• Title/Summary/Keyword: 혈액검사

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Indication of Bone Marrow Aspiration in Acute Idiopathic Thrombocytopenic Purpura in Children (소아 급성 특발성 혈소판 감소성 자반증에서 골수흡인 검사의 적응)

  • Kim, Won-Duck;Hah, Jeong-Ok
    • Journal of Yeungnam Medical Science
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    • v.18 no.2
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    • pp.239-245
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    • 2001
  • Background: Acute idiopathic thrombocytopenic purpura(ITF) is one of the common hematologic disorders in children. Bone marrow aspiration (BMA) is often performed in children with acute ITP to rule out leukemia, aplastic anemia or other hematologic diseases. However, whether BMA is needed in children with typical clinical and hematological features of acute ITP have been questioned. This study was performed to examine the proper indication of BMA in acute childhood ITF. Materials and Methods: The medical records and BMA reports of children with the provisional diagnosis of acute ITP were reviewed from January 1984 to December 2000. Patients were divided into two groups, one with typical and another with atypical clinical and hematological features of acute ITP. Typical acute ITP group was characterized by the history of previous viral infection, well being appearance, no hepatosplenomegaly, no lymphadenopathy, normal Hb, WEC, neutrophil count and peripheral blood smear except thrombocytopenia. A platelet count of $50{\times}l0^9/L$ or lower was the cutoff level. Results: Total 120 children with the provisional diagnosis of acute ITP were included. One hundred eighteen of them were confirmed to have acute ITP by BMAs. Of these, 66 had typical and 54 had atypical features. All of typical features and 52 of 54 with atypical features of acute ITP were confirmed to have acute ITP by BMAs. Two patients with atypical features of acute ITP were diagnosed as aplastic anemia and myelodyspalstic syndrome, respectively, by BMAs. Conclusion: This study concludes that BMA is not needed for the children with typical features of acute ITP but it is needed for the children with atypical features of acute ITP to rule out other hematologic disorders.

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"병력자 혈액은 검사에서 걸러져 정보 제공은 불필요"

  • Lee, In-Gyu
    • RED RIBBON
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    • s.68
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    • pp.14-15
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    • 2006
  • 최근 수혈로 인해 에이즈에 감염되는 사례가 발생함에 따라 정부에서는 에이즈 등 법정전염병의 병력자 명부를 대한적십자사에 제공하여 혈액의 안전성을 확보하고자 하였다. 하지만 정부의 이러한 방침에 대해 감염인 및 인권단체들은 정부의 법정전염병 병력자 정보 제공은 병력자들에 대한 인권침해라며 크게 반발하고 있다. 과연 그들이 우려하는 바는 무엇인가?

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지혜 깊어지는 건강 - 40대를 지켜라 - 통풍 환자는 바람만 불어도 엄지발가락이 아프다

  • Seo, Dong-Hyeon
    • 건강소식
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    • v.35 no.2
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    • pp.20-22
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    • 2011
  • 엄지발가락이 따끔거리더니 시간이 지날수록 심한 통증이 찾아와 밤에 잠을 잘 수 없는 고통을 겪는 40대가 많다. 한참 사회생활이 활발한 40대의 특성상 술자리가 많고 외근도 잦아 걷는 일이 다반사인데 신발을 신지 못할 정도의 심각한 통증으로 업무에 지장이 생겨 참다못해 병원에 방문하면 혈액검사를 비롯한 검진을 통해 급성 통풍암을 알게 된다.

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Evaluation for the Usefulness of Automated Blood Typing Analyzer (혈액은행 자동화 장비 도입의 유용성 평가)

  • Kim, Ha-na;Kim, Hee-Bum;Park, Hyun-Sang;Lee, Hyun-Im;Hong, Myung-Kook;Shin, Gyoung-Sook;Suh, In-Bum
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.565-574
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    • 2019
  • In this study, we evaluated the usefulness of an automatic blood typing analyzer using QWALYS-2 up (Diagast, Loos Cedex, France). During a month( 01OCT2013 - 31OCT2013) we performed 1,636 tests for ABO & RhD blood typing, 1,374 tests for antibody screen & identification tests and compared the results by automatic blood type analyzer with previous manual methods and column agglutination tests. And we analyzed the economic performance by comparison the test unit price between automatic blood type analyzer and manual methods. In ABO & RhD blood typing tests, there were complete concordances between manual and automated blood typing analyzer for 200 clinical samples. In Antibody screen tests, the concordance rate between manual and automated blood typing analyzer was 98.5% and more strong reaction in automated blood typing analyzer than manual methods. Therefore, the introduction of an automated blood typing analyzer, reagents costs were increased but labor costs were decreased. Considering the importance of transfusion safety and economic advantages, the introduction of an automated blood typing analyzer was very useful.

