• 제목/요약/키워드: ultrasonographic

검색결과 545건 처리시간 0.032초

소아 요로 결석에 관한 연구 (Urinary Stone in Children)

  • 은영민;노광식;김병길;한상원
    • Childhood Kidney Diseases
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    • 제1권1호
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    • pp.60-66
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    • 1997
  • 목적 : 요로 결석은 소아에서는 비교적 드물다고 하나, 점점 증가하고 있으며, 유발요인이 있는 경우에는 보다 빨리 진단할 수 있다. 본 연구를 통하여 요로 결석 환아들의 주증상, 진단, 감염및 동반 질환 여부, 치료 등에 대하여 알아보고자 하였다. 방법 : 1986년 1월부터 1996년 6월까지 10년 5개월간 세브란스 병원에 내원한 15세 미만의 요로 결석환아 45명을 대상으로 후향적 고찰을 하였다. 결과 : 요로 결석 환아의 평균 연령은 6.5세, 남녀비는 5.4:1이었고, 가족력은 13.3%에서 나타났다. 주증상은 육안적 혈뇨가 가장 많았고, 요로 감염을 동반한 환아 46.1%,요로 기형 및 질환을 동반한 환아가 35.6%에서 나타났다. 진단 방법으로는 단순 요로 촬영, 경정맥 신우 조영술, 복부 초음파 등이 사용되었는데, 초음파만으로 진단받은 경우도 다수 있어 의의가 크다고 하겠다. 치료로는 체외 충격파 쇄석술, 경피적 신결석 적출술, 수액 요법, 이뇨제등이 사용되었다. 결론 : 소아 요로결석에 대해 관찰한 결과, 유의할 만한 질환으로 생각되며, 요로 폐색이 있는 환아에서는 시급한 치료가 요구된다. 특히 단순 방사선 촬영및 경정맥 신우 조영술에서 발견되지 않은 환아에서는 반드시 초음파를 하여 진단해야 할 것이다. 한편, 결석의 성분 분석이 이루어지지 않아 다소 아쉬운 점이 남는다.

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분만 직전의 개에서 급성 부신겉질저하증과 유사한 일과성 저나트륨혈증 및 고칼륨혈증 일례 (Hypoadrenocortical Crisis-like Transient Hyponatremia and Hyperkalemia in a Near-Term Pregnant Dog)

  • 강지훈;김민준;조민행;장동우;강현구;김일화;나기정;양만표
    • 한국임상수의학회지
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    • 제22권4호
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    • pp.450-452
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    • 2005
  • A 3-year-old, 43kg, pregnant Great Pyrenese was examined for clinical signs of acute weakness and anorexia for 4 days. The dog was in lateral recumbency at referral. The rectal temperature was within reference range, and the respiratory and heart rates were 36 breaths/min and 58 beats/min, respectively. The abdomen was distended, and several puppies were palpated. The mean fetal head diameter was 2.8cm in the ultrasonographic examination. The initial complete blood count and serum biochemical examinations revealed mild dehydration, mud hyperglycemia, hypochloremia, hyperkalemia, hyponatremia, and low sodium-potassium ratio. Serum BUN and total cholesterol values were slightly high. Hypoadrenocortical crisis was suspected on the basis of signs of acute collapse, hyponatremia and hyperkalemia. Adrenal gland function was evaluated by an ACTH stimulation test. The baseline cortisol concentration was $18.6{\mu}g/dl$ and the concentration at 1 hour after administration of tetracosactrin (ACTH, Synacthen) was $8{\mu}g/dl$. The dog was treated for the correction of assumed hypoadrenocortical crisis and substantial hyperkalemia. In addition to rapid infusion with saline solution, other medications administered intravenously included sodium bicarbonate and cimetidine hydrochloride. The dog was monitored with repeated serum electrolyte examination. After clinical stabilization, cesarean section was performed. All of 13 puppies were delivered, and the dog recovered from anesthesia without complications. The values of postpartum blood tests returned to normal or within reference range. The dog remained healthily.

