• 제목/요약/키워드: Distension

검색결과 308건 처리시간 0.021초

전산화단층촬영 소장조영술을 위한 희석된 폴리에틸렌 글리콜과 저밀도(0.1% w/v) 바륨 현탁액의 유용성 비교 (Comparison of the Efficacy of Diluted Polyethylene Glycol and Low-Density (0.1% w/v) Barium Sulfate Suspension for CT Enterography)

  • 김연정;김승호;백태욱;박형인
    • 대한영상의학회지
    • /
    • 제84권4호
    • /
    • pp.911-922
    • /
    • 2023
  • 목적 전산화단층촬영 소장조영술 준비를 위해서 사용된 중성 경구 조영제인 희석된 폴리에틸렌 글리콜 용액과 저밀도(0.1% w/v) 바륨 현탁액 사이의 소장 팽창과 부작용을 비교하였다. 대상과 방법 전산화단층촬영 소장조영술을 시행 받은 총 173명의 환자가 연구에 포함되었다. 50명의 환자는 바륨 현탁액을, 123명의 환자는 희석된 등삼투압의 폴리에틸렌 글리콜 용액을 사용하였다. 동일한 양인 1L를 투여하였다. 두 명의 독립된 검토자가 공장과 회장에서 5점 척도로 소장 팽창을 평가하였다. 두 그룹 간의 부작용 비교를 위해서 경구 조영제 투입 후 환자들이 구역, 구토, 설사 및 복통을 호소하는지 여부에 대하여 조사하였다. 결과 회장과 공장에서, 희석된 폴리에틸렌 글리콜 용액은 두 검토자 모두에서 바륨 현탁액과 차이가 없었다(회장: 검토자 1, 중앙값, 4; 4, 사분위수 범위, 3-4; 3-4, p = 0.997; 검토자 2, 중앙값, 4; 4, 사분위수 범위, 3.3-4.0; 3-4, p = 0.064, 공장: 검토자 1, 중앙값, 2; 2, 사분위수 범위, 2-3; 2-3, p = 0.560; 검토자 2, 중앙값, 3; 2, 사분위수 범위, 2-3; 2-3, p = 0.192). 모든 환자에서 두 가지 경구 조영제 투여 후 즉각적인 부작용을 호소하지 않았다. 결론 희석된 폴리에틸렌 글리콜 용액은 바륨 현탁액과 비교하여 소장 팽창에 차이가 없고, 검사 직후 부작용이 없으므로, 유용한 대체제가 될 수 있다.

개에서 초음파를 이용한 간 종괴의 세침흡인술 증례 (Diagnostic Approach of Hepatic Mass using Ultrasound Guided Fine Needle Aspiration in a Dog)

  • 최호정;이기창;최민철;윤정희
    • 한국임상수의학회지
    • /
    • 제21권2호
    • /
    • pp.181-183
    • /
    • 2004
  • Hepatic mass was aspirated under the guidance with ultrasound in 9-year old female maltese with signs of anorexia, hematochezia, vomiting, depression, and abdominal distension. Radiographic and abdominal ultrasonographic examinations were performed, which revealed enlarged tubular shaped uterine mass and solitary, small round hyperechoic hepatic mass dorsal to gall bladder as an incidental finding. Ultrasound-guided fine needle aspiration was completed, but histologic confirmation should be made for definitive diagnosis by tissue core or wedge biopsy.

부분 간절제술을 통한 개의 간세포암종 치료예 (Partial Hepatectomy in a Canine Hepatocellular Carcinoma)

  • 이충호;최재훈;정성목;김완희;김대용
    • 한국임상수의학회지
    • /
    • 제18권2호
    • /
    • pp.170-173
    • /
    • 2001
  • Primary hepatocellular carcinomas are rare in dogs. A 12-year-old 5.4 kg female Poodle was referred to the Veterinary Medical Teaching Hospital with abdominal distension and mild anorexia. In this case, an extensive soft tissue mass was clearly palpable in the upper abdomen and radiography revealed a spherical mass of soft tissue density in the abdomen but its origin was not clear. In following an exploratory laparotomy, a partial hepatectomy was performed. Surgical complications were minimal. The survival time was seven months before dyspnea lead to a sudden and rapid decline.

  • PDF

복강 잠복고환에서 발생한 정상피종의 수술적 제거 (Surgical Removal of Seminoma Occurred in a Dog with Abdominal Cryptorchidism)

  • 박현정;정종태
    • 한국임상수의학회지
    • /
    • 제33권4호
    • /
    • pp.243-245
    • /
    • 2016
  • A 7-year-old male poodle dog with abdominal distension and dysuria was referred to the Veterinary Teaching Hospital at Jeju National University. Intraabdominal mass was detected by radiography and ultrasonography. Surgical excision was performed by laparotomy. After the operation, this intraabdominal mass was diagnosed as seminoma based on histopathologic examination.

