• 제목/요약/키워드: Internal Organ

검색결과 523건 처리시간 0.025초

폐결핵에 동반된 결절성다발성동맥염 1례 (A Case of Polyarteritis Nodosa Associated with Pulmonary Tuberculosis)

  • 손창우;조정환;송인욱;박정은;신경철;정진홍;이관호
    • Journal of Yeungnam Medical Science
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    • 제26권2호
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    • pp.130-136
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    • 2009
  • Polyarteritis nodosa (PAN) is a systemic necrotizing vasculitis that typically affects the medium-sized muscular arteries, with occasional involvement of the small muscular arteries. As with other vasculitides, PAN can affect any organ system, including the cardiovascular, gastrointestinal and central nervous systems. The prognosis for patients with untreated PAN is relatively poor, with five-year survival rates of approximately 13 percent. The outcome has improved with proper therapy to approximately 80 percent survival at five years. We report here on a case of a 46 year old man with polyarteritis nodosa and who suffered from pulmonary tuberculosis.

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A Case of Pulmonary Cryptococcosis in an Immunocompetent Male Patient Diagnosed by a Percutaneous Supraclavicular Lymph Node Biopsy

  • Sung, Ji Hee;Kim, Do Hoon;Oh, Mi-Jung;Lee, Kyoung Ju;Bae, Young A;Kwon, Kye Won;Lee, Seung Min;Kang, Ho Joon;Choi, Jinyoung
    • Tuberculosis and Respiratory Diseases
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    • 제78권3호
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    • pp.276-280
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    • 2015
  • Cryptococcal pneumonia usually occurs in immunocompromised patients with malignancy, acquired immune deficiency syndrome, organ transplantations, immunosuppressive chemotherapies, catheter insertion, or dialysis. It can be diagnosed by gaining tissues in lung parenchyma or detecting antigen in blood or bronchoalveolar lavage fluid. Here we report an immunocompetent 32-year-old male patient with diabetes mellitus diagnosed with cryptococcal pneumonia after a ultrasound-guided percutaneous supraclavicular lymph node core needle biopsy. We treated him with fluconazole at 400 mg/day for 9 months according to the guideline. This is the first case that cryptococcal pneumonia was diagnosed from a percutaneous lymph node biopsy in South Korea.

전신성 모세혈관 누출 증후군으로 인한 만성 신질환 1예 (A Case of Chronic Renal Failure Associated with Systemic Capillary Leak Syndrome)

  • 백선하;신나라;김효진;한미연;최동주;방수미;김세중;백진호
    • Journal of Yeungnam Medical Science
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    • 제29권2호
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    • pp.145-149
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    • 2012
  • Systemic capillary leak syndrome (SCLS) is an unusual entity characterized by hypovolemic shock, hemoconcentration, and hypo-albuminemia associated with paraproteinemia as a result of marked capillary hyper-permeability. Complications of this syndrome can include compartment syndromes, pulmonary edema, thrombosis, and acute kidney injury. This paper reports a case of severe SCLS accompanied by acute tubular necrosis caused by hypoperfusion and myoglobinuria secondary to rhabdomyolysis, which resulted in chronic kidney disease that necessitated hemodialysis. However, there have been rare data of residual end-organ damage after acute attacks in Korea. Therefore, this paper reports a case of complicated SCLS enough to hemodialysis and that developed into chronic kidney disease.

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한의학적 치료로 호전된 전이성 대장암 환자의 복통에 대한 증례보고 (A Case Report of Abdominal Pain Relief in a Patient with Metastatic Colorectal Cancer Treated with Korean Medicine)

  • 윤미정;김나연;최홍식;김승모;김경순
    • 대한한방내과학회지
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    • 제42권4호
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    • pp.687-694
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    • 2021
  • Objectives: The aim of this case report is to present abdominal pain relief in a patient diagnosed with colorectal cancer with several organ metastases. Methods: The patient was treated with herbal medicine, acupuncture, and moxibustion. The effect of the treatment was measured by a numeric rating scale (NRS). Results: The NRS of the patient's abdominal pain was reduced after Korean medicine treatment. Conclusions: This case report suggests that Korean medicine may be effective for treating abdominal pain in cancer patients. However, additional study is needed to confirm interactions between Korean medicine and the control of abdominal pain.

반하백출천마탕(半夏白朮天麻湯)이 Doxorubicin에 의해 유발(誘發)된 독성(毒性)에 미치는 영향(影響) (Effect of Banhabakchulchunma-tang on the Hepatic, Splenic and Cardiac Toxicity induced by Doxorubicin)

  • 김봉석;오중환;임희용;백정한;박치상;김상찬;변준석;황희정
    • 대한한방내과학회지
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    • 제24권2호
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    • pp.190-202
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    • 2003
  • Object : The effect of Banhabakchulchunma-tang extracts on the hepatic, splenic and cardiac toxicity induced by Doxorubicin administration(Three injection protocol) were monitored using male ICR mice. Methods : The changes of body weight, clinical signs, necropsy findings and organ weights of liver, spleen and heart were observed with blood GOT and GPT levels. Results : 1. Decrease of body weight and The degrees of anorexia, ataxia and dehydration after Doxorubicin treatment were dose-dependently inhibited by Banhabakchulchunma-tang extracts. 2. Increase of absolute and relative liver and heart weight observed in Doxorubicin treatment group were dose-dependently inhibited by Banhabakchulchunma-tang extracts. In addition, the degrees of liver congestion necrotic spot and the degrees of heart congestion enlargement were dose-dependently decreased after Banhabakchulchunma-tang extracts dosing groups compared to that of doxorubicin treatment group. It is also demonstrated that elevated serum GOT and GPT levels in doxorubicin treatment group were significantly decreased in Banhabakchulchunma-tang extracts dosing groups. 3. Decrease of absolute and relative spleen weight observed in doxorubicin treatment group were dose-dependently inhibited by Banhabakchulchunma-tang extracts. In addition, the degrees of splenic atrophy were significantly and dose-dependently decreased after Banhabakchulchunma-tang extracts dosing groups compared to that of doxorubicin treatment group. Conclusion : the toxicity of doxorubicin treatment(decrease of body weights, clinical signs such as anorexia, ataxia and dehydration, changes of organ weights of liver, spleen and heart, elevation of serum GOT and GPT levels) was inhibited and/or prevented by Banhabakchulchunma-tang extracts. According to these results, it is considered that Banhabakchulchunma-tang has some preventive effect against to doxorubicin induced toxicity.

