• 대한암한의학회지
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• 제21권1호
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• pp.27-33
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• 2016

Background : This case is to report a gallbladder cancer patient treated with Korean Medicine who could not receive conventional cancer therapies such as operation and chemotherapy due to her underlying diseases, old age and poor performance. Method and Results : An eighty-year-old female patient was diagnosed with stage IV gallbladder cancer on Feb. 2014 and she already had hypertension, diabetes and Parkinsonism. Comprehensive Korean Medicine (KM) treatments instead of operation and chemotherapy were administrated due to her poor condition and old age. KM treatments were done focused on improving symptoms and quality of life combined with best supportive care. During KM treatments her abdominal pain was generally managed and she survived for 22 months. Conclusion : Further studies should be performed in the future to clarify the survival benefit and symptom management of comprehensive KM treatments.

• 대한핵의학회지
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• 제23권1호
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• pp.35-39
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• 1989

The "rim sign" is a rim of increased hepatic activity adjacent to the gall bladder fossa and known as an useful indicator of acute cholecystitis. Also, many reports suggested that if rim sign is positive there is an increased risk for complications such as perforation and gangrene. To evaluate the usefulness of this rim sign, we reviewed 32 cases that were pathologically confirmed. The incidence of rim sign was 47% similar to other reports but with our results, the rim sign was not specific to acute cholecystitis nor indicator of increased risk for complications.

• Pediatric Infection and Vaccine
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• 제4권1호
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• pp.167-173
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• 1997

Acute infectious mononucleosis, caused by Epstein-Barr virus(EBV), is a self limited lymphoproliferative illness that is common in adolescents and young adults. It shows many complications in multiple organ systems, but the hepatobiliary and the respiratory complication is uncommon. We report a case with thickened gallbladder wall and pneumonia as complications of acute infectious mononucleosis in a child. Also the related literature were reviewed. A 4 year old boy presented with a history of high fever, cough, and abdominal distension for 20days. Physical Examination revealed audible crackles in whole lung field and gross hepatomegaly. Chest X-ray showed pneumonia and liver function tests were abnormal. Ultrasonography and computed tomography revealed a thickened gallbladder wall and hepatosplenomegaly. The diagnosis of primary Epstein-Barr viral infection was eventually made by specific serologic tests. The patients's fever subsided 6 weeks later and pneumonia was recovered around this time. Liver function tests returned near normal 2 months later and ultrasonography of gallbladder was normal at this time.

• 대한한방내과학회지
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• 제31권4호
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• pp.901-907
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• 2010

Hiccups are defined as abrupt involuntary contractions of diaphragm and intercostal muscles with sudden closure of the glottis. Hiccups are one of the common transient symptoms but when hiccups last more than 48 hours, or have no response to treatment, they are defined as intractable hiccups. Intractable hiccups can induce multiple problems such as weight loss, dehydration and sleep disturbance. We report a 76-year-old male patient who suffered from intractable hiccups for 6 days after laparoscopic cholecystectomy. Hiccupping was so severe as to continue all day long and limit sleeping and eating. We succeeded in cure intractable hiccups with acupuncture and herbal formula; Gyulyeohwadam-tang.

• Tuberculosis and Respiratory Diseases
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• 제45권3호
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• pp.643-648
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• 1998

저자들은 평소 건강하던 중 기침, 호흡곤란 등으로 내원한 환자에서 흉부 X-선상 양측 폐야에 결절성 폐침윤 소견과 말초혈액상 호산구증가 등을 보여 경기관지 폐생검 및 폐포세척술 상 호산구성 폐렴을 진단하고 그 원인으로 담낭염을 동반한 간흡충증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 한국수산과학회지
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• 제28권2호
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• pp.137-140
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• 1995

황복의 독성을 조사하기 위하여 1992년과 1993년에 임진강으로 산란하러 소상한 46 개체를 채집하여 조직별로 나누어 독성을 살펴보았다. 조직중에서는 난소와 간장은 맹독이었으며, 정소, 내장, 담낭과 비장은 강독이었고, 근육과 껍질은 약독이었으나 혈액은 무독이었다. 본 결과는 Tani (1945)의 보고와 정소, 근육, 껍질의 독성에서 차이를 보였으며, 특히 이제까지 무독 또는 약독으로 여겨 식용으로 하여 왔던 근육과 정소의 독성이 본 연구에서는 약독 또는 강독으로 독성을 보이고 있어, 중독 예방을 위해서는 주의할 필요가 있다.