지실(枳實)에 함유된 Flavonoid 성분의 분석 (Analytical study on the flavonoid of Poncirus trifoliata)

  • 황귀서
    • 대한예방한의학회지
    • /
    • 제1권1호
    • /
    • pp.55-58
    • /
    • 1997
  • It is well known that Poncirus trifoliata harmonizes the Stomach dissipates the Nodules of Liver and manages Vitality. This herb has been used for stomachache, vomitting, nausea, abdominal distension and swelling of testis in the Oriental Medicine. A major components of Poncirus trifoliata consist of a various flavonoids such as poncirin, naringin, hesperidin, neohesperidin, rhoifolin, poncimarin, poncitrin. Generally pharmacological activities of an oriental medicinal drug may be different due to diverse origin, harvest season and storage Period. In this study, we aimed to measure the contents of poncirin and naringin, major flavonoid of this herb, to determine the quality of Poncirus trifoliata.

  • PDF

영아에서 발생한 삼출성-긴축성 심낭염의 심낭절제술에 의한 치료 (A Case of Effusive-Constrictive Pericarditis in and Infant Treated by Pericardiectomy)

  • 선기남;김석기;김민호
    • Journal of Chest Surgery
    • /
    • 제32권10호
    • /
    • pp.935-938
    • /
    • 1999
  • Effusive-constrictive pericarditis is a very rare disease in infants but has high motality rates when not treated. There were some reports of pericardial constriction associated with intrapericardial abscess that led to pericardiectomy. The patient was admitted due to fever, cyanosis, and abdominal distension. We treated the patient with antibiotics and pericardiostomy but the symtoms did not improved, therefore, pericardiectomy was perfomed immediately. The patient with effusive-constrictive pericarditis was immediately relief on the symptoms and the treatment was successful.

  • PDF

위염전 1예 (A Case of Gastric Volvulus)

  • 김현학;이석구;김경헌
    • Advances in pediatric surgery
    • /
    • 제6권2호
    • /
    • pp.153-155
    • /
    • 2000
  • Gastric volvulus is a rare surgical disorder in the pediatric population. We experienced a case of gastric volvulus. A 2-year-old boy was admitted to hospital with abdominal distension. An upper gastrointestinal series showed reversal of the greater and lesser curvatures. Surgical exploration revealed an organoaxial volvulus of the stomach, and anterior gastropexy was performed.

  • PDF

세포교정영양요법(OCNT)을 이용한 장상피화생 환자 개선 사례 연구 (Case Study of an Atrophic Gastritis Patient Undergoing Ortho-Cellular Nutrition Therapy (OCNT))

  • 천능수
    • 셀메드
    • /
    • 제13권11호
    • /
    • pp.40.1-40.6
    • /
    • 2023
  • Objective: Case report on the improvement of intestinal metaplasia through ortho-cellular nutrition therapy. Methods: A Korean woman in her 50s who is suffering from bloating, abdominal distension and frequent eructation after meals. Results: Symptoms improved one year after the introduction of nutrition therapy, and patient was diagnosed as fully recovered from reflux esophagitis, atrophic gastritis, and intestinal metaplasia through gastroscopy. Conclusion: In patients with complex gastrointestinal problems, the application of nutrition therapy may help improve and treat symptoms.

소아에서 발생한 S상 결장 염전증 1예 (A Case of Sigmoid Volvulus in a Child)

  • 이동한;위주희;박현석;김해영;박재홍
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제13권2호
    • /
    • pp.199-203
    • /
    • 2010
  • 본 증례는 1년 전부터 갑작스럽게 복부팽만과 복통이 반복하다 내원 10일 전부터 심한 복통과 복부팽만, 구토가 발생하여 내원한 9세 남자 환자이다. 복부 X-선 촬영과 바륨 관장 등의 검사로 S상 결장 염전증을 진단하고 내시경적 염전 정복과 감압술 시도하였으나 실패하였다. 수술 시야에서 심하게 확장되고 비정상적으로 긴 S상 결장과 굵은 혈관이 포함된 결장간막이 관찰되었고 S상 결장의 원위부 및 근위부에서 좁아진 부위를 확인하여 이 부분을 포함한 S상 결장 절제술을 시행하였다. 이후 환자는 5년 동안의 추적관찰에서 증상의 재발이 없었다.