• 제목/요약/키워드: Hemorrhagic

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Pathogenicity of viral hemorrhagic septicemia virus (VHSV) isolated from olive flounder Paralichthys olivaceus to masu salmon Oncorhynchus masou

  • Kim, Wi-Sik;Kim, Jeong-Ho;Nishizawa, Toyohiko;Oh, Myung-Joo
    • 한국어병학회지
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    • 제25권2호
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    • pp.117-121
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    • 2012
  • The pathogenicity of viral hemorrhagic septicemia virus (VHSV) from olive flounder Paralichthys olivaceus was investigated with masu salmon Oncorhynchus masou fry. The cumulative mortality of fish challenged with FYeosu05 isolate at $10^{6.5}$ $TCID_{50}$/fish was 60%. No mortality was observed in fish challenged with the isolates at $10^{5.5}$ $TCID_{50}$/fish and in mock-challenged fish. The affected fish showed darkening of the body, expanded abdomen, pale gills and enlarged spleen. VHSV from $10^{6.3}$ to $10^{7.8}$ $TCID_{50}$/g-tissue was re-isolated from the dead fish. These results suggest that the VHSV from olive flounder is pathogenic to masu salmon fry, although with low virulence.

한국출혈열과 관계되는 소포유동물에 대하여(예보) (Small Mammals in Relation to Korean Hemorrhagic Fever a preliminary report)

  • 애드윈엘타이슨
    • 한국동물학회지
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    • 제10권1호
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    • pp.35-38
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    • 1967
  • 한국출혈열환자의 발생이 보고된 5 개군사시설내 및 그 주변의 소포유동물에 대한 조사 결과, 사람과 극히 관련성이 많은 동물이 Mus musculus 이어서, 이 동물이 다른 동물들보다 출혈열과 관련이 깊으리라고 추측된다. Rattus rattus 는 촌락과 농가에 흔하지만,군사시설내에는 많지 않았다. 두 종의땅쥐, Crocidura lasiura 와 C. Suaveolens 는 흔하지 않았으나, 출혈열환자와 접촉이 많은 경우가 가끔 있었다. 다른 소포유동물들은 대단히 드물거나 인적이 드문 곳에 살고 있었다.

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Hemorrhagic Complications of Intracranial Arachnoid Cyst Following Minor Head Injury : Report of 5 Cases

  • Kim, Jae-Hoon;Kim, Choong-Hyun;Cheong, Jin-Hwan;Bak, Koang-Hum;Kim, Jae-Min
    • Journal of Korean Neurosurgical Society
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    • 제39권6호
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    • pp.443-446
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    • 2006
  • Intracranial arachnoid cyst is presumed to be a developmental anomaly and its natural history is not well defined. Often it is detected incidentally in a asymptomatic patient and hemorrhagic events of arachnoid cyst following head injury are rarely reported. We report hemorrhagic complications including two intracystic hemorrhages, two subdural hematomas, and an epidural hematoma in 5 patients with intracranial arachnoid cyst after minor head injury and review pertinent literatures.

출혈성 황체 낭종 치험례 (A clinical Study on 2 Cases of Hemorrhagic Corpus Luteal Cyst)

  • 박경미
    • 대한한방부인과학회지
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    • 제27권4호
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    • pp.121-132
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    • 2014
  • Objectives: The purpose of this study is to report the effects of herbal medicine on corpus luteum and luteal hemorrhage. Ovulation is a physical event and hemorrhage from corpus luteum is known to occur in reproductive age group women. Life threatening hemorrhage requires surgical intervention and blood transfusion. Methods: The patients of this study are 34-year-old and 16-year-old females. They were diagnosed as the hemorrhagic corpus luteal cyst. Two patients was advised to be operated beacause of rupture possibility. They were treated by traditional Korean Medicine, herbal medicine (Bokryungdosu-tang), acupuncture and moxibustion. Results: After the treatment, the patients recovered their condition. One patient was diagnosed with disappearance of existing corpus luteum, the other was relieved of heavy abdominal pain, vaginal discharge and lumbago. Conclusions: Thess cases show that traditional Korean treatment might be effective on corpus luteum and luteal hemorrhage.