개에서 자궁축농증 및 난소간막 농양에 의한 복막염 (Peritonitis Secondary to Pyometra & Ovarian Bursal Abscess in a Dog)

  • 박은정;박지영;정성목;최호정;이영원;송근호;박성준;윤기영;정태호;신상태;조종기
    • 한국임상수의학회지
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    • 제30권5호
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    • pp.387-389
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    • 2013
  • 8년령의 중성화하지 않은 암컷 시츄견이 자궁축농증을 치료받기 위해 충남대학교 부속동물병원에 내원하였다. 임상증상으로 질출혈, 외음부출혈, 다식, 다음/다뇨 및 구토 등이 있었다. 혈액검사상으로는 미약한 백혈구감소증이 있었고 혈청화학적으로 ALP 감소 및 GLU 증가가 있었다. 방사선, 초음파 및 복강천자로 이루어졌으며 자궁축농증에 의한 복막염으로 잠정 진단하였다. 수술적 처치로 난소자궁적출술을 실시하였으며 생리식염수로 복강을 세척하였다. 심산 장 괴사가 있었고 자궁축농증에 의한 난소간막에서 농의 복강내로의 유출이 있었다. 이번 보고에서 2차적으로 패혈성 복막염이 발병할 수 있으니 자궁축농증 진단 시 2차성 질병에 대해서도 고려되어야 할 것이다.

Ovarian Follicular Dynamics, Ovarian Follicular Growth, Oocyte Yield, In vitro Embryo Production and Repeated Oocyte Pick Up in Thai Native Heifers Undergoing Superstimulation

  • Chasombat, J.;Nagai, T.;Parnpai, R.;Vongpralub, T.
    • Asian-Australasian Journal of Animal Sciences
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    • 제26권4호
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    • pp.488-500
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    • 2013
  • The objective of this study was to compare the effectiveness of the protocols for superstimulation of follicular growth in Thai native heifers. Heifers (n = 20) were randomly divided into four groups of five heifers/group. Heifers were given a single dose by i.m. administration of 100 mg Follicle Stimulating Hormone dissolved in polyvinylpyrrolidone (FSHp) at 24 h. Ovum pick up (OPU) occurred at 72 h ($F_{24}O_{72}$ protocol; Group 1) or 96 h ($F_{24}O_{96}$ protocol; Group 2), and at 36 h and OPU at 72 h ($F_{36}O_{72}$ protocol; Group 3) or 96 h ($F_{36}O_{96}$ protocol; Group 4) after follicular ablation. The dynamics of ovarian follicular growth were monitored by twice-daily ultrasonographic examinations. Blood sample collections were performed every 12 h after initiation of treatment for assessment of FSH, E2 and P4 profiles. All heifers were subjected to eight repeated sequential sessions of OPU. The follicular deviation commenced $24{\pm}5.32$ h after follicular ablation in all groups. The circulatory FSH surged quickly from 24 to 36 h (>0.8 ng/ml) after follicular ablation and circulatory estrogen levels steadily increased from 36 h until OPU in all groups. At the end of the OPU sessions, the mean number of aspirated follicles/heifer/session in $F_{36}O_{72}$ protocol (Group 3) and $F_{36}O_{96}$ protocol (Group 4) were higher than in the two other groups (p<0.05). The number of cumulus-oocyte complexes (COCs), cleaved and day 8 blastocysts rates in the $F_{36}O_{72}$ protocol (Group 3) were higher than in the other groups (p<0.05). It can be concluded that a single dose i.m. administration of 100 mg FSHp at 36 h and OPU at 72 h after follicular ablation ($F_{36}O_{72}$ protocol; Group 3) was the most effective protocol for superstimulation of follicular growth for repeated OPU and subsequent in vitro embryo production in Thai native heifers.

지방간(脂放肝)의 초음파소견(超音波所見)에 관(關)한 보험의학적(保險醫學的) 연구(硏究) (A Insurance-Medical Study on Ultrasonographic Findings of Fatty Liver)

