• 제목/요약/키워드: Renal failure, acute

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개에서 포도껍질 섭취 후 발생한 급성신부전 치료 증례 (Treatment for acute renal failure occurred by ingestion of grape skins in a dog)

  • 오현욱;전형규;최호정;이영원;송근호
    • 대한수의학회지
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    • 제48권2호
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    • pp.215-218
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    • 2008
  • A 2-year-old, female, Maltese dog (3.2 kg of body weight) was referred to the Veterinary Medical Teaching Hospital, Chungnam National University with vomiting, anorexia and depression. Twelve hours prior to the onset of clinical signs, the dog ingested some grape skins (about 60 g). Physical examination at the time of presentation showed peripheral edema and mucous pallor. Blood and blood chemical analysis revealed anemia and moderate azotemia with elevated blood urea nitrogen (107.2 mg/dl), creatinine (6.3 mg/dl) and hyperphosphatemia (11.3 mg/dl). Echogenicity of renal cortex were observred by ultrasonography. The dog was diagnosed as acute renal failure occurred by grape skin toxicosis. The dog was treated with supportive care such as fluid therapy, diuretics (furosemide) and phosphorus binder (almagate). A normal condition of blood and blood chemical findings and clinical signs was observed at five days after treatment, and prognosis is good to date.

독시라민 과다복용에 의한 횡문근 용해 및 급성 신부전 2례 (Two Cases of Acute Renal Failure due to Rhabdomyolysis Complicating Doxylamine Succinate Intoxication)

  • 정재권;김성호;김인식;김선웅;주동욱;이덕현;김종근
    • 대한임상독성학회지
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    • 제2권1호
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    • pp.15-19
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    • 2004
  • Doxylamine succinate is an antihistamine used primarily as a sleep-induction. It can be gotten without a doctor's prescription in Korea, so it' s overdoses were frequently encountered. There were several reports that the overdoses of doxylamine might cause rhabdomyolysis, but few cases have been reported that it is related to acute renal failure (ARF). In cases that ARF occur, most of them are not severe enough to require hemodialysis. We experienced two cases of severe rhabdomyolysis complicating ARF after doxylamine overdose and treated with hemodialysis. Clinicians should be aware of the potentially lethal complications of rhabdomyolysis in patients who ingest doxylamine succinate and the needs for prompt intervention and careful assessment of renal function.

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만성 DeBakey I형 박리성 대동맥류의 대동맥궁 치환술 후 잔존 복부대동맥 내막피판에 의해 발생한 급성 신부전의 외과적 치료 -1례 보고- (Fenestration Operation to Correct Acute Renal Failure After Total Aortic Arch Replacement in DeBakey typeI Aortic Dissection -1 case report-)

  • 편승환;노재욱;방정희;조광조;우종수
    • Journal of Chest Surgery
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    • 제31권4호
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    • pp.402-408
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    • 1998
  • 1995년 3월 56세 여자환자가 계속 확장하는 만성 Debakey 1형 대동맥 박리증으로 대동맥궁 치환술을 시행하였다. 계속되는 박리의 전후 확장으로 대동맥궁의 혈류가 분리되었고, 가강이 복부대동맥까지 확장되어 있었다. 수술후 3시간 뒤에 갑작스러운 무뇨증이 발생하였고, 도플러 초음파와 대동맥촬영에서 신동맥으로의 혈류가 감소된 것이 발견되었다. 내막피판에 의한 급성 신부전으로 판단하고 대동맥 풍선확장술을 시행하였으나 실패하였다. 응급으로 복부대동맥 개창술을 시행하여 내막피판과 혈전을 제거하였다. 이후 환자는 경한 만성신부전 상태로 투석 치료없이 지내고 있다.

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급성 신부전과 괴사성 근염을 동반한 가와사끼병 1례 (A Case of Kawasaki Disease Associated with Acute Renal Failure and Necrotizing Myositis)

  • 안소현;심소연;손세정;이승주;한운섭
    • Clinical and Experimental Pediatrics
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    • 제46권2호
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    • pp.207-209
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    • 2003
  • 가와사끼병은 주로 심혈관계를 침범하는 전신적인 염증 질환이다. 8세 이상의 나이가 많은 소아에서 가와사끼병은 발생률이 낮고 비정형적인 다양한 임상양상을 보이기 때문에 진단이 늦어질 수 있다. 저자들은 10세 남아에서 급성 신부전과 근염을 비롯하여 여러 가지 비정형적인 증상을 보임으로써 진단이 늦어진 가와사끼병을 경험하였기에 보고하는 바이다.

