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임병찬,이정하,김광식,최국명,신경수,홍정연,김연우,Lim, Byung Chan,Lee, Jung Ha,Kim, Kwang Sig,Choi, Guk Myung,Shin, Kyung Sue,Hong, Jung Yun,Kim, Youn Woo 대한소아청소년과학회 2003 Clinical and Experimental Pediatrics (CEP) Vol.46 No.4
복부 팽만과 장천공 및 패혈증성 쇼크로 수술 후 진단된 신생아의 회장 폐쇄증에서 비후성 유문 협착증이 동반된 증례로서 회장 폐쇄증의 산전 진단 및 치료 과정에 있어서 다른 부위의 폐쇄증과의 차이를 인지하고, 문합 수술 후 지속적인 구토 증상을 보이는 공회장 폐쇄증 환아에 있어서 수술과 관련된 합병증 이외에 다른 위장관계의 동반 기형의 유무도 확인해야 하며 그 감별 진단에 비후성 유문 협착증도 고려해야 할 것으로 생각된다. Ileal atresia, a subtype of intestinal atresia, is one of the well-recognized causes of bowel obstruction in newborns. Prenatal diagnosis of intestinal atresia is very important in its management and outcome. Unfortunately, there are few cases of ileal atresia diagnosed prenatally, so more appropriate diagnoses and management plans are needed. As an associated gastrointestinal malformation with ileal atresia, hypertrophic pyloric stenosis is rarely reported. We report one case of postnatally diagnosed ileal atresia associated with hypertrophic pyloric stenosis which was complicated initially by bowel perforation and later by vomiting due to pyloric obstruction. Vomiting in the postoperative period is a common problem. But, if vomiting continues after the operation for ileal atresia, hypertrophic pyloric stenosis should be considered as a possible cause of medically retractable non-bilious vomiting.
젊은 남자에서 캡슐내시경으로 진단한 급성 광범위 허혈성 소장염
정우성 ( Woo Seong Jeong ),송현주 ( Hyun Joo Song ),나수영 ( Soo Young Na ),부선진 ( Sun Jin Boo ),김흥업 ( Heung Up Kim ),김진석 ( Jin Seok Kim ),최국명 ( Guk Myung Choi ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.3
Ischemic enteritis is caused by either the interruption or significant reduction of arterial inflow to the small intestine. Risk factors are old age, diabetes mellitus and cardiovascular disease. It is very rare in young patients. We experienced a 21-year-old man with recurrent acute ischemic enteritis who was diagnosed with capsule endoscopy. He had previously taken medications for pulmonary hypertension and obstruction of both carotid arteries, and about 20 months earlier, he had been admitted due to hematochezia. Two sessions of angiography did not reveal the cause of hematochezia. At that time, capsule endoscopy showed mucosal edema and erythema in the terminal ileum, suggesting healed ischemic enteritis. The patient was admitted again due to hematochezia. Abdominal computed tomography showed focal celiac trunk stenosis and diffuse wall thickening of the small intestine, suggesting ischemic enteritis. Capsule endoscopy showed multiple active ulcers and severe hemorrhage with exudate, extending from the proximal jejunum to the terminal ileum. Using capsule endoscopy, the patient was diagnosed with acute extensive ischemic enteritis. Because endoscopic images of ischemic enteritis have rarely been reported, we report a case of a 21-year-old man who was diagnosed acute extensive ischemic enteritis with capsule endoscopy. (Korean J Gastroenterol 2013;61:160-165)
최소변화콩팥병증에서 합병된 정맥 혈전증의 전신적 혈전용해술
이형석 ( Hyung Seok Lee ),김진택 ( Jin Taek Kim ),민주원 ( Joo Won Min ),권기영 ( Gi Young Kwon ),김봉수 ( Bong Soo Kim ),최국명 ( Guk Myung Choi ),강우헌 ( Woo Heon Kang ) 대한내과학회 2007 대한내과학회지 Vol.73 No.4
