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RISS 인기검색어
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- 저자 : 심상준(Shang Jun Shim) (검색결과 1 건)
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임종찬(Jong Chan Lim),유호준(Ho Jun Yoo),심상준(Shang Jun Shim),유석희(Suk Hee Yu),이현순(Hyun Soon Lee) 대한내과학회 1989 대한내과학회지 Vol.37 No.5
N/A Acute cortical necrosis is a rare but catastrophic disease due to complete or partial destruction of all elements of the renal cortex. The clinical picture of the disease is characterized by acute renal failure, often with a fatal outcome. We report a case of acute cortical necrosis following an operation of the abdominal stab wound. A 22-year-old man was admitted to our hospital because of an abdominal stab wound. A segmental resection of the sigmoid colon and midileum and end to end anastomosis were performed. Oliguria developed on the third hospital day and was treated with hemodialysis therapy on the third hospital day and was treated with hemodialysis therapy on the 5th hospital day. The anuria persisted for 20 days and the total period of oliguria was 28 days. On the 73rd hospital day, a kidney needle biopsy was done and microscopic examination of the specimen showed cortical necrosis of the patchy form with fibrosis and calcification, The patient had received a total of 13 hemodialysis therapy sessions and was complicated by an episode of septicemia which originated from the indwelling femoral catheter. The recovery of renal function was incomplete but was sufficient to persist without hemodialysis therapy.
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