• 제목/요약/키워드: days of hospitalization

검색결과 548건 처리시간 0.023초

A Case of Korean Medicine Treatment for a Patient with Somatic Symptom Disorder Hospitalized after a Traffic Accident

  • Hong, Min-Ho;Cho, Han-Byul;Kim, Man-Gi;Koo, Byung-Su;Kim, Geun-Woo
    • 동의신경정신과학회지
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    • 제32권1호
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    • pp.67-79
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    • 2021
  • Objectives: The purpose of this study was to report the effect of Korean medicine treatment on a patient with somatic symptom disorder hospitalized after a traffic accident. Methods: The subject for this study was a patient diagnosed with somatic symptom disorder that worsened after a traffic accident. During hospitalization, herbal medicine, acupuncture, psychotherapy, and other treatments were performed. Clinical effect was evaluated using Heart Rate Variability (HRV), BDI (Beck Depression Inventory)-II, BAI (Beck Anxiety Inventory), Global assessment (G/A), and Numerical rating scale (NRS). Results: After 36 days of treatment, BDI-II score was reduced from 17 to 5. BAI score was reduced from 23 to 8. Overall somatic symptoms and pain showed decreases. Conclusions: Korean medicine treatment might be effective for somatic symptom disorder that is worsened after a traffic accident.

Uroperitoneum Secondary to the Rupture of the Urinary Bladder in a Thoroughbred Foal

  • Jeong, Hyohoon;Park, Kyung-won;Lee, Eun-bee;Kang, Tae-Young;Seo, Jong-pil
    • 한국임상수의학회지
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    • 제38권6호
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    • pp.305-309
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    • 2021
  • A 13-day-old Thoroughbred female foal weighing 59 kg was referred to the Jeju National University Equine Hospital with clinical signs including depression, labored breathing, tachycardia, anorexia, and marked distended abdomen. Uroperitoneum secondary to a rupture of the urinary bladder was diagnosed based on the history, clinical signs, and ultrasound imaging. An emergency laparotomy for cystorrhaphy under inhalation anesthesia was performed, and the patient recovered uneventfully. A course of extensive supportive therapy with systemic antibiotics after surgery was carried out. The foal fully recovered and was discharged after 14 days of hospitalization. The follow-up after seven months revealed the patient to be clinically healthy. This report describes a case of uroperitoneum secondary to the rupture of the urinary bladder in a Thoroughbred foal, along with the clinical outcomes of surgical repair and intensive treatment in detail.

염소 가스 중독에서 나트륨 중탄산염의 흡입치료 2례 (Two Cases of Sodium Bicarbonate Inhalation Therapy in Chlorine Gas Intoxication)

  • 이동훈;어은경
    • 대한임상독성학회지
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    • 제2권1호
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    • pp.49-53
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    • 2004
  • A chlorine gas is a common irritant and when exposed, it result in mild occular, oropharyngeal, or respiratory symptoms. In severe case, however, it may result in pulmonary edema, interstitial pneumonia, or respiratory failure. We report the case of 29-year-old and 46-year-old men is accidentally exposed to chlorine gas during cleaning water. The patients complained dyspnea, chest tightness, cough and both eye pain. During hospitalization, they were treated with inhalation of humidified oxygen, beta-adrenergic agonist and $2\%$ sodium bicarbonate. After several days, patients were discharged without respiratory symptoms and complication. In treatment of chlorine gas toxicity the inhalation of sodium bicarbonate is a possible initial therapy can improve respiratory symptoms in spite of lack of evidence.

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길랑바레증후군으로 진단받은 환자의 한방치료 증례보고 1례 (Case Report of Patients Diagnosed with Guillain-Barre Syndrome Improved by Traditional Korean Medical Treatment)

  • 황동규;박삼민;김은지;김재영
    • 대한한방내과학회지
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    • 제37권2호
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    • pp.305-314
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    • 2016
  • Objective: The present study reports on one patient diagnosed with Guillain-Barre syndrome.Method: One patient was treated by Sukjiyanggeun-tang, electroacupuncture, and physical therapy. Any improvement in symptoms was assessed by measuring changes in motor grade; scores in the modified Barthel index, the disability scale, and the numerical rating scale (NRS) of lower back pain; and ambulatory condition during hospitalization.Results: After 48 days of treatment, the patient's symptoms of Guillain-Barre syndrome showed improvement.Conclusions: Traditional Korean medical treatment appeared to be effective in reducing Guillain-Barre syndrome symptoms, but more research is required to confirm these results.

A Case of Klatskin Tumor Showing Slow Progression

  • Min Kyu Kang;Kook Hyun Kim;Joon Hyuk Choi;Tae Nyeun Kim
    • Journal of Digestive Cancer Research
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    • 제5권1호
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    • pp.55-57
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    • 2017
  • A 64-year-old man was admitted due to jaundice for 2 weeks. Radiologic findings revealed biliary stricture at the hepatic hilum with intrahepatic duct dilation suggesting Bismuth type IV Klatskin tumor. Jaundice improved spontaneously several days after hospitalization. Surgical treatment was considered but he only wanted to observe without specific treatment. Ten months later, he was re-admitted due to the recurrence of jaundice. Computed tomography (CT) showed no significant difference compared to previous results. Serum cancer antigen 19-9 and Immunoglobulin G4 were normal. Endoscopic forcep biopsy during endoscopic retrograde cholagiopancreatography (ERCP) revealed chronic inflammation. After steroid use under possible diagnosis of IgG4 related cholangiopathy, biliary stricture improved slightly. Four years later, he was hospitalized with the occurrence of acute cholangitis. Endoscopic retrograde biliary drainage was performed following endobiliary forcep biopsy. Pathology revealed well-differentiated adenocarcinoma at this time. Combined chemotherapy based on gemcitabine and cisplatin was performed. Six months later, CT revealed partial response.