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로봇 수술을 위한 3차원 구조계산의 필요성 조사 (Research of 3D Information processing for Robot Surgery)

  • 정재은;최석윤
    • 대한디지털의료영상학회논문지
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    • 제11권1호
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    • pp.43-50
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    • 2009
  • Geometry calculation Using Abdominal internal organ image from traditional laparoscopy or robotic surgery system we can make depth informations through measured 3D structure informations is very helpful to doctors, depth information is mare useful then others that use traditional laparoscopy or robotic surgery system to many doctors. however, traditional method are incomplete. less experienced doctors make much mare prohability of mistake. Hence, 3D information of organ is very helpful to the less experienced doctors. it will be greate role of reducing medical accidents and surgical time. We can get 3D informations using geometrical calculation method in robotic surgical system. also suggested method is needed in traditional surgical method without the need to create a new system, finally, We can get 3D information from traditional system without any new system, it take advantage in cost and create high efficiency. mare information will provided to many doctors.

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삼초유형(三焦有形)으로 살펴본 삼초(三焦)의 기능(機能), 병증(病證) 및 장부배합(臟腑配合) (Function Disease Symptom And Organ Coordination of Tri-Energizer Based on the Materiality of Tri-Energizer)

  • 윤창열
    • 대한한의학원전학회지
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    • 제26권2호
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    • pp.1-7
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    • 2013
  • Objective & Method : By investigating physiological function of tri-energizer, symptoms, and organ coordination, we obtained following conclusion. Tri-energizer is the membrane structure that surrounds the five visceral organs and six hollow organs, and filled with fluid. Tri-energizer acts as the passage for the flow of qi energy. Result & Conclusion : Therefore, dysfunction of the tri-energizer is caused by abnormal evaporation and metabolism. Upper-energizer regulates cardiopulmonary function, middle-energizer regulates spleen and stomach functions, and lower-energizer regulates liver, kidneys, small and large intestines, and bladder functions. Such a functional specialization is possible by receiving the source of qi through the wall wrapping around the internal organs. Tri-energizer represents the exterior and interior relationship by acting as the membrane structure supporting the five visceral organs and six hollow organs and at the same time, as the pericardium surrounding the heart.

칠정(七情)의 생성(生成)에 대한 동서의학적(東西醫學的) 고찰(考察) (A study on the generation of seven-emotion in the east-west medicine)

  • 송호철;김동희;김성훈
    • 혜화의학회지
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    • 제9권1호
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    • pp.183-192
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    • 2000
  • 1. The emotion is given before birth, and because of not perfect of human being's consciseness, individual differance exist. 2. Every emotion act first on the heart and following other organ which possess each of the five emotion. Therfore the heart plays impartant role on the emotion and emerge five organ in the oriental medicine theory. 3. The emotion was expressed by external reagent, but the more importante reagent is internal situation such as qi(氣), xie(血), yin(陰), yang(陽), according to these reagent the existing time and strength is different. 4. The emotion is different according to the weak-strong and big-small of zang-fu(臟腑), and the size of zang-fu(臟腑) is determined by emotional specificity in the si-xiang medicinal (四象醫學)theory.

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Medical Complications of Lung Transplantation

  • Park, Moo Suk
    • Journal of Chest Surgery
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    • 제55권4호
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    • pp.338-356
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    • 2022
  • Lung transplantation (LT) is now considered as an effective treatment option for end-stage lung diseases that improves the short and long-term survival rates and quality of life. As increasingly many LT procedures are being performed, the medical complications of LT are also increasing in frequency and emerging as a very important issue for transplant clinicians. Although chronic lung allograft dysfunction and infection are major causes of death after LT, many medical complications, several of which result from immunosuppressive treatment, contribute to increased mortality and morbidity. This article reviews the most frequent and important medical complications of LT, accompanied by a review of the literature and studies from South Korea, including lung allograft rejection, infection, and non-allograft organ systemic complications.

상악골 침범으로 나타난 거짓림프종양 IgG4 연관병증 1예 (A Case of Pseudolymphomatous IgG4-Related Disease Involving the Maxilla)

  • 김민정;배승일;김훈태;홍영훈;김현제;이충기;구미진
    • Journal of Yeungnam Medical Science
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    • 제30권2호
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    • pp.128-131
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    • 2013
  • Immunoglobulin G4 (IgG4)-related disease is an inflammatory condition characterized by IgG4 positive plasma cell infiltration. It can affect any organ in the body and mainly involves the pancreas, liver, biliary tracts, orbits, salivary glands and lymph nodes. It can manifest as an inflammatory pseudotumor. Pseudolymphoma as an inflammatory pseudotumor is a group of benign tumors that exhibit histological and clinical features suggestive of malignant lymphoma. Studies on IgG4-related disease are rarely reported, and no case of the disease that involved the maxillary bone and adjacent soft tissue, except for the skin, has been reported. Therefore, we report herein a case of pseudolymphomatous IgG4-related disease that involved the maxilla, with a literature review.