http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
유혜영 ( Yu Hye Yeong ),신영신 ( Sin Yeong Sin ),우영식 ( U Yeong Sig ),최강현 ( Choe Gang Hyeon ),이정록 ( Lee Jeong Log ),이소영 ( Lee So Yeong ),박철휘 ( Park Cheol Hwi ),안명임 ( An Myeong Im ),장윤식 ( Jang Yun Sig ),방병기 ( 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.6
Patients undergoing maintenance dialysis show an increased susceptibility to tuberculosis because host immunity is decreased secondary to malnutrition, impaired cellular immunity, acidosis and etc. Extrapulmonary tuberculosis is more prevalent in patients with end stage renal disease than in normal subjects. Among the extrapulmonary tuberculosis in patients receiving hemodialysis, the diagnosis of tuberculous spondylitis is difficult because the symptoms are non specific and attributable to uremia, and the appearance of plain radiographs is often normal during the early phase of the disease. We experienced a case of tuberculous spondylitis in a hemodialysis patient. A 55 years old female admitted with fever, weight loss and back pain. Conventional radiograph of T-spine showed no definite abnormal finding. However, chest CT revealed heterogeneously enhancing soft tissue around the T8 vertebral body and T-spine MRI showed compatible finding to tuberculous spondylitis. She received radical excision of involved vertebra and confirmed tuberculous spondylitis with histologic finding from a surgical specimen. Following the administration of anti-tuberculosis medication(isoniazid, rifampin, pyraziamide, ethambutol) and radical excision, patient`s symptom and sign were improved. The patient is maintaining dialysis with anti-tuberculosis medication for 5 months.
유지 혈액투석 환자에서 발생한 비외상성의 자발성 신파열 12예의 분석
유혜영 ( Yu Hye Yeong ),송선화 ( Song Seon Hwa ),한창희 ( Han Chang Hui ),김재욱 ( Kim Jae Ug ),김영옥 ( Kim Yeong Og ),윤정민 ( Yun Jeong Min ),김영수 ( Kim Yeong Su ),최범순 ( Choe Beom Sun ),윤선애 ( Yun Seon Ae ),양철우 ( Yang 대한신장학회 2004 Kidney Research and Clinical Practice Vol.23 No.3
배경 : 정상인에서 특별한 외상 없이 발생하는 자발성 신파열은 매우 드문 질환이지만 혈액 투석 환자에서는 투석기간이 장기화되면서 신낭종과 신세포암의 발생빈도가 증가로 인해 정상인에 비해 높게 나타나는 것으로 보고되고 있다. 이에 유지 혈액투석을 받고 있는 말기 신부전증 환자에서 발생한 자발성 신파열의 임상적 특성을 알아보고자 하였다. 방법 : 대상 환자는 1998년 1월부터 2003년 7월까지 가톨릭의대 3개 병원에서 유지 혈액투석을 받고 있는 환자 중에서 자발성 신파열이 발생한 12명의 환자를 대상으로 신파열의 원인, 임상증세, 치료 및 경과를 후향적으로 분석하였다. 결과 : 환자의 평균나이는 54±10세 (38-72세)였고 남자 9명, 여자 3명이었다. 일차 원인 신질환으로는 상염색체 우성 다낭신증 5명, 만성 사구체신염 2명, 당뇨병 1명, 고혈압 1명, 원인미상이 3명이었다. 신파열의 주요 임상증세는 측복부 동통이 9명이었고 육안적 혈뇨가 3명이었다. 혈액투석을 시작한 후 신파열이 발생하기까지의 기간은 평균 53±36개월 (11-103개월)이었다. 상염색체 우성 다낭신증 5명을 제외한 7명의 환자 중에서 후천성 신낭종이 발견된 환자는 6명이었다. 전체 12명 중 9명에서 신절제술을 시행하였고 나머지 3명은 수혈 등의 보존적 치료만을 받았다. 수술을 받은 9명의 환자 중 2명에서 1 ㎝ 미만의 미세 신세포암이 발견되었다. 전 환자에서 사망한 예는 없었다. 결론 : 결론적으로 혈액투석 환자에서 발생한 자발성 신파열의 주요 원인은 신낭종과 신세포 암이었으며 장기 투석 환자에서 주로 발생하였다. 그러므로 장기 혈액투석 환자에서 정기적인 초음파나 전산화 단층촬영을 시행하여 자발성 신파열의 주요 원인인 신낭종과 신세포암에 대한 추적 관찰이 필요하리라 사료된다. Background : Because of high incidence of acquired renal cyst and renal malignancy, it is suggested that spontaneous renal rupture more frequently occurs in patients receiving long-term hemodialysis than general population. This study was performed to evaluate the clinical characteristics of spontaneous renal rupture in hemodialysis patients. Methods : This retrospective study enrolled 12 hemodialysis patients who developed spontaneous renal rupture. We investigated primary renal disease, duration of dialysis, clinical symptoms and signs, radiologic findings, treatment modalities, and histologic findings. Results: The mean age of the patients was 54± 10 years old and the number of male was 9. Primary renal disease consisted of autosomal dominant polycystic kidney disease (PCKD) (n=5), chronic glomerulonephritis (n=2), diabetic nephropathy (n=l), hypertensive nephropathy (n=l), unknown cause (n=3). Presenting symptoms and signs were sudden onset of flank pain in 9 patients and gross hematuria with mild flank pain in 3 patients. Mean duration from initiation of hernodialysis to development of spontaneous renal rupture was 53±36 months. Abdominal computed tomography showed subcapsular or perinephric hematoma in all patients. Of the 7 non-PCKD patients, 6 patients had multiple acquired renal cysts. Surgical exploration was undertaken in 9 patients. Pathologic examination demonstrated small sized-renal cell carcinoma in 2 of 9 patients. Three patients were only treated with conservative management including blood transfusion. All 12 patients recovered without recurrence. Conclusion : This study demonstrated that genetic or acquired renal cyst was an important cause of spontaneous renal rupture in hemodialysis patients and presenting manifestations were sudden onset of flank pain and gross hematuria. (Korean J Nephrol 2004;23(3):453-458)
원저(原著) : 건강의학센터 내원자들이 알고 있는 혈액형의 정확성에 대한 조사
유혜영 ( Hye Young Yu ),류관현 ( Kwang Hyun Ryu ),송운흥 ( Woon Heung Song ) 대한임상병리사협회 1997 임상수혈검사학회 발표자료집 Vol.4 No.1
In order to investigate the discrepancy rate between actual and believed groups. ABO blood grouping were performed in the visitors of Health Promoting Center, Samsung Medical Center. The results were as follows : 1. Among 5,245 visitors discrepancies were found in 335, and the discrypancy rate was 6.4% 2. The discrepancies were found 123(36.7%) in group AB, 77(23.0%) in group B, 73(21.8%) in group A, and 62(18.5%) in group O.
한국의 일 도시 노인들의 대사증후군 발생에 사회적 지지가 미치는 영향
유혜영(Hye-Young Yu),박철수( hul-Soo Park):김봉조(Bong-Jo Kim),이철순(Cheol-Soon Lee),차보석(Boseok Cha),이소진(So-Jin Lee),서지영(Ji-Yeong Seo),안인영(In-Young Ahn),최재원(Jae-Won Choi),이동윤(Dongyun Lee) 대한노인정신의학회 2017 노인정신의학 Vol.21 No.2
Objective:This study examined the effect of social support on metabolic syndrome (MetS) among elderly population in a city in Korea. Methods:A total of 352 people all over 60 years of age were analyzed from the data of the Korean Longitudinal Study on Cognitive Aging and Dementia. This study was started in 2010 and is in progress till date. We compared the documented diagnoses of MetS and Medical Outcome Study Social Support Survey at the baseline of the study and two years later. Results:315 were normal, 37 were developed after two years among subjects without MetS at baseline. When the level of social support was compared at baseline and then at the time of the reassessment two years later, the level had increased in the normal group and the level had not significantly changed for the MetS group. The findings documented at the two year mark indicate that the higher and stronger the level of social support, the lower the risk of developing MetS (odds ratio=0.053, p=0.040). Conclusion:The elderly with good social support are noted to be at lower risk in developing MetS as opposed to those with poor social support. It is apparent that adequate social support shows reduced prevalence of MetS among the elderly. Methods to identify strategies in improving social support networks are needed to expand public health resources and to better accommodate the community-based care of the elderly.