A Study on Automatic Classification System of Red Blood Cell for Pathological Diagnosis in Blood Digitial Image (혈액영상에서 병리진단을 위한 적혈구 세포의 자동분류에 관한 연구)

  • 김경수;김동현
    • Journal of the Korea Society of Computer and Information
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    • v.4 no.1
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    • pp.47-53
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    • 1999
  • In medical field, the computer has been used in the automatic processing of data derived in hospital. the automation of diagonal devices, and processing of medical digital images. In this paper, we classify red blood cell into 16 class including normal cell to the automation of blood analysis to diagnose disease. First, using UNL Fourier and invariant moment algorithm, we extract features of red blood cell from blood cell image and then construct multi-layer backpropagation neural network to recognize. We proof that the system can give support to blood analyzer through blood sample analysis of 10 patients.

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Prognostic Values of Preoperative Hematologic Parameters in Gastric Cancer (위암에서 수술 전 혈액학적 검사의 예후인자로서의 가치)

  • Kim Hyoung-Ju;Kwon Sung Joon
    • Journal of Gastric Cancer
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    • v.5 no.1
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    • pp.29-33
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    • 2005
  • Purpose: To determine the prognostic values of the hematologic parameters checked preoperatively in gastric cancer patients, we evaluated and compared the relationship between hematologic parameters and clinicopathologic factors of gastric cancer patient. Materials and Methods: The medical records of 357 consecutive patients who had undergone surgery for gastric cancer at the Department of Surgery, Hanyang University Hospital, between Dec. 2,000 and Dec. 2003 were reviewed. To exclude any adverse effect of invasive procedures to hematologic parameters, the samples taken immediately at outpatient department was used. The normal range of serum albumin was defined above 3.5 g/dl, serum hemoglobin above 12 g/dl, and serum platelet count under $400\times10^{3}{\mu}l$. Patients were defined as group 1 when any of these parameters was abnormal, and defined as group 2 when all parameters were normal. The relationships between hematologic parameters and survival rate were investigated. Results: The mean values of platelet count increased, but level of serum albumin and serum hemoglobin decreased significantly according to the advancement of the disease stage (P=0.000). The differences of depth of tumor invasion and lymph node metastasis between the group 1 and the group2 was statistically significant (P=0.001). Three-year survival difference between group 1 and group 2 was significant (P=0.037). Conclusion: The hematologic parameters checked preoperatively in patients of gastric cancer are simple and cheap, meanwhile reflect the general condition of the patients. Any presence of anemia, hypoalbuminemia, or thrombocytosis can predict the progression of the disease and poor survival rates.

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Study of the BIA component analysis for medical device companies (의료기기 기업을 위한 BIA 성분분석에 대한 연구)

  • Park, Eun Ju;Park, Roh Gook
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.9 no.6
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    • pp.145-152
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    • 2014
  • This Study was done to estimate the availability of biological resistance analysis method in medical equipment companies in Korea, and if it is usefull in predicting risk of obesity and cardiovascular disease and managing of it, by means of comparing it with blood tests. Especially, we analyzed the correlation between circumference length and fat thickness of each site of body area, which are ones of among measurement values of the BIA. This study has the purpose to propose the use of BIA as basement of diagnosis for efficient management and assessment in the medical device industry in our country.

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A Case of Acute Idiopathic Thrombocytopenic Purpura Following Influenza B Virus Infection (B형 인플루엔자 감염에서 나타난 특발성 혈소판 감소성 자색반증)

  • Jung, Seungwon;Kang, Sunghee;Kang, Jin Han;Ma, Sang Hyuk
    • Pediatric Infection and Vaccine
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    • v.22 no.2
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    • pp.117-120
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    • 2015
  • Virus-associated immune thrombocytopenic purpura (ITP) can occur following common viruses, but cases of ITP associated with influenza infection has seldom been reported. In this report we describe a previously healthy 5-year-old boy who admitted with fever, flu-like symptoms and a few bruises on both legs. Severe thrombocytopenia were found. Bone marrow aspirates and biopsy showed no abnormalities and results of coagulation tests were all in normal limit. Real-time polymerase chain reaction was positive for influenza B infection. The patient fully recovered with intravenous immunoglobulins and steroid therapy.