http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
거대 단순 신낭종의 경화요법 치료를 받은 환자에서 발견된 신세포암
선한경 ( Han Gyung Seon ),김주환 ( Ju Hwan Kim ),구승원 ( Seung Won Koo ),유광호 ( Kwang Ho Yoo ),박경미 ( Kyeong Mi Park ),김지운 ( Ji Woon Kim ),김형종 ( Hyung Jong Kim ) 대한내과학회 2010 대한내과학회지 Vol.79 No.2
Simple renal cysts are a common cystic disease of the kidneys, which is not symptomatic in most cases and is diagnosed by radiological examination. However, if the cyst is huge or symptomatic, it must be treated. Renal cyst aspiration and alcohol sclerotherapy is a safe and effective treatment for symptomatic simple renal cysts. Simple renal cysts have benign clinical features in the main and transformation of a simple renal cyst into renal cell carcinoma has rarely been reported. However, one case of renal cell carcinoma during renal cyst follow-up has been reported. We report a case of renal cell carcinoma that developed in a patient who was being treated with huge simple renal cyst sclerotherapy. (Korean J Med 79:201-205, 2010)
간외 담관 결석 환자에서 경피 경간 치료술의 유용성 및 안전성에 대한 연구
선한경 ( Han Gyung Seon ),권창일 ( Chang Il Kwon ),윤상필 ( Sang Pil Yoon ),유광호 ( Kwang Ho Yoo ),옥창수 ( Chang Su Ok ),김원희 ( Won Hee Kim ),고광현 ( Kang Hyun Ko ),홍성표 ( Sung Pyo Hong ),박필원 ( Pil Won Park ) 대한내과학회 2012 대한내과학회지 Vol.83 No.1
Background/Aims: Endoscopic retrograde cholangiopancreatography (ERCP) occasionally fails due to surgically altered anatomy, difficult cannulation, or poor general condition. This study evaluated the safety and effectiveness of percutaneous transhepatic papillary balloon dilatation (PTPBD) for managing extrahepatic bile duct stones. Methods: Between 2001 and 2010, 17 out of 509 patients with extrahepatic bile duct stones and acute cholangitis were enrolled retrospectively. After PTPBD of the sphincter, the stones were extracted using an occlusion balloon to push the stone over a guidewire into the duodenum. The procedure success was evaluated based on residual stones. In addition, the size and number of stones and complications were analyzed. Results: Of the 17 patients, nine had a previous gastrectomy, four had poor general condition, and four had unsuccessful cannulation, The stone diameter ranged from 8 to 25 mm, Seven, five, and five patients had one, two, or three or more stones, respectively. The results were successful in 16 out of 17 patients, with no residual stones. Treatment failed in one patient, who was then treated with the rendezvous technique with endoscopy. No procedure-related major complication occurred. Three patients had mild transient elevations of the serum amylase levels. Conclusions: PTPBD was safe and effective for managing extrahepatic bile duct stones in patients with unsuccessful or contraindicated ERCP.
차성태,선한경,고광현,홍성표,황성규,박필원,임규성,권창일 연세대학교의과대학 2010 Yonsei medical journal Vol.51 No.2
We report a rare case of a massive fatal embolism that occurred in the middle of endoscopic retrograde cholangiopancreatography (ERCP) and retrospectively examine the significant causes of the event. The patient was a 50-year old female with an uncertain history of previous abdominal surgery for multiple biliary stones 20 years prior. The patient presented with acute right upper quadrant pain. An abdominal computed tomographic (CT) scan revealed the presence of multiple stones in the common bile duct (CBD) and intra-hepatic duct (IHD) with biliary obstruction, multifocal liver abscesses, and air-biliarygram. Emergency ERCP showed a wide and straight opening of choledochoduodenostomy, which may have been created during a previous surgery, and multiple filling defects in the CBD. With the use of a forward endoscope, mud stones were extracted through the opening of the choledochoduodenostomy. Cardiac arrest suddenly developed during the procedure, and despite immediate resuscitation, the patient died due to a massive systemic air embolism. We reviewed previously reported fatal cases and accessed factors facilitating air embolisms in this case.
만성 신부전 환자에서 clopidogrel에 의해 유발된 호중구감소증 1예
홍기연 ( Gi Youn Hong ),선한경 ( Han Gyung Seon ),정준구 ( Joon Gu Cheong ),주세경 ( Sae Kyung Joo ),강민경 ( Min Kyoung Kang ),이지은 ( Ji Eun Lee ),김주환 ( Ju Hwan Kim ),구승원 ( Seung Won Koo ),박경미 ( Kyoung Mi Park ),이소영 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.1
Clopidogrel, a thienopyridine derivative, is an anti-platelet agent that acts as an antagonist of the platelet adenosine diphosphate receptor and considered for essential prophylaxis for intracoronary stent thrombosis in the treatment of ischemic heart disease. Clopidogrel is considered as safe as aspirin but a few cases of severe hematologic adverse reactions associated with clopidogrel had been reported such as neutropenia, aplastic anemia, thrombocytopenic purpura, and thrombocytopenia. We report a rare case of neutropenia induced by clopidogrel in chronic renal failure in a patient who underwent percutaneous coronary intervention.
치명적인 장 괴사에 병발된 대량의 간문맥 내 가스 1예
정준구 ( Jun Gu Chung ),권창일 ( Chang Il Kwon ),김도형 ( Do Hyung Kim ),선한경 ( Han Gyung Seon ),고광현 ( Kwang Hyun Ko ),홍성표 ( Sung Pyo Hong ),박필원 ( Pil Won Park ) 대한장연구학회 2011 Intestinal Research Vol.9 No.2
Hepatic portal venous gas (HPVG), a rare radiologic finding, is associated in some cases with severe or lethal conditions requiring urgent surgical intervention. Computed tomography has recently demonstrated a wider range of clinical conditions associated with HPVG, some of which are benign and do not necessarily require surgery. However, HPVG remains an ominous sign in cases of bowel ischemia or necrosis. We report on a case of massive HPVG caused by a fatal intestinal infarction, which showed rapid disease progression, eventually resulting in death due to septic shock. The HPVG in this case was huge and could therefore be confused with an air-biliarygram. (Intest Res 2011;9:153-157)