Nephrotic syndrome has been considered a hypercoagulable state because thromboembolic events of the venous or the arterial circulations occur on occasion. There are various risk factors for thromboembolism in patients with nephrotic syndrome (membranous nephropathy, severe hypoalbuminemia, hemoconcentration and medications such as steroid and diuretics). As thromboembolism is often fatal, early detection and proper management are important. Although anticoagulation is the preferred therapy, thrombolysis may be considered for an extensive thrombosis, for inferior vena cava (IVC) thrombosis, for recurrent pulmonary thromboembolism and for bilateral renal vein thrombosis in conjunction with acute renal failure. We report here on a case of renal vein and IVC thrombosis in a 24-year-old male with nephrotic syndrome, and this patient was treated with intravenous thrombolytics rather than anticoagulation and local thrombolytic infusion. He complained of left flank pain and his CT scan revealed left renal vein thrombosis and IVC thrombosis. After urokinase infusion, his thrombi were resolved successfully without bleeding complications.(Korean J Med 73:448-452, 2007)
여성호르몬대체요법을 받는 폐경 후 여성에서의 혈청 C-reactive Protein 수치 변화
황승욱,최국명 제주대학교 생명과학연구소 2002 제주생명과학연구 Vol.5 No.6
연구배경: 폐경 후 여성에서 여성호르몬 대체요법 치료는 관상동맥질환의 위험을 감소시킨다고 알려져 있지만 최근 발표된 연구에서는 기존에 관상동맥질환을 갖고 있는 폐경 후 여성에서 1년 내의 관상동맥질환의 위험이 증가했다가 시간경과에 따라 위험이 감수한다는 사실을 보여 주었다. 한편 혈청 C-reactive protein(CRP)의 등가는 광상동백질환의 독립적인 위험인자로 인정되고 있다. 이에 저자들은 여성호르몬 대체요법을 받는 폐경 후 여성을 대상으로 여성호르몬 대체요법이 혈청 CRP 수치의 변화와 관련성이 있는가를 알아보기 위해 본 연구를 시행하였다. 방법: 1995년 5월 1일부터 2001년 5월 31일까지 일개대학병원 건강증진센터에서 1년 정도의 간격으로 연속 3회 이상 건강검진을 받은 여성 188명 중에서 의무기록 열람과 전화조사를 통해 40세 이상 70세 미만으로 일개대학병원 가정의학과에서 처음으로 폐경 후 여성호르몬 대체요법을 받기 시작한 여성 40면을 대상으로 연도별로 혈중 CRP 수치의 변화를 분석하였다. 결과: 여성호르몬 대체요법 후의 혈중 CRP 농도는 고혈압 군에서 1년후의 CRP의 증가가 있었으나(P<0.05). 2년 후에는 기저수치에 비해 의미 있는 차이가 없었다. 비고혈압 군에서는 1년 후와 2년 후 모두 의미 있는 차이가 없었다. 결론: 본 연구에서는 특히 고혈압이 있으면서 폐경 후 여성호르몬대체요법을 받는 여성에서 시간적 경과에 따라 혈중 CRP 수치가 단기적으로 증가하였다가 점차 감소하는 경향을 보였다. Background: It was known that postmenopausal estrogen replacement therapy(ESP) decreased the risk of coronary heart disease. A recent study reported that the risk of coronary heart disease had a pattern of increase and decrease during ERT in postmenopausal women with coronary disease. The increase of Serum C reactive protein level was accepted as an independent risk factor of coronary heart disease. In this study, we tried to analyze the relationship between ERT in postmenopausal women and the change of CRP level. Methods: The study population was composed of 40 postmenopausal women who first started HRT in Health Promotion Center of University Hospital from May 5, 1995 to May 31, 2001. We checked their CRP level yearly. Results: In the group composed of postmenopausal women with hypertension, there was significant increase of CRP level(P<0.05) in 1 year ERT. But CRP level in 2 year after ERT was not significantly different from baseline level. In the group composed of postmenopausal women without hypertension. CRP level was not significantly changed 1 year after nor 2 year after. Conclusions: In this study, the CRP level showed the pattern of short-term increase and then decrease with time trend in postmenopausal women with hypertension.