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급성(急性) 신부전(腎不全)이 동반(同伴)된 근양사(筋壤死)에 있어서의 $^{99m}Tc$-MDP 골주사(骨走査)
문희범,한진석,김삼용,조보연,이정상,고창순,조경삼,Moon, H.B.,Han, J.S.,Kim, S.Y.,Cho, B.Y.,Lee, J.S.,Koh, C.S.,Cho, K.S. 대한핵의학회 1980 핵의학 분자영상 Vol.14 No.2
We studied four patients with muscle necrosis associated with acute renal failure to evaluate the diagnostic value of the bone scan in this disease. The illness followed carbon monoxide poisoning in two patients, acute physical exertion in one and contaminated intramuscular injection in the other. Whole-body rectilinear bone scans using technetium 99m-methyldiphosphonate were done. In all patients, increased muscle labelling at the regions of suspected muscle injury was showed, and in one, it was after normalization of serum muscle enzyme levels. In one patient, the bone scan was rechecked 8 months later and showed no residual abnormality. Above all, the site and precise extent of muscle injury could be detected and the degree of muscle labelling seemed to correlate with the severy of muscle injury. These findings suggest that isotope scanning may be useful in the diagnosis of patients with acute muscle necrosis.


문희범,김유영,강석영 대한천식알레르기학회 1985 천식 및 알레르기 Vol.5 No.2
A Case of occupational asthma due to awelding flux is presented. The patient was a welder engaged in gas welding of copper, nickel alloy, and zincplated iron, etc. in a shipyard. His astb,rnatic symptoms developed 5, yrs ago snd used to be provoked or aggravated by welding procedure. Bronchoprovocation tests were performed during which the patient welded several kinds of metals with his own hands. Interestingly, wheezing dyspnea and decreased expiratory flow rate were observed only when he used a wel:dng flux. Direct bjurning of the flux without metal also resu)ted in airway obstruction. However, the causative off- ending constituent of the flux couldnt be ide'ntified, because the patient died of acute astbmatic attack on his sbop floor and further study was impossible.