http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 이응빈(Eung-Bin Lee) (검색결과 2 건)
- 무료
- 기관 내 무료
- 유료
-
김세윤(Saeyoon Kim),이응빈(Eung-Bin Lee),박선영(Sun Young Park),김상훈(Sanghoon Kim),양영호(Youngho Yang),강화정(Hwajeong Kang),권순학(Soonhak Kwon) 대한소아신경학회 2014 대한소아신경학회지 Vol.22 No.1
목적: 뇌수막염으로 진단된 소아환자에서 세균성 뇌수막염의 조기진단을 위해 대구지역에서 발생한 소아 뇌수막염 환자의 임상양상과 원인 병원체 등을 조사하였다. 방법: 2012년 3월부터 2013년 7월까지 대구지역에서 세균성과 무균성 뇌수막염으로 진단되어 영남대학교병원 소아청소년과에서 치료를 받은 115명의 환자의 의무기록을 후향적으로 분석하였다. 내원 당시의 임상증상과 혈액 및 뇌척수액 검사결과, bacterial menigitis score (BMS), 합병증 등에 대해 조사하였다. 결과: 대상 환아 115명 중 세균성 뇌수막염은 9명, 무균성 뇌수막염은 106명이었다. 처음 내원당시 가장 흔한 증상은 발열이었고, 그 외에 두통, 구토, 경부강직 등이 있었다. 뇌척수액 검사에서 세균성 뇌수막염군에서 백혈구가 더 많았다 (1,423.8±1,980.4 vs. 120.0±161.6/mm3). 단백질도 세균성 뇌수막염군에서는 219.4±183.6 mg/dL, 무균성 뇌수막염에서는 42.4±27.0 mg/dL이었다. BMS는 세균성 뇌수막염군에서 유의하게 높았다. 세균성 뇌수막염군 환아의 44%가 뇌자기공명영상검사에서 이상소견 (2명은 뇌염, 2명은 경막하 삼출액)을 보였다. 세균성 뇌수막염군은 모두 항생제 치료를 받았고 대부분 3세대 세팔로스포린과 반코마이신이 이용되었다. 무균성 뇌수막염군에서도 49%에서 3세대 세팔로스포린으로 치료를 받았다. 결론: 두 군의 초기 임상증상은 비슷하지만, 뇌척수액 검사에서는 뚜렷한 차이를 보였다. BMS도 세균성 뇌수막염을 조기에 감별하는 데 도움이 될 수 있다. 무균성 뇌수막염의 유행시, 조기에 구분하여 불필요한 입원이나 항생제 치료를 줄일 수 있다. Purpose: The aim of this study was to investigate the clinical characteristics and causative organisms of meningitis in the Daegu region and seek a useful tool for the early prediction of bacterial meningitis in children. Methods: We retrospectively reviewed the medical records of 115 pediatric patients diagnosed with bacterial or aseptic meningitis at Yeungnam university hospital in Daegu from March 2012 to July 2013. We evaluated their clinical symptoms, laboratory findings, clinical courses, bacterial meningitis scores and complications. Results: The subjects included 106 with aseptic meningitis and 9 with bacterial meningitis. At the time of visit, fever was the most frequent symptom, followed by headache, vomiting and neck stiffness. In cerebrospinal fluid (CSF) analysis, white blood cell (WBC) count were higher in the bacterial meningitis group (1423.8±1980.4 vs. 120.0±161.6 mg/dL). Mean CSF protein was 219.4±183.6 mg/ dL in bacterial meningitis and 42.4±27.0 mg/dL in aseptic meningitis (P <0.001). Bacterial meningitis score (BMS) were higher in the group with bacterial meningitis. Abnormal radiological findings were found in 44% of the group with bacterial meningitis. Conclusion: Although the clinical features between the groups were similar, the CSF analysis revealed significant differences statistically. Furthermore, BMS could be helpful to predict bacterial meningitis in children. During the outbreak of aseptic meningitis, it might reduce unnecessary hospital admissions and antibiotic treatments.
-
로타바이러스 백신 접종 유무 및 백신종류에 따른 창자겹침증 발병 연령의 비교: 단일기관 연구
이윤영 ( Yun Young Lee ),이응빈 ( Eung Bin Lee ),최광해 ( Kwang Hae Choi ) 영남대학교 의과대학 2015 Yeungnam University Journal of Medicine Vol.32 No.2
Background: Rotavirus is the most common cause of severe gastroenteritis in children <5 years of age. The first vaccine, RotaShield was developed, but withdrawn because of its association with increased risk of intussusception. Then, RotaTeq and Rotarix were developed. Although in pre-licensure studies, they were not associated with an increased risk of intussusceptions, in recent studies, it has been controversial. Regarding increased risk of intussusception, we studied the difference in the age of intussusception after rotavirus vaccination. Methods: A retrospective analysis was conducted on 136 patients diagnosed with intussusception at Yeungnam University Medical Center for 4 years in the pre-vaccination period (group A) and in the post vaccination period (group B). Sex, mean age and age distribution of intussusceptions were compared according to the type of rotavirus vaccine (group B-1, RotaTeq, group B-2, Rotarix). Results: The median ages of group A and group B were 18.8±19.6 months and 15.5±10.2 months, with no significant differences (p=0.23). The median ages of group B-1 and group B-2 were 15.3±9.3 months and 15.6±10.8 months, with no significant differences (p=0.91). And No significant difference in the distribution of onset age was observed between groups, and only 6 patients were diagnosed with intussusceptions within 1 month after vaccination. Conclusion: No difference was observed in the distribution of onset age of intussusception after rotavirus vaccination and according to the type of rotavirus vaccine. Our study has a limitation in that it was conducted in part of the Daegu area. Additional study is needed.
KCI
스콜라연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