Clinical Features and Treatment of Pediatric Cerebral Cavernous Malformations

  • Ji Hoon Phi;Seung-Ki Kim
    • Journal of Korean Neurosurgical Society
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    • 제67권3호
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    • pp.299-307
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    • 2024
  • Cerebral cavernous malformation (CCM) is a vascular anomaly commonly found in children and young adults. Common clinical presentations of pediatric patients with CCMs include headache, focal neurological deficits, and seizures. Approximately 40% of pediatric patients are asymptomatic. Understanding the natural history of CCM is crucial and hemorrhagic rates are higher in patients with an initial hemorrhagic presentation, whereas it is low in asymptomatic patients. There is a phenomenon known as temporal clustering in which a higher frequency of symptomatic hemorrhages occurs within a few years following the initial hemorrhagic event. Surgical resection remains the mainstay of treatment for pediatric CCMs. Excision of a hemosiderin-laden rim is controversial regarding its impact on epilepsy outcomes. Stereotactic radiosurgery is an alternative treatment, especially for deep-seated CCMs, but its true efficacy needs to be verified in a clinical trial.

일개 대학병원을 대상으로 한 뇌혈관질환의 시간적 변동양상 (Temporal Variations of Cerebrovascular Diseases in a University Hospital)

  • 이미연;이상복;이준행;이삼열;이태수;진계환
    • 한국방사선학회논문지
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    • 제1권1호
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    • pp.17-23
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    • 2007
  • 연구배경: 뇌혈관 질환은 지역 및 인종에 따라 발생양상의 차이를 보이는 것으로 알려져 있다. 그러므로 뇌혈관질환의 진단, 치료, 및 예방적인 목적에 활용하기 위한 특정지역의 발생양상을 파악하는 것은 매우 중요하다. 본 논문에서는 계절별, 성별, 연령별, 출혈성 뇌혈관질환과 허혈성뇌혈관질환 발생양상을 정량적으로 분석하고자 한다. 방 법: 연구대상은 일개 대학교병원 신경외과와 신경과에 출혈성 뇌혈관질환과 허혈성뇌혈관질환으로 입원한 환자 1603명을 대상으로 하였다. 연구대상 환자에 대해서 뇌혈관질환의 유형, 발생연도, 성별, 뇌혈관질환이 발생한 계절을 조사하였다. 자료의 산술적인 분석은 마이크로소프트사의 엑셀 2003을 이용하였고, t-test는 MICROCAL사에서 제공하는 ORIGIN 6.0을 이용하였다. 결 과: 연구대상 기간인 4년 동안의 출혈성 뇌혈관질환과 허혈성뇌혈관질환의 발생비는 38.55%, 61.45%이었다. 출혈성 뇌혈관질환의 발병 연령의 평균과 표준편차 $58.20{\pm}12.60$이었고, 40대, 50대, 60대, 70대에서 각각 20% 정도로 비슷하게 발병하였다. 이에 비하여 허혈성뇌혈관질환은 발병 연령의 평균과 표준편차는 $65.01{\pm}13.59$이었고, 출혈성뇌질환에 비하여 평균 연령이 높게 나타났고, 발생 연령분포에서도 60대 15.53%, 70대 37.06%, 80대 27.72%이었다. 출혈성 뇌혈관질환이 발병이 많이 나타난 계절은 겨울, 여름, 봄, 가을 순이었고, 출혈성 뇌혈관질환이 발병이 많이 나타난 계절은 봄, 여름, 겨울, 가을이었다. 일반적으로 알려진 겨울철 출혈성 뇌혈관질환 많이 나타났다. 출혈성 뇌혈관질환과 허혈성뇌혈관질환 환자의 남녀비율은 52.09% 47.91%로 나타났다. 결 론: 연구대상을 출혈성 뇌혈관질환과 허혈성뇌혈관질환으로 일개 대학교병원에 입원한 환자만을 대상으로 하였으므로 전체 뇌혈관 질환에 대한 결과를 대변한다고 볼 수 없다. 그러나 의료종사자에게서 일반적으로 알려진 계절별, 성별, 연령별, 출혈성 뇌혈관질환과 허혈성뇌혈관질환 발생비를 통계적으로 분석하였다는데 연구논문의 의의가 있다. 본 논문에서 출혈성 뇌혈관질환과 허혈성뇌혈관질환의 발생률은 38.55%, 61.45%로 허혈성뇌혈관질환의 비중이 높아지고 있다. 적절한 뇌혈관질환의 예방 및 질환관리계획을 세우기 위해서는 장기적인 뇌혈관질환의 역학조사가 필요할 것이다.

