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부자(附子) 및 천오(川烏)를 포함한 처방이 혈중 Aspartate Aminotransferase, Alanine Aminotransferase 수치에 미치는 영향
한현영 ( Hyun Young Han ),황원덕 ( Won Duk Hwang ) 대한본초학회 2009 大韓本草學會誌 Vol.24 No.4
Objectives: Aconiti Lateralis Preparata Radix (附子) and Aconiti Tuber (川烏) are not commonly prescribed, but are necessary for some clinical conditions, despite of the fact that some negative effects have been known to occur with these medicines. This study shows the consequences for aspartate aminotransferase (AST), alanine aminotransferase (ALT) due to herbal medicines, including Aconiti Lateralis Preparata Radix (附子) and Aconiti Tuber (川烏). Methods: From 1st June 2007 to 10th May 2009, the results were analyzed for 64 patients belonging to the OO Oriental Medical Hospital who took herbal medicine, including Aconiti Lateralis Preparata Radix (附子) and Aconiti Tuber (川烏), more than 20 days. This is the study about the comparison and the investigation of AST, ALT. And the results were taken upon their hospitalization and to their departure. The Criteria of Diagnosis in Liver Injury of CIOMS was used as a standard for their examinations. Results: AST, ALT (total 64). The number of patients who were within normal reference value: 49. The number of patients who exceed the normal reference value after dosage, without satisfying the Criteria of Diagnosis in Liver Injury: 5. The number of patients who were recovered in normal reference value after dosage: 9. The number of patients who satisfying the Criteria of Diagnosis in Liver Injury after dosage: 1. Conclusions: This results suggest that these herbal medicines, including Aconiti Lateralis Preparata Radix (附子) and Aconiti Tuber (川烏), didn`t cause adverse side-effects on AST, ALT of the patients who are taking them.
내장 역위증과 중복요관이 동반된 환자에서 발생한 방광요관역류로 인한 말기신부전
김영근 ( Young Keun Kim ),김민옥 ( Min Ok Kim ),최소연 ( So Yeon Choi ),최현주 ( Hyun Ju Choi ),한현영 ( Hyun Young Han ),허우성 ( Woo Seong Huh ),오하영 ( Ha Young Oh ),김성주 ( Sung Joo Kim ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.2
Situs inversus is a rare congenital anomaly that occurs in adults at the rate of 1:5,000-1:10,000. In the total form, the thoracic organs, as well as the abdominal organs, are completely reversed in a mirror image of their normal arrangements. Ureteral duplication is the most common ureteral anomaly founded incidentally. However, there is a higher incidence of duplication in cases of urinary tract infection, and it may be associated with upper urinary tract stasis, obstruction, or reflux. But ureteral duplication has no relation to situs inversus. Vesicoureteral reflux (VUR) is the most common disorder usually detected during radiologic evaluation of children with urinary tract infection. Complications such as renal scarring, reflux nephropathy, chronic renal failure and hypertension are well known in patients with VUR. Reflux nephropathy is responsible for about 10% of all cases of treated ESRD and is the most common case of ESRD in children. Thus, if VUR exists, early diagnosis and intensive treatment is necessary. Herein, we present a case of reflux nephropathy related ESRD in a 41-year-old woman with total situs inversus and duplicated ureter.
정도영(Do Young Jung),이수진(Su Jin Lee),이미화(Me Hwa Lee),최덕례(Duck Yeii Choi),박성규(Sung Kyu Park),윤현수(Hyeon Soo Yoon),김건영(Kun Young Kim),한현영(Hyun Young Han),강동욱(Dong Wuk Kang) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.6
Pyogenic liver abscess is a serious clinical problem, which gives rise to complication in 30-50% of the cases. Spontaneous subcapsular hemorrhage is a rare complication associated with liver abscess. A 30-year-old woman was admitted with right upper quadrant abdominal pain, febrile sensation, and myalgia for 3 days. A septated 6×6 ㎎ sized ill-defined round and low-density lesion with hematoma was observed in subcapsular area of both hepatic lobe. Hepatic arteriography showed stretching of the branches of the right hepatic artery without extravasation of the contrast material. Ultrasono-guided percutaneous transhepatic aspiration was performed for subcapsular hematoma. The aspirates had blood count of WBC 58,500/㎣, hemoglobin of 7.8 g/dL, and platelet of 20,000/㎣. The aspirates of low density lesion was pus, in which Klebsiella pneumoniae was isolated. Liver biopsy was performed around the abscess and there was no evidence of hepatic neoplasia. After treatment of antibiotics for six weeks and percutaneous transhepatic drainage, she recovered completely. We report a rare case of pyogenic liver abscess complicated with spontaneous subcapsular hemorrhage. (Korean J Gastroenterol 2001;38:449-452)
설문을 통한 여성 기능성 위장장애 환자의 경향과 한방치료 효과에 대한 연구
이수정,김효진,한현영,이수영,김종환,김원일,Lee, Soo-Jung,Kim, Hyo-Jin,Han, Hyun-Young,Lee, Su-Young,Kim, Jong-Hwan,Kim, Won-Il 대한한의정보학회 2009 大韓韓醫情報學會誌 Vol.15 No.2
Objectives: Nowadays, the number of patients having the Functional Gastrointestinal Disturbance has been on the rise and this tendency is clear in the female group. This study is aimed to investigate their cause of disease, dietary lifestyle, digestion functions, general symptoms and any disadvantages in daily lives etc. Also, it would suggest any effective results from oriental medical treatments. Methods: The total number of 20 female patients, who have been participated in this study, have been treated at Oriental Internal Medicine, Dong-eui Hospital. We have performed the survey with 50 questionnaires. Results: Most patients were having dyspepsia and had been treated more than once before the survey. The major cause of their disease includes irregular eating habits(p<0.05) and stressful mental conditions. The patients had suffered much disadvantages in daily lives and different symptoms. Specially, pain in the below of stomach pit and early satiation were common.(p<0.05) However, the Discomfort index of patients has been decreased from 9.22 point to 2.85 point after oriental medical treatment. It means this treatment has meaningful effectiveness to the Functional Gastrointestinal Disturbance patients. Conclusion: We have investigated the features of female patients with Functional Gastrointestinal Disturbance and conclude that the Oriental Medical Treatment is effective to them.