  • 문수형;김수희;주성자;박상미;김미림;김강석
    • 보험의학회지
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    • 제3권1호
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    • pp.256-268
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    • 1986
  • We'd experienced 172 cases of fatty liver among 3,713 cases, that was examined by ultrasonography at medical department, Dae Han Kyoyuk Ins. company for recent one year from november, 1984 to November, 1985. The conclusions are as follows; 1. The possessing rate of fatty liver is 4.63% in total caees 138/2234 male(6.18%), 34/2234 female(2.3%) and that in male is 2.7 times than female. 2. In the distribution of fatty liver for age, the group of $21{\sim}30$ years are 9/564 cases(1.6%), the group of $31{\sim}40$ years are 74/1777, the group of $41{\sim}50$ years are 59/976(6.05%),the group of $51{\sim}60$ years are 29/240(12.08%) with age, the possessing rate of fatty liver was increased. 3. For sex, age, the possessing rate of fatty liver, in male $21{\sim}30$ years 8/329 cases(2.43%), $31{\sim}40$ years 64/118(5.72%) $41{\sim}50$ years 43/618(6.96%), $51{\sim}60$ years 22/134(16.42%) and in female, $21{\sim}30$ years 1/335(0.3%), $31{\sim}40$ years 10/659(1.52%) $41{\sim}50$ years 16/358(4.47%), $51{\sim}60$ years 7/106(6.6%) and then in total sex, with age, the incidence was increased. 4. 172 cases in fatty liver, we could find 109 cases of obesity(63.37%), in female the rate was more. 5. The abnormal was 13.95% for the level of Fasting blood sugar of fatty liver 172 cases, the average level of blood sugar was high markedly in female, on the contrary the number of abnormal blood sugar level was high in male. 6. In liver function test of 172 cases of fatty liver, the abnormal of sGOT value was 18.6%, sGOT value 20.93%, average of abnormal group in sGOT value was 52.62 units, sGPT value 56.99 units.

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신질환(腎疾患) 132례(例)의 초음파진단(超音波診斷) (Ultrasonographic Findings in 132 Cases of Renal Disease)

  • 한혜진;김강석
    • 보험의학회지
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    • 제3권1호
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    • pp.187-208
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    • 1986
  • The conclusions which was acquired one renal cell carcinoma and renal disease 132 cases that was tested renal echogram among 4,499 cases for recent 16 months at medical department, Dae Han Kyoyuk Insurance company from August, 1984 to November, 1985 are as follows: 1. On bur ultrasonography, the echo of tumor was demonstrated with echogenicity as compared with renal parenchyme. 2. The case was stage I by Robson's modification method for pathologic histology. 3. There is no fever, typical triad of renal cell carcinoma and the result of serum biochemical test was within normal limit. 4. The frequency with disease was renal cell carcinoma(0.76%), ureteral stone(1.5%), multicystic kidney(2.27%), hydroureter(2.27%), Bilateral poly cystic kidney(4.55%), hydronephrosis(4.55%), renal agenesis(6.06%) renal calculi(18.18%), simple cyst(60.61%). 5. The frequency with age was 55/1200 case(4.58%) in $41{\sim}50$ years, 13/296 cases(4.39%) in $51{\sim}60$ years, 43/2144 cases(2.01%) in $31{\sim}40$ years, 14/791 cases(1.77%) in $21{\sim}30$ years, 7/53 cases(1.32%) more than 61 years and 0/15(0%) under 20 years. 6. The affected site of renal agenesis 8 cases was right side all. 7. In total renal disease 132 cases, the affected site of 126 cases except bilateral polycystic kidney 6 cases was right kidney 72 cases, left kidney the proportion of right to left 1.6:1 8. In total renal disease 132 cases except bilateral polycystic kidneys 6 cases, the patients affected with both side kidneys were 14 cases. 9. The affection rate with sex in total renal disease 132 cases was 98/2860 cases in male, 34/1819 cases in female and the former was about 2 times than the latter. 10. Classifying the stone with part, nephrolithiasis 24 cases were appeared high frequency, on the contray, ureteral stone 2 cases. 11. 2 cases of ureteral stone developed complication, hydronephrosis and hydroureter. 12. The linear array type transducer was not helpful for the diagnosis of lower ureteral calculi but for the lower ureteral calculi, we could see the stone with high echo in accompanying with acoustic shadowing. 13. In 24 cases of renal calculi, both side nephrolithiasis was 3 cases(12.5%). 14. In renal calculi, solitary stone could be seen extremely much and the number of stone was so much variable from 2 to 10. 15. In 26 cases with renal calculi and ureteral stone, the common clinical manifestation was a intermittent and slight pain. 16. In 80 cases of renal cyst, as one's get older, the affection rate of cyst extremely rised. 17. In bilateral polycystic kidney, large cyst had septum on the whole. 18. The patients with complication were 14 cases(10.6%) of total patients.