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비가역성 실혈성 쇽에서 본 가토심근, 혈장의 전해질 및 혈당량 변화 (Changes in Water and Electrolyte Distribution and Blood Glucose Concentration following Irreversible Hemorrhagic Shock)

  • 김기환;남기용
    • The Korean Journal of Physiology
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    • 제2권1호
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    • pp.47-52
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    • 1968
  • Twenty white rabbits anesthetized with nembutal (30 mg/kg) were employed in this experiment. Five of them served as controls; the remaining rabbits as experimental group were subjected to irreversible hemorrhagic shock. Shock was induced by bleeding the animals until mean blood pressure decreased to a level of 50-40 mmHg. This level of pressure was maintained for 3-4 hours, after which the drawn blood was reinfused. The reinfusion of blood caused the elevation of arterial pressure almost the control level for some minutes, after which a gradual and progressive decline of blood pressure became evident. This decline was thought to be the result from irreversible hemorrhagic shock. When mean blood pressure declined to less than 50 mmHg, chest was opened and samples of arterial blood and left ventricular muscle were taken. Left ventricular muscle and blood plasma were analyzed for potassium, sodium, chloride and water content. Blood glucose concentration was determined by Somogyi-Nelson's method. Extracellular and intracellular myocardial water and electrolyte content were calculated on the basis that electrolytes are distributed between plasma water and interstitial water according to Gibbs-Donnan equilibrium. In this calculation extracellular water was substituted for Na space. The findings obtained were as follows: 1. The concentration of blood glucose was 87mg% in the controls and it rose to 222 mg% in shock (P<0.01). 2. Plasma potassium elevated significantly from 3.3 mEq/l in controls to 8.0 mEq/l in shock (P<0.01), while small decreases in sodium (151-146 mEq/l) and chloride (102-96 mEq/l) were observed (P<0.3, P<0.1), 3. The changes of blood water content (83.1-84.3%) and cardiac water content (77.5-78.3 gm/100gm WT) were observed. 4. In control animals myocardial potassium levels which averaged 30.2 mEq/100 gmDT rose significantly to 40.3 mEq/100 gmDT in shock (P<0.01), while moderate decreases in sodium(16.3-14.3 mEq/100 gmDT) were observed in shock. 5. The calculated transmembrane resting potential of left ventricular muscle of control animals averaged 95 mV, while rabbits in shock averaged 77 mV. (P <0.01). The findings of this experiment do not correspond with the conclusions that myocardial depression seems to be the cause of irreversible hemorrhagic shock, because the excitability of heart muscle is elevated. From the point of view that the lowered transmembrane resting potential, the cause of death in terminal stage of irreversible hemorrhagic shock may be ventricular fibrillation. It can't be said, however, that the lowered transmembrane resting potential is responsible for the transition from reversible to irreversible hemorrhagic shock. The marked increase in blood glucose suggested that glycogenolysis in the liver is favorably active in shock.

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A Rathke's Cleft Cyst Presenting with Apoplexy

  • Kim, Ealmaan
    • Journal of Korean Neurosurgical Society
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    • 제52권4호
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    • pp.404-406
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    • 2012
  • The occurrence of symptomatic pituitary hemorrhage into a Rathke's cleft cyst (RCC) is extremely rare. The author reports an interesting case of intra- and suprasellar RCC presented with features of pituitary apoplexy. This 62-year-old woman suffered acute headache, mental confusion, and partial hypopituitarism. The characteristics of the magnetic resonance imaging seemed most compatible with a hemorrhagic pituitary adenoma. Transsphenoidal drainage of the cyst contents confirmed the diagnosis of hemorrhagic RCC and resolved the symptoms. All published data on this rare clinical entity are extracted and reviewed.

Fibrinolytic (Thrombolytic) Therapy for Post Intraventricular Hemorrhagic Hydrocephalus in Preterm Infants

  • Young Soo Park
    • Journal of Korean Neurosurgical Society
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    • 제66권3호
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    • pp.263-273
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    • 2023
  • While the survival rate of preterm infants has increased dramatically over the last few decades, intraventricular hemorrhage and subsequent hydrocephalus remain major unsolved problems in neonatal intensive care. Once intraventricular hemorrhage occurs, severe neurological sequelae are inevitable. Treatment of this complicated pathology and achievement of favorable neurofunctional outcomes in fragile infants are crucial challenges for pediatric neurosurgeons. Fibrinolytic therapy, which chemically dissolves hematoma, is a promising and useful treatment method. In this paper, the historical background of fibrinolytic therapy for post-intraventricular hemorrhagic hydrocephalus in preterm infants is reviewed and a recent method of fibrinolytic therapy using urokinase is introduced.

Cerebral hemorrhagic stroke

  • 김용선
    • 대한자기공명의과학회:학술대회논문집
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    • 대한자기공명의과학회 1998년도 춘계학술대회 초록집
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    • pp.72-76
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    • 1998
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