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질벽의 실리콘 액 주사에 의한 폐색전증 및 급성 호흡곤란 증후군
강문보 ( Moon Bo Kang ),김성태 ( Seong Tae Kim ),이정구 ( Jung Gu Lee ),서찬종 ( Chan Jong Seo ),이화은 ( Hwa Eun Lee ),정중배 ( Jung Bae Jeong ),김성권 ( Sung Gwon Kim ),김철 ( Chul Kim ),박정웅 ( Jeong Woong Park ),정성환 ( Seo 대한결핵 및 호흡기학회 1999 Tuberculosis and Respiratory Diseases Vol.46 No.3
SMART-ITL을 활용한 일체형원자로 정상정지운전 시험
양진화(Jin-Hwa Yang),배황(Hwang Bae),류성욱(Sung Uk Ryu),전병국(Byong-Guk Jeon),윤은구(Eunkoo Yun),방윤곤(Yun-Gon Bang),서찬종(Chan-Jong Seo),이성재(Sung-Jae Yi),박현식(Hyun-Sik Park) 대한기계학회 2018 대한기계학회 춘추학술대회 Vol.2018 No.12
A normal shutdown operation test related to commercial operation of SMART is essential to ensure cooling performance of its secondary system. The cooling rates should be under 40 ℃/hr because abrupt cool-down induces Return-to-Power (RTP) condition of reactor. The normal shutdown operation is classified into two types based on which cooling sources are used: 1) secondary feedwater for cooling of the reactor coolant system to the safety shutdown temperature, and 2) Component Cooling Water System (CCWS) for cooling of the reactor coolant system after reaching safety shutdown condition. In the normal shutdown operation with SMART-ITL, the cooling operation of the reactor coolant system using secondary feedwater was partially simulated. Conservatively, a Chemical and Volume Control System (CVCS) operation due to water level decease of the reactor coolant system during normal shutdown operation was not automatic, so intervention of operator was needed. The averaged cooling rates were about 20.5-22.0 ℃/hr and it was sufficient to limit its cooling rate under the target value.
김성권(Sung Gwon Kim),박현철(Hyun Chul Park),김주현(Ju Hyun Kim),강동훈(Dong Hoon Kang),김선숙(Sun Suk Kim),서찬종(Chan Jong Seo),김철(Chul Kim),정중배(Jung Bae Jeong),이화은(Hwa Eun Lee),김성태(Seong Tae Kim),박종재(Jong Jae park) 대한내과학회 1999 대한내과학회지 Vol.56 No.2
Pancreatic abscess is a highly lethal infectious complication of acute pancreatitis despite a wide variety of operative approaches and percutaneous drainage for the treatment. Surgical drainage has its limitation because of high postoperative mortality, recurrence, operative hemorrhage and/or gastrointestinal fistula. Percutaneous drainage has been used only as a temporizing measure prior to operation in critically ill patient or as additional modality for a postoperative recurrent abscess. Endoscopic drainage can be indicated as a primary therapy for the well-localized paraintestinal pancreatic abscess bulging into the duodenal or gastric lumen, as it has been proven successful in patients with pancreatic pseudocyst compressing duodenum or stomach. However, the report is rare. We report a case of pancreatic abscess successfully treated with endoscopic drainage without any complications.
이종호,김성권,차미경,서찬종,하승연,강문보,정중배,서일혜 대한신장학회 1999 Kidney Research and Clinical Practice Vol.18 No.5
Systemic lupus erythematosus is a multisystemic autoimmune disease in which the kidneys are frequently involved. Clinical diagnosis of SLE is based on the criteria of American Rheumatism Association (ARA). A few cases who were classified as SLE by the ARA criteria but were antinuclear antibody (ANA)-negative have been reported. It was reported that critical factor in ANA positivity is the choice of substrate. It is generally accepted that the cultured cell of human origin, especially HEP-2 cell, is better than tissue section or animal cells. Thus, the ANA test is negative only in approximately 2M of SLE patients when human tissue culture cells are used as substrate. We report a 25-year-old man admitted to our hospital because of generalized edema. He was found to have active lupus nephritis(WHO class IV), photosensitivity and pancytopenia. The result of FANA test which used HEP-2 cell as substrate was repeatedly negative, but anti-ds DNA and anti-Ro antibody were positive.