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Transfromation of Percutaneous Extracorporeal Life Support to Paracorporeal Ventricular Assist Device: A Case Report

  • Kim, Chilsung;Cho, Yang Hyun;Sung, Kiick;Yang, Ji-Hyuk
    • Journal of Chest Surgery
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    • 제47권4호
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    • pp.409-412
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    • 2014
  • Percutaneous extracorporeal life support (P-ECLS) is a useful modality for the management of refractory cardiac or pulmonary failure. However, venoarterial P-ECLS may result in a complication of left ventricular distension. In this case report, we discuss a patient with drug-induced dilated cardiomyopathy managed with venoarterial P-ECLS and a left atrial vent catheter. The venoarterial P-ECLS was modified to a paracorporeal left ventricular assist device (LVAD) by removing the femoral venous cannula. After 28 days of hospitalization, the patient was successfully weaned from the paracorporeal LVAD and discharged home from the hospital.

선천성 낭종성 선종양 기형 2례 보 (Congenital cystic adenoid malformation: report of 2 cases)

  • 진성훈;김주현
    • Journal of Chest Surgery
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    • 제17권2호
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    • pp.326-330
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    • 1984
  • Congenital Cystic Adenomatoid Malformation [C.C.A.M], one of lung bud anomalies, is an unusual lesion, only about 200 cases baring been reported by 1980, and characterized by marked proliferation of terminal respiratory structures. Recently we experienced two infants with C.C.A,M., whose clinical courses were quite different. On case 1, the patient was 25-day-old female, and suffered from progressive respiratory distress for 10 days duration. A right middle lobectomy was performed, with a satisfactory postoperative course. On case II, the patient was 7omonth-old male, and admitted for evaluation of known pulmonary anomaly, which was detected for the first time during hospitalization for treatment of pneumonia at 1 month of his age. He underwent a lingular segmentectomy, but died of respiratory insufficiency on postop 10th day. We believe that awareness of the presence of C.C.A.M. is important in making the differential diagnosis of progressive respiratory disease or of recurrent pulmonary infection in infants.

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한방치료로 호전된 만성 두통 환자 치험 1례 (Case Study of Chronic Headache Patient by Oriental Medical Treatment)

  • 방창호;윤종민
    • 동의생리병리학회지
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    • 제24권6호
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    • pp.1105-1110
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    • 2010
  • The purpose of this case study is to report the effect of oriental medical treatment on chronic tension-type headache. Despite the patient was treated by cervical nerve block for headache, headache was not improved. We diagnosed chronic tension-type headache according to ICHD-II(The International Classification of Headache Disorders) and Qi deficiency, dampness and phlegm by oriental differential diagnosis of symptom and signs. We applied herbal medicine, acupuncture, moxibustion and cupping therapy for hospitalization(7 days). Oriental medical treatment may have effective results in treating chronic tension-type headache that was not improved by cervical nerve block treatment. But this is a single case study, so further case-series research should be compiled.

노인에서 반복되는 저나트륨혈증이 삼일신기환 투여로 개선된 1례 : 증례보고 (A Case of Recurrent Hyponatremia in the Elderly Improved by Samilsingi-hwan: A Case Report)

  • 전천후;조충식
    • 대한한방내과학회지
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    • 제40권6호
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    • pp.1311-1317
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    • 2019
  • Objectives: This report aims to present the case of Korean medicine therapies including Samilsingi-hwan on recurrent hyponatremia in the elderly. Method: A laboratory test was conducted on a patient with general weakness, anorexia, and excess salivation. The patient was diagnosed with hyponatremia and so received intravenous fluid treatment. Results: We continued fluid treatment until electrolyte levels of sodium returned to normal, but the levels gradually dropped repeatedly when the fluid treatment was discontinued. After changing the herbal medicine to Samilsingi-hwan, recurrence of hyponatremia was not seen, even after stopping the fluid treatment. Clinical symptoms also improved during 35 days of hospitalization. Conclusion: This case demonstrates that Samilsingi-hwan may be effective in recurrent hyponatremia in the elderly. Further research is needed.

조위승청탕(調胃升淸湯)으로 호전된 올리브교소뇌위축증 환자 1례 (A Case Study of a Taeeumin Patient with Olivopontocerebellar Atrophy Improved with Jowisengcheong-tang)

  • 이미숙;배나영
    • 사상체질의학회지
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    • 제25권3호
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    • pp.243-253
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    • 2013
  • Objectives The aim of this study was to examine significant improvement of dizziness, gait disturbance, insomnia and xerostomia after treatment with Jowisengcheong-tang in a Taeeumin patient with olivopontocerebellar atrophy (OPCA). Methods The patient's subjective and objective symptoms were observed daily throughout the hospitalization period using global assessment (G/A), and the Unified Multiple System Atrophy Rating Scale (UMSARS) was used to assess the overall function of patient. Results The symptoms of dizziness and xerostomia decreased from G/A 100 to G/A 10~30 for five days, and the UMSARS score decreased in Part I,II. Conclusions This case showed that Sasang constitutional medicine treatment can be effective treatment method for OPCA. We consider that consistent treatment can contribute to improve the patient's quality of life.