• 대한한방내과학회지
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• 제31권3호
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• pp.667-674
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• 2010

Objective : To investigate the therapeutic effects of Hang-Am-Dan(HAD) on gallbladder cancer patients. Method : We prescribed HAD three times a day(3,000-6,000 mg/day) during a treatment period of 8 and 34 months respectively. Computed tomography(CT) was taken to evaluate the therapeutic efficacy. Results : Two patients diagnosed with gallbladder cancer were recommended to go through chemotherapy. However, they refused the standard regimen due to their old age and the fear of side effects, and chose to go with Oriental medicine treatments instead. The patients were treated for 8 and 34 months respectively. Each patient showed stable disease(SD) state during the treatment period. Conclusion : According to these cases, it could be concluded that HAD may offer potential benefits in treating gallbladder cancer patients.

• Journal of Chest Surgery
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• 제29권1호
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• pp.38-42
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• 1996

심장수술후 복부장기의 합병증은 드물게 발생하나 발병시에는 높은 사망률을 야기할 수 있다. 1985년부터 1993년까지 인제의대 부속 부산백병 원에서 인공심폐기를 이용하여 수술한심혈관수술 1241례를 대상으로 하였으며 그중 16명이 복부장기의 합병증이 발생하였고 발병률은 1.3 %였다. 대장염이 6례, 간염이 3례, 위장출혈이 2례, 미란성위염이 1례, 담낭염이 1례, 비장파열이 1례, 부고환염이 1례, 서혜부 탈장이 1례 였다. 16례중 2례가 사망하여 전체적인 사망률은 12.5%였다. 16명의 환자중 3명은 복부장기의 합병증 치료를 위해 수술을 시행하였으며 이중 1명이 사망하였다. 심장수술후 복부장기의 합병증은 높은 사망률을 야기하므로 급성복증이 관찰되거나 내과적인 치료를 통해 증상호전이 없으면 적절한 시기에 적극적인 수술적 치료를 필요로 한다.

• 대한약침학회지
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• 제7권3호
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• pp.131-136
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• 2004

Chronic acalculous cholecystitis gets possession of about 12 to 13 percent of patients with chronic cholecystitis. Pathologically it is characterised by chronic inflammation and thickening of the gallbladder wall but doesn't come across stones. Clinical symptoms are vague and include abdominal discomfort and distension, nausea, flatulence and intolerance of fatty foods. A patient on chronic acalculous cholecystitis diagnosed from his clinical symtoms and abdominal ultrasonogram was treated by Geonbihwan, acupuncture and herbal acupuncture. Satisfactory symptomatic improvement was achieved and findings of abdominal ultrasonogram came also normal.

• 대한약리학회지
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• 제12권2호
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• pp.1-6
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• 1976

The effects of phenoxybenzamine and other related drugs were studied for their interaction with caerulein on gallbladder contraction in anesthetized animals and isolated gallbladder strips. Cholecystostomy and cystic duct ligation were made on anesthetized dog, cat and pig. Pressure changes of gallbladder were measured by a physiological pressure transducer connected to polygraph recorder. Isolated rabbit gallbladder strips were placed in a muscle chamber containing Locke-Ringer solution maintained at $38^{\circ}C$. The contractile responses were measured by a force-displacement transducer connected to polygraph recorder. Caerulein ($30{\sim}200$ ng/kg i.v.) produced marked contraction of gallbladder in situ and the cholecystokinetic potencies appear in decreasing order; dog, cat and pig. The response of caerulein was abolished by the large doses of phenoxybenzamine (15 mg/kg i.v.) but not affected with dibenamine, phentolamine or tolazoline. Cholecystokinetic effect of methacholine or barium chloride was also partially inhibited by phenoxybenzamine and the effect of caerulein was weakly inhibited intravenous injection of cyclophosphamide or papaverine. In isolated rabbit gallbladder strips, the response of contraction to caerulein were progressively inhibited by pretreatment of phenoxybenzamine along with time exposed. These results lead to the conclusion that phenoxytenzamine may inherently inhibit the contractile response of gallbladder to caerulein, and this effect was not related with ${\alpha}-adrenergic$ receptor blocking action.