• Title/Summary/Keyword: 궤양

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The Treatment of Pressure Sore Using Hydrogel and Hydrocolloid Dressing (하이드로겔과 하이드로콜로이드 드레싱을 이용한 압박성 궤양의 치험례)

  • Kim, Yoong Soo;Chung, Chan Min;Kim, Han Soo;Seo, Dong Kook;Cho, Woo Sung;Lee, Byoung Yol
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.782-786
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    • 2005
  • Pressure sores are a common complication of hospitalized patients. However, It is often impossible to correct surgically because the general conditions of these patients are poor. It is known that the hydrogel has a powerful autolytic effect by providing moist environments and facilitates wound healing and hydrocolloid dressing is also known to promotes granulation tissue formation and epithelialization. The patients were treated with hydrogel(Purion $gel^{(R)}$, Coloplast A/S, Denmark) and hydrocolloid dressing (Comfeel Plus Transparent $Dressing^{(R)}$, Coloplast A/S, Denmark) after surgical debridement of pressure sores progressed to stage III(n=2) and IV(n=7). This combination treatment could facilitate to debride the nectrotic tissue and promote granulation tissue formation epithelialization simultaneously. We could achieve complete healing of pressure sores using the combination treatment without requiring surgical correction. In conclusion, hydrogel in combination with hydrocolloid dressing is effective in acheiving complete healing of progressed pressure sores.

A Case of Atypical Bone Growth after Femur Neck Fracture in the Paraplegic Patient with Trochanteric Sore (대전자부 압박궤양을 가지고 있는 하지마비 환자에서 대퇴골 골절부위에 발생한 비정상적 골증식의 치험례)

  • Yang, Jeong Yeol;Cheon, Ji Seon
    • Archives of Plastic Surgery
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    • v.35 no.1
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    • pp.92-95
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    • 2008
  • Purpose: Heterotopic ossification in pressure sore patients is reported to rarely develop, but once it occurs, it frequently causes joint stiffness and mobilization restriction. The aim of this article is to report our experience of atypical bone growing at femur neck fracture site with chronic, extensive pressure sore in patient with paraplegia secondary to spinal injury. Methods: A 28-year-old male patient presented with atypical bone growth at femur neck fracture site with pressure sore. He had undergone atypical growth bone removal and separation of united iliac bone and femur, and then pressure sore was covered by advanced rotation flap. Results: The patient mobilized hip joint and rode in a wheelchair. Complications such as dehiscence, infection, hematoma and flap necrosis did not occur. Conclusion: We experienced successful correction of atypical bone growth removal and recovery of pressure sore. We report our experience of atypical bone growth of fracture site and the related literature was reviewed.

Budd-Chiari Syndrome Complicating Behcet's Disease -Report of one case- (Behcet's 병을 동반한 Budd-Chiari 증후군 -1례 보고-)

  • O, Bong-Seok;Kim, Bo-Yeong;Kim, In-Gwang
    • Journal of Chest Surgery
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    • v.29 no.2
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    • pp.219-222
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    • 1996
  • A 34-year-old man was admitted to the hospital because of ascites, abdominal fullness. computed tomography and cavography revealed inferior vena cavil occlusion just above the hepatic vein and diagnosed as Budd-Chiari syndrome. conservative medical therapy failed to control the symptoms produced from both portal hypertension and versa caval stasis. Therefore, under extracorporeal circulation with moderate hypothermia and normal cardiac contraction, membranoto y and inferior vena casa venoplasty with Gore-tex (10mm) was performed. Postoperatively, physical examination revealed oral ulceration, subcutaneous thrombophlebitis, folliculitic lesions. uveitis And increased reactivity of the skin to needle punctures. 10 month later, superior vena ciiva obstruction symptom was found. Hehcet's disease was diagnosed.

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PET/CT Manifestation of the Meniscus Sign of Ulcerating Gastric Carcinoma (궤양성 위 암종에 나타난 초승달 징후의 펫/시티 소견)