혈액투석으로 치료된 Phenobarbital 중독 1예
김철,이종호,김성태,이정구,김성권,차미경,이화은,서찬종,강문보,정중배 대한신장학회 1999 Kidney Research and Clinical Practice Vol.18 No.6
Phenobarbital is one of long-acting barbiturate with low lipid solubility and used frequently as an anticonvulsant. However, in severe intoxication, hypotension and respiratory arrest are the major causes of prehospital mortality. Mortality is 3M for blood levels over HO pg/mL and estimated lethal adult dose is 6-10g. No effective antidotes are available. We report a case of phenobarbital intoxication in a 29-year-old female, treated successfully with hemodialysis. She was found corhatose on the day of admission and was alleged to have taken 30g of phenobarbital. On physical examination, the blood pressure was 80/60mmHg, and pulse, 97/min. There was no respiration. Pupil was dilated fully. Corneal and deep tendon reflexes were absent. There was no response to painful stimuli. She was treated conservatively with mechanical ventilation, gut decontamination and forced diuresis. Hemodialysis was tried to remove excess phenobarbital for 13 hours. The blood phenobarbital level at admission was 162.2 pg/ mL, which was decreased to 114.4pg/mL after first session of hemodialysis. On the fifth hospital day, blood level decreased to 41.8 pg/mL and she regained her consciousness. She was discharged on the 10th hospital day without major sequelae.
반대측 비기능성 선종을 동반한 기능성 부신 선종에 의한 쿠싱 증후군 1예
경선영,한혜숙,윤효중,황용하,서찬종,정연실,김홍규,박혜영,김형식,이정남,하승연,강문호 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.2
We report the case of a 43-year-old woman with Cushing‘s syndrome showing bilateral adrenococortical adenomas. We performed bilateral selective adrenal vein samplings. Hypersecretion of cortisol on the left sided adrenal tumor was observed, but no evidence of cortisol hypersecretion from the adrenal tumor on the right side was observed. The left adrenal tumor was resected selectively, but the right adrenal gland was reserved. The left adrenal tumor was histologically diagnosed as a adrenal adenoma without any evidence of nodular hyperplasia. Following the resection of the left adrenal gland, no cortisol hypersecretion from the remaining adrenal tumor on the right side was observed until now, suggesting that a selective adrenalectomy of functioning adenoma may be an acceptable treatment modality
이기영,이윤정,박혜영,강문호,김홍규,이성광,정연실,홍순홍,정성권,이화은,서찬종 대한내분비학회 2000 Endocrinology and metabolism Vol.15 No.4
Background: Propylthiouracil (PIV) and methimazole (MMI) were widely used for the treatment of hyperthyroidism. Hepatic injury caused by these agents is a rare but serious complication. This study is to investigate the clinical features of hepatotoxicity from antithyroid drugs. Methods: We reviewed 17 cases of hepatic injury during treatment with antithyroid drugs in patients with hyperthyroidism. Included were 6 cases we experienced and 11 cases reported in Korean literature from 1986 to 1999. We analyzed the clinical features of hepatic injury. Results: Of 17 cases of hepatic injury, 12 were PTU cases and 5 MMI cases. The mean age of PTU cases was 40 years with 6/12 patients over 40 years old and 2/5 MMI cases were over 40 years old. The dose of PTU was 300 mg/d or more in 10/12 cases (83%) and the dose of MMI was 30 mg/d in 3/5 cases (60%). The hepatic injury occurred within 3 months in 8/12 PTU cases (67%) and within 2 months in 4/5 MMI cases (80%). The duration of hepatic injury tended to be longer in MMI cases than in PTV cases (median; 80 vs 41 days, p=0.102). In PTU cases, the duration of hepatic injury was correlated with the duration of drug use before hepatic injury (p$lt;0.05). All of 8 biopsied cases who took PTU had predominantly hepatocellular necrosis. Two biopsied cases who took MMI had cholestatic jaundice and nonspecific abnormality, respectively. Biochemical findings of all MMI cases were compatible with cholestatic jaundice. As to the treatment of hyperthyroidism after hepatic injury, 4/12 PTU cases were treated with RAI therapy, 5 with MMI and one with surgery, and treatment was unknown in two. On the other hand 3/5 MMI cases interestingly entered into spontaneous remission after hepatic injury and 2/5 had RAI therapy. Hepatic dysfunction recurred in each one whom treatment by changing to MMI or PTU was tried on. Conclusion: Most of hepatic injury during treatment with antithyroid drugs developed within two to three months of drug use. The hepatic injury related to PTU was mainly cytotoxic whereas that related to MMI was cholestatic. Since there is a cross-reaction between PTU and MMI in hepatotoxicity, RAI therapy or operation shoud be considered as an alternative treatment of hyperthyroidism after hepatic injury (J Kor Soc Endocrinol 15:554-560, 2000).