• KIEE International Transaction on Systems and Control
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• 제2D권2호
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• pp.59-64
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• 2002

About two thirds of patients admitted to hospitals world-wide suffer from acute abdomen pains of varying degrees of severity. Acute abdomen pain due to appendicitis or pancreatitis usually requires urgent surgical treatment, whereas pain due to heart ischemia or enteroviral infection requires only drug treatment. In general, making an immediate decision about whether or not acute abdomen pain requires urgent surgery is very difficult. This decision becomes even more difficult when the patient is a young child who can't properly describe the abdominal pain. In this case, thermo-visual inspection can alternatively be used to decide whether urgent surgical treatment is necessary to cure the abdominal pain.

• 정보처리학회논문지B
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• 제10B권2호
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• pp.197-204
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• 2003

현재까지 개발된 의료진단 시스템들은 인체 특정 질환을 염두에 두고 구체적 조건의 조합에 의존하여 진단 범주를 설정하는데 통상적으로 특정 장기에 제한되어 있어서 여러 가지 유형의 질환에 공통적으로 나타나는 중상을 진단하는 경우 조기에 정확한 진단을 내리기가 힘든 문제점을 지니고 있다. 급성복통(acute abdominal pain)은 전구 증상 없이 갑자기 복통이 발생하는 것으로 소화기 질환을 비롯한 여러 질환에서 환자들이 공통적으로 가장 흔하게 호소하는 증상으로 연관된 질환이 다양하여 의사들이 적절한 감별진단을 내리기가 쉽지 않다. 본 연구에서는 급성 복통과 연관된 질환의 감별진단 시스템으로서 기존의 DS-DAAP의 성능을 개선한 퍼지관계곱에 기반한 지능형 질환 진단시스템(IDS-DAAP)을 제안한다. 제안하는 시스템은 기존의 DS-DAAP와 비교해 볼 때 진단의 정확성을 높이면서 수행시간을 감소시켰다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제20권4호
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• pp.268-272
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• 2017

Mesenteric cysts are rare intra-abdominal lesions occurring during childhood, which were first described in 1507. Cases of mesenteric cysts have been continuously reported, but these cases were very small in number. They are often asymptomatic and incidentally found while patients are undergoing work-up or receiving treatment for other conditions such as appendicitis, small-bowel obstruction, or diverticulitis; however, patients may still have lower abdominal pain and symptoms that are frequently associated with other abdominal conditions. The symptoms are variable and non-specific, including pain (82%), nausea and vomiting (45%), constipation (27%), and diarrhea (6%). An abdominal mass may be palpable in up to 61% of patients. We are to report the clinical course and literature of a child with mesenteric cysts who complained of acute abdominal pain, distension, and vomiting and were surgically treated after being diagnosed with mesenteric cysts based on radiological examination.

• Advances in pediatric surgery
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• 제12권2호
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• pp.257-261
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• 2006

Appendicitis is a common disease in children. But left lower abdominal pain in acute appendicitis is a rare clinical feature. A 6 year-old-girl complained of left sided abdominal pain for 2 days. Past medical history was not contributory. Abdominal tenderness and guarding in left lower quadrant were noticed. Abdominal sonography and abdominal computed tomography scan demonstrated reversed position between superior mesenteric artery and vein, and a mass in the left lower quadrant abdomen suggesting appendicitis. Acute appendicitis in left lower quadrant, associated with intestinal malrotation, was found at laparatomy.

• 한국의료질향상학회지
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• 제24권2호
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• pp.15-25
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• 2018

Purpose: To compare the Appropriateness of abdominal CT to abdominal radiography as an imaging modality in terms of the diagnostic value, medical costs and decision making times for patients presented to the emergency department with nontraumatic abdominal pain. Methods: This study used the records of 530 cases presented to the emergency department(ED) with nontraumatic abdominal pain from February to March 2012. Imaging modalities were categorized into abdominal radiography and CT (radiography first or CT first) or radiography alone or CT alone. The diagnostic value, total medical costs and effect on decision making time of the each imaging modalities were compared. Especially, in retrospective review, to evaluate the predictability of the abdominal radiography, alit was assumed that all the 530 cases performed that exam as initial imaging. Results: Among 530 cases, 255 cases underwent abdominal radiography only, 28 cases underwent abdominal CT only and the remnant 247 cases underwent abdominal CT with plain abdominal radiography. The diagnostic value was higher in the cases with abdominal CT (268/275, 97.5%) than in the cases with plain abdominal radiography (19/255, 7.5%).The number of cases predicted by abdominal radiography only as initial imaging were 39/530 (7.4%). In cases where the patients performed the abdominal CT as the first imaging modality thereby omitting the abdominal radiography, the total diagnostic imaging fee was lower than in cases with plain abdominal radiography first followed by the abdominal CT (277,140 vs. 284,226(mean, Korean Won)). Although diagnostic value of the plain abdominal radiography as first imaging modality was lower than the abdominal CT, Decision making time, average duration of hospital stay was longer and the total medical costs was higher than abdominal CT. Conclusion: As an imaging modality in the ED for patients with acute nontraumatic abdominal pain, plain abdominal radiography is an avoidable procedure when viewed in terms of the diagnostic value and total medical costs and decision making times comparing with abdominal CT.