  • Bahk, Yong-Whee
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.4
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    • pp.335-336
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    • 2007
  • Meniscus-like presentation of ulcerating gastric carcinoma on upper gastrointestinal series radiograph was first described in 1921 by Carman and has since been known as a useful differential diagnostic sign in radiology. In 1982 using then newly introduced computed tomography (CT) Widder and Mueller revisited the meniscus sign. Their study was primarily focused on a dynamic assessment of the demonstrability of the meniscus sign that largely depends on the judgment and technical skill of examiner, especially graded compression and patient positioning. One year earlier Balfe et al. assessed the diagnostic reliability of gastric wall thickening as observed on CT scan in adenocarcinoma, lymphoma and leiomyosarcoma and concluded that it is not a reliable finding. In contrast, however, Lee et al. recently emphasized that the wall thickness measurement on CT of exophytic carcinoma, myoma and ulcers was a useful diagnostic means. Thus, it appears that gastric wall thickening or mucosal heave-up is by itself not as reliable as the meniscus sign. The electronic search of world literature failed to disclose earlier report of this sign demonstrated by $^{18}F-FDG$ positron emission tomography and computed tomography (PET/CT). The present communication documents $^{18}F-FDG$ PET/CT finding of the meniscus sign as encountered in a case of ulcerating gastric carcinoma, the histological diagnosis of which was moderately differentiated tubular adenocarcinoma. Unlike most gastric tumors without ulceration that tend to unimpressively accumulate $^{18}F-FDG$ the present case of Borrmann type III gastric carcinoma demonstrated markedly increased $^{18}F-FDG$ uptake.

An experimental study of Daegunchungtang on the gastric ulcer and the function of gastrointestinal tract in rats and mice (대건중탕(大建中湯)의 항궤양(抗潰瘍) 및 위장관(胃腸管)에 미치는 효과(效果)에 관(關)한 실험적(實驗的) 연구(硏究))

  • Kim, Hyuk-Kyu;Baik, Tae-Hyeun
    • The Journal of Korean Medicine
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    • v.18 no.1
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    • pp.238-250
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    • 1997
  • This study was done to investigate the clinical effects of Daegunchungtang on the peptic ulcer and the function of gastointestinal tract. The liquid extracts of Daegunchungtang was administerd orally to the rats and mice. Then the effects of isolated ileum, pylorus-ligated and indomethacine-induced ulcer, gastric juice secretion, and transport abilities of the small and large intestine, were studied. The following results have been obtained : 1. Daegunchungtang showed to have an inhibitory effects on the smooth muscle contraction of the isolated ileum by acetylcholine chloride and barium chloride. 2. Daegunchungtang showed to have an inhibitory effect on the contraction of the gastric fundus-strip by acetylcholine chloride and barium chloride. 3. The preventive effects were recognized on the pylorus-ligated ulcer, by administration of Daegunchungtang. 4. The preventive effects were recognized on the indomethacine-induced ulcer, by administration of Daegunchungtang. 5. The Inhibitory effects on the secretion gastric juice, free & total acidity, and pepsin-output were recognized, by administration of Daegunchungtang. 6. The transport abilities in the small intestine were increased, by administration of Daegunchungtang. 7. The transport abilities in the large intestine were not recognized, by administration of Daegunchungtang. According to the above results, it is considered that the experimental effects of Daegunchungtang has correspond to the oriental medical literatures.

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Oral Erythema Multiforme: Case Report (구강내 다형홍반의 증례보고)

  • Roh, Byung-Yoon;Ahn, Jong-Mo;Yoon, Chang-lyuk;Ryu, Ji-Won
    • Journal of Oral Medicine and Pain
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    • v.38 no.1
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    • pp.1-5
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    • 2013
  • Erythema multiforme(EM), a blistering and ulcerative inflammatory disorder, affect skins or mucosa, and is thought to be triggered mainly by preceding infection, such as Herpes simplex virus, or exposure to drugs and medication, particular antibiotics or analgesics. Symptoms include typical cutaneous target lesions on skins and in case of oral manifestation, erosive and ulcerative lesions on lips, buccal mucosa, and tongue are known to occur, which needs differential diagnosis with other intraoral lesions. In this case, EM assumed that it is occurred by giving Trichomonas infection or Metronidazole in oral region is introduced with a review of diagnosis and treatment of EM.

A Case of Achalasia (Achalasia(무이완증)의 일례)

  • 임의순;김진구;유방환
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1972.03a
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    • pp.16.3-17
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    • 1972
  • We experienced a case of Achalasia, who had been impressed as a bronchial asthma and treated at a local clinic. Fluoroscopic findings revealed narrowed vestibular portion with markedly dilated body of the esophagus. Hypertrophied mucosal folds on lower portion of the esophagus were noticed by the esophagoscopy but no ulcerative lesion, nor mass were found. The symptoms such as dysphagia, regurgitation, cough and retrosternal discomfortness were markedly relieved by means of daily mercury bougienage for a month duration.