문윤수 ( Yun Su Mun ),권오상 ( Oh Sang Kwon ),이장영 ( Jang Young Lee ),박경남 ( Gyeong Nam Park ),한현영 ( Hyun Young Han ),이민구 ( Min Koo Lee ) 대한외상학회 2013 大韓外傷學會誌 Vol.26 No.1
Severe blunt abdominal trauma frequently involves the liver. The development of nonsurgical treatment of liver trauma has led to more frequent appearance of unusual complications. A hepatic arterioportal fistula (APF) is a rare complication of liver trauma. We present a case of traumatic APF in a patient with liver trauma. A 31- year-old male visited our emergency department with pain in the right upper abdomen following a traffic accident. Initial physical exam and abdominal computed tomography (CT) revealed liver laceration with hemoperitoneum. An abdominal CT obtained on day 11 revealed early opacification of the right portal vein on the arterial phase. After we had come to suspect an APF of the liver, its presence was confirmed on angiography. It was subsequently managed by using transcatheter coil embolization. In patients with portal hypertension and no evidence or history of cirrhosis, one should consider an APF as a potential etiology if history of liver biopsy or penetrating trauma exists. In a patient with liver trauma, serial abdominal CT is important for early detection and treatment of an APF.
권오상 ( Oh Sang Kwon ),문윤수 ( Yun Su Mun ),우승효 ( Seung Hwo Woo ),한현영 ( Hyun Young Han ),황정주 ( Jung Joo Hwang ),이장영 ( Jang Young Lee ),이민구 ( Min Koo Lee ) 대한외상학회 2012 大韓外傷學會誌 Vol.25 No.4
Ureteral trauma is rare, accounting for less than 1% of all urologic traumas. However, a missed ureteral injury can result in significant morbidity and mortality. The purpose of this case presentation is to suggest another method for early detection of ureteral injury in blunt traumatic patient. A 47-years-old man was injured in pedestrian traffic accident. He undergone 3-phase abdominal CT initially and had had a short-term follow-up simple. We suspected ureteral injury. Our final diagnosis of a ureteral injury was based on follow-up and antegrade pyeloureterography, he underwent emergency surgery. We detected the ureteral injury early and took a definitive action within 24 hours. In blunt trauma, if abnormal fluid collection in the perirenal retroperitoneal space is detect, the presence of a ureteral injury should be suspected, so a short-term simple X-ray or abdominal CT, within a few hours after initial abdominal CT, may be useful. (J Trauma Inj 2012;25:291-295)
오행화침법(五行和鍼法)을 적용한 다발성 근염 치료 1례
이병권 ( Byung Gwon Lee ),감철우 ( Chul Woo Kam ),박동일 ( Dong Il Park ),한현영 ( Hyun Young Han ),이수정 ( Soo Jung Lee ),권경만 ( Kyoung Man Kwon ),이영준 ( Young Jun Lee ) 경락경혈학회 2010 Korean Journal of Acupuncture Vol.27 No.4
Abstract Objectives: Polymyositis is non-hereditary, autoimmune rheumatic disease, and one of the idiopathic inflammatory myopathy. It is characterized by progressive symmetrical proximal muscle weakness. Major clinical signs and symptoms of polymyositis are chronic non-suppurative inflammatation of skeletal muscle, elevation of muscle enzyme, and electromyographical changes. By use of Korean medicine treatments, muscle weakness and normalize muscle enzyme can be improved in case of polymyositis. Methods: A Patient, 32 years old, whom diagnosed with polymyositis on muscle biopsy and electromyographical changes, had medical treatments with Corticosteroids and Immunosuppressants, but no improvement was noted. She was treated with Korean Medicine, especially Ohaeng-Hwa Acupuncture(五行和鍼法) and Ssanghwa-Tang(雙和湯) for three months period. Results: With Korean Medicine treatment of polymyositis for three months, most of her clinical signs and symptoms have been improved significantly, especially her muscle weakness and muscle enzyme level. Conclusion: This case has been reported to show that Korean medicine treatments have positive effects on polymyositis.