http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
전신홍반루푸스 환자에게 발생한 급성 루푸스 폐렴 치료 1예
채병기,이성학,박평강,정우조,이경용,두영재,오지민 대한내과학회 2013 대한내과학회 추계학술발표논문집 Vol.2013 No.1
증례: 25세 여자 환자로 1주 전부터 시작한 오한 및 발열로 내원하였다. 1년 전 전신홍반루푸스로 진단받고 hydroxychloroquine 300 mg, 레이노 현상으로 nifedipine 10 mg을 아침 저녁으로 사용 중이었다. 내원시 혈압 120/70 mmHg, 맥박 72/분, 호흡 20회/분, 체온은 36.6℃이였다. 호흡 곤란을 호소하였으며, 폐음은 양측 아래쪽으로 감소되어 있고, 수포음이 청진되었다. 혈색소 10.9 g/dL, 백혈구 4,300/mm3 (호중구 85.6%), 혈소판 152,000/mm3이었다. ESR 38 mm/h, CRP 236.9 mg/L으로 증가되어 있었다. VDRL 음성 Procalcitonin 0.43 ug/L, anti-ds DNA IgG 항체 음성, anti-cardiolipin IgA, IGM, IgG 항체 음성, lupus anticoagulant 항체 음성, anti-beta2 glycoprotein IgM, IgG 항체 음성 이었다. C3 125 mg/dL, C4 35 mg/dL이었다. 객담 배양 검사는 정상 세균총이었고, 혈액 배양 검사, 객담 항상균 염색 도말 및 배양 검사 음성이었다. 기관지 폐포 세척액은 출혈 보이지 않았고, 세균 배양 검사, 항산균 염색 도말 및 배양 검사 음성이었다. 흉부 방사선은 양측 폐하부에서 침윤과 늑막 삼출이 관찰되었다(Fig. 1). 흉부 컴퓨터 단층 촬영은 양측의 흉수와 양측 폐기저부에서 젖빛유리모양 혼탁을 보였다(Fig. 2). 흉수는 ADA 63, FANA 양성(1:640, speckled), 삼출성 양상이었고, 흉막 삼출액 배양 검사, 항산균 도말 및 배양 검사 음성이었다. 경흉부 심초음파는 정상이었다. 급성 루푸스 폐렴으로 진단하여 스테로이드 치료하였다. 치료 2주 후 환자는 호전되어 퇴원하였고 한달 후 흉부 방사선과 흉부 컴퓨터 단층 촬영에서 폐 침윤과 늑막 삼출액은 소실 되었다(Figs. 3, 4). 환자는 재발 없이 외래 관찰 중이다. 급성 루푸스 폐렴은 자가 항체에 의해 급성으로 발생하는 폐렴으로 그 빈도는 매우 드물다. 급성 루푸스 폐렴을 스테로이드 치료로 회복하여 이를 보고한다.
혈액투석 중인 당뇨병 환자에서 발생한 좌측 기종성 신우신염 1예
채병기 ( Byoung Gy Chae ),박관우 ( Kwan Woo Park ),박경우 ( Kyung Woo Park ),최상명 ( Sang Myung Choi ),김성진 ( Sung Jin Kim ),강신명 ( Shin Myung Kang ),유수경 ( Su Kyong Yu ) 전북대학교 의과학연구소 2013 全北醫大論文集 Vol.37 No.1
Emphysematous pyelonephritis is a necrotizing infection of urinary tract that causes gas accumulation in renal parenchyma or sometimes perirenal tissue. Emphysematous pyelonephritis is common in persons with diabetes or urinary tract obstruction. To increase survival rate, early diagnosis and adequate treatment is crucial. Medical therapy and percutaneous catheter drainage may be chosen as initial treatment. However, if a patient does not respond to the treatment, nephrectomy should be considered. This is a case report of emphysematous pyelonephritis in a diabetic, end-stage renal disease on hemodialysis patient who had been recovered with medical therapy.
김성진 ( Sung-jin Kim ),채병기 ( Byoung-gy Chae ),최상명 ( Sang Myung Choi ),강신명 ( Shin Myung Kang ),박현성 ( Hyun Sung Park ),정세영 ( Se Young Jung ),나종천 ( Jong Chun Na ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.1
A 79-year-old man with non-treated old myocardial infarction presented with exertional chest pain started about 15 days ago. Electrocardiogram showed abnormal Q wave in inferior leads. Cardiac catheterization revealed diffuse multiple dissections in his right coronary artery. Type C right coronary artery (RCA) ostium dissection with TIMI 1 flow occurred during intravascular ultrasound of RCA. And a drug eluting stent were deployed after balloon dilation. An excellent angiographic result was achieved. The patient was medically managed with aspirin, clopidogrel, beta blocker and angiotensin receptor blocker. He responded well to medical management after percutaneous coronary intervention.
발 뒤축 내·외측 경사진 안창이 족부압력에 미치는 영향
유태범(Taebeum Ryu),채병기(Byungkee Chae),임완수(Wansoo Lim),최화순(Hwa Soon Choi),정민근(Min K. Chung) 대한산업공학회 2008 대한산업공학회지 Vol.34 No.1
Wedged insoles are frequently used to reduce the pains caused by the knee arthritis or the foot overuse syndrome. The present study analyzed the effect of wedged rear-foot insoles on the foot pressure in walking. Three medially wedged insoles with three angles (5, 8 and 15°) and three laterally wedged insoles with the same angles were made, and a flat insole were prepared. Ten healthy males in twenties walked in a specified line with each insole. Center of pressure (COP), relative vertical force and maximum force on anatomical areas were analyzed from the measured foot pressure data. At heel contact, medially wedged insoles significantly increased the pressure of the medial foot side (COP moved medially by 2-5 mm and maximum pressure of 1st metatarsal head increased by 110-120% relative to the flat insole). In contrast, laterally wedged insoles significantly increased the lateral side pressure (COP moved laterally by 1-5 mm and the ratio of 2nd metatarsal head pressure to 1st metatarsal head increased by 0.5-2.0 relative to the flat insole). At toe off, both wedged insoles significantly increased the pressure of the medial foot side (COP moved medially by 0.5-10 mm and the ratio of 1st metatarsal head pressure to 5th metatarsal head increased by 2.0 relative to the flat insole). Especially, the laterally wedged insoles significantly increased the relative vertical force (6-12%) of the rear-foot more than the flat insole.
이찬복,최상명,김성진,채병기,김정현,진수신,정미경 대한감염학회 2012 Infection and Chemotherapy Vol.44 No.6
Syphilitic myelitis is a rare manifestation of neurosyphilis, whose magnetic resonance imaging findings are not well documented. The authors report on a case of a 48-year-old male who presented with acute onset of paraplegia and voiding difficulty and was diagnosed as having syphilitic myelitis. Among tests performed for the diagnosis, serum Venereal Disease Research Laboratory (VDRL)and fluorescent treponemal antibody absorbed (FTA-ABS) tests showed a positive result. Analysis of cerebrospinal fluid (CSF) showed a normal white blood cell count, increased protein, reactive VDRL, and FTA-ABS tests. Magnetic resonance imaging (MRI) of cervical and thoracic spines showed diffuse intramedullary T2-hyperintense signal intensity without T1-weighted gadolinium enhancement. The syphilitic myelitis was resolved after institution of intravenous high dose penicillin G therapy for two weeks. Additional follow-up CSF analysis performed three months after treatment showed decreased protein and negative VDRL. MRI taken nine months later appeared normal and VDRL in CSF was still negative. This case study reports on the first Korean case of acute transverse myelitis caused by syphilis.