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Antigastritic and Antiulcerative Effects of Cirsium japonicum var. ussuriense Extract and Fractions (엉겅퀴(Cirsium japonicum var. ussuriense)추출물 및 분획물의 항위염 및 항위궤양 효과에 대한 연구)

  • Lee, Yu-Mi;Hwang, In-Young;Lee, Eun-Bang;Jeong, Choon-Sik
    • YAKHAK HOEJI
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    • v.55 no.2
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    • pp.160-167
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    • 2011
  • Cirsium japonicum var. ussuriense (CJ) is used as a folk medicine for diuretic, arthritis, dyspepsia, and bleeding in Korea. Until now, more than fifteen kinds of CJ were identified and among them, Cirsium japonicum var. nakaianum Nakai was selected as experimental material. Both that from The Medical Herb Garden of Seoul National University located at Gayang-dong, Koyang city and native that from a hillock near Dangjin, Chungnam were collected and analyzed to determine whether it is varied in efficacy on their habitats. Extracts and fractions of CJ had a strong effect of antibacterial activity on H. pylori and antioxidant effects. And the CJ from Garden and Dangjin were showed to be more efficient in acute gastritis through the HCl${\cdot}$ethanol-induced gastric lesion test and chronic gastritis through the indomethacin-induced gastric lesion test, respectively. This study proved that the effects of CJ are varied by their habitats. Also, these results suggest that the CJ has potentials for use as functional food and medicine.

Scutellaria baicalensis Modulates Cytokine Production, T Cell Population and Immunoglobulin Level by Mesenteric Lymph Node Lymphocytes in Experimental Mice with Colitis (한약재인 황금의 궤양성 실험동물에 대한 장간막 임파절 임파구의 면역글로블린 수준, T세포집단, 사이토카인 생성의 조절작용)

  • Lim, Beong-Ou;Park, Pyo-Jam;Choi, Wahn-Soo;Kim, Jong-Dai
    • Korean Journal of Medicinal Crop Science
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    • v.16 no.2
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    • pp.100-105
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    • 2008
  • We previously examined extracts, isolated from Scutellaria baicalensis (SB), chemical mediators, and IgE by mesenteric lymph node (MLN) lymphocytes in rats. The present study was to evaluate the effects of extracts of SB on the MLN lymphocytes function of mice given orally by 20 mg/kg for 2 weeks with dextran sulfate sodium (DS)-induced colitis. Results show that IgE levels in MLN lymphocytes was low, while IgA was high, in mice given SB compared to that fed water. Concentrations of $Inteferon-{\gamma}$ and interleukin (IL)-2 of T cells by concanavalin A treatment was significantly higher in the SB fed group than the normal group. Activation-induced IL-4 and IL-10 secretion was lower in SB fed mice compared control mice after DS-induced colitis. These results suggested that SB suppresses the inflammation in DS-induced colitis through the modulation of Th1/Th2 balance to down-regulate $Th_2$ response in MLN lymphocytes.

A Case Study of One Patient Who Has Diabetic Gangrene in Foot and Finger Due to Diabetes (당뇨로 인한 우측(右側 ) 족저부(足底部) 및 좌수지(左手指) 궤양(潰瘍)을 동반한 환자 치험 1 예)

  • Lee, Sang-Gi;Lee, Kyung-Lo;Song, Jeong-Mo
    • Journal of Sasang Constitutional Medicine
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    • v.16 no.3
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    • pp.129-132
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    • 2004
  • 1. Objectives Besides Diabetes Mellitus, its complications are matter of concerns as well. Its following complications are cardiovascular disease, glomerulopathy, retinopathy, neuropathy and diabetic gangrene. These complications can cause overall damage in major organs. In traditional oriental medicine it has been perceived that gangrene is mainly caused by "hwa(火)" but under sasang constitutional medicine its has been diagnosed as Taeumin superficial-disease(太陰人 表病) and Taeumin Jowiseungchung-tang(調胃升淸湯) was prescribed. As a result, significal improvments was noted and thefore we report the outcome. 2. Methods We have given Taeumin Jowiseungchung-tang(太陰人 調胃升淸湯) to a patient for treating diabetes complications. 3. Results This patient was treated with Sasang Constitional Medicine and acupuncture for about three weeks. After treatment, ulcer and whole body edema were improved considerbly. 4. Conclusions We have dianosed the patient as Taeumin superficial-disease(太陰人 表病) by undergoing several diagnostic method used in sasang constutional medicine. Therefore we have given Taeumin Jowiseungchung-tang(太陰人 調胃升淸湯) to the patient and has obtained satisfactory results in curing several diabetic complications especially ulcer due to diabetes.

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