원인 불명의 급성 신부전으로 발현된 급성 파라콰트중독 1례 (A case of Diagnosing Paraquat Intoxication on Transferred Patient with Acute Renal Failure)

  • 길효욱;양종오;이은영;홍세용
    • 대한임상독성학회지
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    • 제2권1호
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    • pp.45-48
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    • 2004
  • Paraquat, a widely used herbicide, is extremely toxic, causing multiple organ failure in human. Many treatment modality has been used, but now paraquat is very fatal drug. Elimination rate of plasma paraquat seems to be a factor for the survival rate. So early diagnosis and early treatment are very important. Plasma paraquat concentration could be measured by radioimmunoassay. But it is impossible that the test was done at Emergency room and the result was checked immediately. There was relation between plasma paraquat concentrations and urine paraquat concentration. Because of its simplicity and low cost, urine paraquat concentration test is complementary to the plasma concentration measurement. If the patient has psychotic problem or unconscious mental state, and is observed unexplained dyspnea and oral ulcer, urine paraquat test is very important to rule out acute paraquat intoxication. We experienced a patient who was presented as unexplained acute renal failure initially and was diagnosed as paraquat intoxication later.

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장티푸스 환아에서 병발한 급성 신부전을 동반한 급성 간질성 신염 1례 (Acute Tubulointerstitial Nephritis with Renal Failure Complicated by Typhoid Fever)

  • 오정민;이나라;임형은;유기환;정운용;홍영숙;이주원
    • Childhood Kidney Diseases
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    • 제14권2호
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    • pp.236-239
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    • 2010
  • 장티푸스에 의한 신장 합병증은 전체 환자의 2-3% 정도로, 소아에서는 드물게 발견되며 최근 위생상태의 호전으로 장티푸스 발생율은 점점 감소하고 있다. 저자들은 장기간의 발열, 구토, 설사를 보였던 환아에서 단백뇨, 신기능 저하 소견이 나타나 경피적 신생검을 시행하여 급성 간질성 신염 소견이 증명된 환자를 경험하였기에 이를 보고하는 바이다.

혈액투석을 위한 동정맥연결술에 대한 임상적 고찰 (A Clinical Study of Arteriovenous Shunts and Arteriovenous Fistula for Hemodialysis)

  • 김근호
    • Journal of Chest Surgery
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    • 제11권2호
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    • pp.227-231
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    • 1978
  • Since January 1973 we have performed 47 arteriovenous shunts and 22 arteriovenous fistulas for 57 patients with acute or chronic renal failure. Of these 57 cases, 50 cases had chronic renal failure and the other 7 cases had acute renal failure. The most frequent complications after operations were thrombosis, bleeding and infection. Less frequently dislodgement of shunt and aneurysmal change of the fistula were found. After 47 arteriovenous shunts, 21 those complications [44%] were found. On the other hand after 22 arteriovenous fistulas, 5 complications were found. Now we are using the arteriovenous shunt only for the patients who need emergency short term hemodialysis and temporary dialysis until arteriovenous fistula could be used.

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수치(修治) 향부자 분획물의 흰쥐 신기능에 미치는 영향 (Effect of Processed Cyperi Rhizoma on Rat Kidney Function)

  • 김태희;양기숙;박지영
    • 약학회지
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    • 제42권1호
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    • pp.70-74
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    • 1998
  • Cyperus rotundus L. (Cyperaceae) has been used as an analgesic, antiinflammatoty agent, diuretic and emmenagoga in folk remedies. Cyperi Rhizomata, processed and unproces sed, were extracted with MeOH and fractionated with petroleum ether (Pet. Ether), $CHCl_3$, BuOH, water. In order to investigate the effects of their fractions on kidney function of acute renal failure rats induced by $HgCl_2$ urinary volume, BUN, Creatinine, Uric acid were determined. The diuretic effect of processed Cyperi Rhizoma was significantly increased in renal failure rats, on serum chemical parameters, the significant inhibition of BUN (blood urea nitrogen) of processed Cyperi Rhizoma was revealed.

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