ( Hyung Il Seo ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.2
A blastoma is a type of cancer, which is common in children; it is caused by malignancies derived from in the precursor cells, often called blasts. Examples are nephroblastomas, retinoblastomas, pleuropulmonary blastomas, and pancreatoblastomas. Pancreatoblastomas are extremely rarely in adults. It is difficult preoperatively to distinguish this tumor from other pancreatic tumors including solid and papillary epithelial neoplasm of the pancreas (SPEN), acinar cell carcinoma, islet cell tumor, and ductal adenocarcinoma with cystic degeneration. To our knowledge, this case may be the second report of a pancreatoblastoma occurring in an adult in Korea. We report a case of a pancreatoblastoma that was confirmed by pathology, despite the radiologic finding that assumed it was a SPEN.
박철홍 ( Cheol Hong Park ),임창훈 ( Chang Hoon Lim ),장형진 ( Hyoung Jin Chang ),손상원 ( Sang Won Son ),정성진 ( Sung Jin Jung ),박철휘 ( Cheol Whee Park ),장윤식 ( Yoon Sik Chang ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.2
A 46-year-old woman with chronic renal failure due to polyarteritis nodosa was referred to the hospital for evaluation of abdominal pain. She had been treated with cathartics (magnesium oxidate 2.0 g/day) for constipation for several days. One day before the admission, the patient had been taken magnesium enema twice at another hospital. On admission, she was comatose, suffering from lethargy and respiratory failure. Her serum magnesium and amylase concentrations were markedly elevated (8.2 mg/dL and 1,698 IU/L respectively), and plain abdominal image and abdominal computed tomography revealed acute pancreatitis and non-obstuctive ileus. Thereafter, aggressive cardiopulomonary support with mechanical ventilation and continuous renal replacement therapy using continuous veno-venous hemofiltration (CVVH) applied due to cardio-respiratory failure and hypermagnesemia. After 3 days of CVVH treatment, the concentration of serum magnesium was normalized to 3.2 mg/dL, and respiratory failure and abdominal ileus were markedly improved. Four days after aggressive treatment, her hemodynamic and gastroenteric symptoms stabilized. Therefore, we report the case of hypermagnesemia with acute pancreatitis, severe hypotension and respiratory failure after cathartic ingestion and enema containing magnesium oxidate treated with CVVH.
분만전후 심장근육병증: 1995년부터 2004년까지의 10년간의 증례 평가
박철홍 ( Cheol Hong Park ) 대한주산의학회 2006 Perinatology Vol.17 No.1
목적 : 분만전후 심장근육병증의 초기 임상양상의 특징과 위험요소들을 평가하는 데에 있다. 방법 : 1995년부터 2005년까지 10년간 임신중 혹은 분만 후 심장초음파검사로 심장질환이 있는 것으로 판명된 28명의 산모의 의무기록을 전향적으로 검토하였다. 결과 : 임신중 혹은 분만 후 심장질환이 있다고 한 28명의 환자 중 분만전후 심장근육병증의 진단기준에 부합된 환자는 15명이었다. 이들의 평균연령은 32.5±6.5세였고, 함께 갖고 있던 질환 혹은 상황은 전자간증 40%, 쌍태임신 33.3%, 조기진통 20%, 심근염 6.7%였다. 이들 중 분만 후 자궁근무력증을 보였던 2예(13.3%)를 포함한 5예(33.3%)에서는 중환자실 집중관리를 받았으나 사망한 예는 없었으며 향후 모두 호전되었다. 결론 : 심장근육병증은 서양의 경우에는 임신과 연관된 사망의 원인중 증가하는 원인중의 하나로 꼽히는 반면 본 저자들은 10년간 단 한 예에서도 분만전후 심장근육병증으로 사망한 예가 없었고 모두 예후가 양호하였던 것을 경험하였으며, 향후 이와 관련한 원인적 위험요소들과 인종간의 상이성에 대한 연구가 더 필요할 것이다. Objective : To review and characterize the initial presentation and risk factors of peripartum cardiomyopahty. Methods : We reviewed the medical records of 28 women with a history of heart disease confirmed by echocardiography during pregnancy or the postpartum period between 1995 and 2004. Results : Of a total of 28 women with a history of heart disease during pregnancy or the postpartum period, 15 women met traditional criteria of peripartum cardiomyopathy. Mean age of 32.5±6.5 years and common associated conditions were preeclampsia (40%), twin pregnancy (33.3%), preterm labor (20%), and myocarditis (6.7%). 5 of them (33.3%) including postpartum uterine atony (13.3%) had had ICU care but no deaths occurred (0% mortality) and all of them (100%) had regression of cardiomyopathy. Conclusion : Cardiomyopathy acoounts for an increasing proportion of reported pregnancy-related deaths in western countries, but we experienced no mortality from peripartum cardiomyopathy during a 10-year period. Further studies are required to identify risk factors and racial disparity.