• 한국지능시스템학회:학술대회논문집
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• 한국퍼지및지능시스템학회 2002년도 추계학술대회 및 정기총회
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• pp.459-462
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• 2002

현재까지 개발된 대부분의 규칙기반 의료 진단시스템에서는 의사들이 환자들을 진단하는데 필요한 지식을 정형화된 규칙만으로 표현해야 하기 때문에 어려움이 있으며, 시스템의 성능개선을 위해 규칙들의 수정 및 추가가 이루어져야 할 뿐 아니라, 예외적인 상황에서 진단시 문제점율 지니게 된다 본 논문에서는 일반적인 급성복통 진단을 위한 지식은 규칙으로 표현하고, 기존 규칙으로 처리할 수 없는 예외적인 급성복통 진단을 위한 지식은 사례로 표현함으로써 규칙과 사례가 서로 보완적인 역할을 할 수 있는 통합 방법을 제안한다. 또한 기존의 규칙 기반 DS-DAAP와 사레기반 추론에 의해 확장된 CDS-DAAP(Combined Diagnosis System for Diseases associated with Acute Abdominal Pain)의 비교를 통해, 제안하는 접근 방법이 진단율을 향상시킴을 보였다.

• Tuberculosis and Respiratory Diseases
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• 제51권5호
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• pp.462-465
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• 2001

상기도 감염으로 인한 발작성 기침 후 복벽 혈종을 보인 1예를 보고하였다. 복벽 혈종은 수술을 요하는 급성 복증과 감별하여야하는 질환으로, 심한 기침 후 복동이 발생한 경우 반드시 복벽 혈종을 고려하여야하며, 필요한 경우 초음파 검사나 전산화단층촬영을 시행하여 불필요한 수술을 피해야한다.

• The Korean Journal of Pain
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• 제4권2호
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• pp.200-204
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• 1991

Neurolytic splanchnic nerve block is a relatively safe and effective method for the relief of intractable pain caused by upper abdominal cancer. We have experienced a case of severe acute respiratory failure during splanchnic nerve block under control of X-ray fluoroscopy. We think that the most likely cause of the acute respiratory failure was an asthmatic attack due to anxiety and dyspnea from the injury or stimulation of the diaphragm and pleura in this case.

• 대한영상의학회지
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• 제81권4호
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• pp.794-805
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• 2020

급성 복증(acute abdomen)은 갑자기 발생하는 심한 복부 통증으로 즉각적인 수술적 치료를 필요로 할 수도 있는 상태를 말한다. 소아 환자의 급성 복증의 원인은 다양하며, 수술적 치료를 해야 하는 질환부터 투약 치료를 받아야 하거나 임상적 관찰 만을 요하는 질환까지 다양하게 분류될 수 있다. 이러한 급성 복증의 환자에서 영상 검사의 역할은 가능하다면 복통의 원인이 되는 질환을 밝혀서 수술적 치료를 해야 하는 환자와 투약 치료를 해야 하는 환자를 구분해 주는 것이다. 장중첩증과 충수돌기염이 소아 환자에서 수술적 치료를 필요로 하는 급성 복증의 가장 흔한 원인 질환이므로, 급성 복통을 호소하는 영아에서는 장중첩증을, 좀 더 나이가 많은 소아에서는 충수돌기염을 영상 검사를 이용해 배제해 주는 것이 중요하다. 이 논문에서는 영유아 환자의 급성 복통을 유발할 수 있는 질환 중 특징적 영상 소견을 보이는 장중첩증, 충수돌기염, 중장 염전, 메켈 게실 및 중복낭종에 대해 소개하고자 한다.

• 대한한방부인과학회지
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• 제35권2호
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• pp.106-119
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• 2022

Objectives: This case report aims to report the clinical effectiveness of the combination treatment of Korean medicine on acute pelvic pain followed by ruptured ovarian cyst. Methods: The patients who diagnosed with ruptured ovarian cyst complained of acute pelvic pain, lower abdominal pain, abdomen distention, constipation, lower back pain and dysuria. They received combination treatment of Korean medicine during hospitalization. The treatment included Chungpochukeo-tang, acupuncture, moxibustion, and pharmacoacupuncture. The effects were evaluated through Numeric Rating Scale (NRS). Results: After the treatment, the clincial symptoms such as acute pelvic pain, lower abdominal pain, abdomen distention, constipation, lower back pain and dysuria were improved. Conclusions: This case report shows that the combination treatment of Korean medicine with Chungpochukeo-tang may be effective for treating acute pelvic pain by ruptured ovarian cyst.