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외측 반월상 연골 변연부 파열 봉합 후 초음파 추적 검사의 유용성 (Usefulness of Ultrasonographic Follow Up Study After Repair of Peripheral Lateral Meniscal Tear)

  • 김정만;임동선;김태형;신은수;문영석
    • 대한정형외과 초음파학회지
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    • 제4권1호
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    • pp.15-19
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    • 2011
  • 목적: 외측 반월상 연골 파열 봉합 후 추적 검사 방법으로서의 초음파 검사의 유용성을 알아보고자 하였다. 대상 및 방법: 슬관절 외측 반월상 연골 파열 중 변연부 파열이 있어 봉합술을 시행했던 경우 중 1년 이상(1~2.5년) 추시가 가능하였던 14예를 대상으로 하였다. 남성 10예, 여성 4예 이었으며, 평균나이는 36.1세(19~53세)이었다. 수술 후 6주, 3개월, 6개월, 1년에 외래에 방문하여 수술한 슬관절에 대한 신체 검사와 초음파를 시행하였다. 초음파 검사와 임상적 치유 상태가 일치하는 정도를 보았다. 결과: 3예에서 추시 기간 중 초기인 6주, 3개월에 신체 검사 상 관절선 압통이나 부종 등이 있었으나 이후 추시에서는 사라졌고, 모든 추시 기간 실시한 초음파 검사에서는 전례에서 봉합부위가 치유된 것을 볼 수 있었다. 결론: 외측 반월상 연골 변연부 파열 봉합술 후 초음파 검사는 치유 상태를 판단함에 있어 비용과 편의성에 있어 유용한 검사라고 생각된다.

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체세포 복제돼지 생산에 있어서 대리모의 선발과 배란상태 분석 (Selection of Surrogates and Analysis of Its Ovulation Status for the Production of Somatic Cell Cloned Piglets)

  • 현상환;정연우;이은송;김현욱;김근형;정의배
    • 한국임상수의학회지
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    • 제23권2호
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    • pp.123-128
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    • 2006
  • Production of cloned pigs by somatic cell nuclear transfer (SCNT) has unlimited value for developing critical biotechnology such as xenotransplantation. Various efforts have been made to establish this technology, and several litters of live piglets have been produced after transfer of SCNT embryos. However, the efficiency is very low compared to piglet production by artificial insemination or natural mating. So far, most studies have been limited to in vitro production of SCNT embryos. This study was conducted to standardize a surrogate recipient (gilts) for transfer of SCNT embryos to improve pregnancy rate. Potential surrogate gilts over 7 months of age were checked for their estrous status by observing external signs; vaginal fluid, vulva redness, vulva swelling, and standing response to back pressure. Viscosity of vaginal fluid was evaluated and classified as none (0), medium (1), and strong (2). Vulva redness and swelling was respectively assessed by none or shrink (0), medium (1), strong (2). Back pressure was estimated by an immediate move (0), standing less than 10 sec (1), and standing over 10 see (2). And then ovulation status of each surrogate was classified as pre-ovulation (PO-17 surrogates), just prior to ovulation (JPO-20 surrogates), in ovulation (IO-12 surrogates), just after ovulation (JAO-14 surrogates) and after ovulation (AO-24 surrogates) at the time of surgery for embryo transfer (ET). Real-time ultrasonographic scanners have been used for pregnancy diagnosis by observing amniotic vesicles. The first pregnancy diagnosis was done on Day 30 after ET and then repeated 2-week interval. In the results, SCNT embryos transferred into JPO surrogates gave better pregnancy rates (45%) than others (4% to 11%) on Day 30 after ET. These result indicates that surrogate gilts in a status just prior to ovulation can offer optimal condition to establish pregnancy by transfer of SCNT pig embryos.

강아지에서 컨벡스스캐너를 이용한 정상적인 심장구조물의 초음파상 (Ultrasound Imaging of Normal Cardiac Structures with Convex Scanner in Puppies)

  • 정순욱;박희명;한숙희;윤정희;한홍율
    • 한국임상수의학회지
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    • 제11권2호
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    • pp.529-537
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    • 1994
  • Sector scanner which has a conical end is used to image through the intercostal space because heart is protected by the ribs. Cardiac data published all around the world were also obtained by sector scanner. Although scanners being used in every small animal practice and animal hospital at college in Korea include convex ape and linear type, linear type is not appropriate f3r cardiac scan because of a wide contact surface. The purpose of this study is to establish ultrasonographic images of normal cardiac structures by measuring shape, size of reflectable cardiac structure according to restraint position in scanning normal heart of the puppies with 6.5 MHz convex scanner(SonoAce 4500, Medison, Korea) used in our veterinary teaching hospital, Seoul national university. Seventeen male and female puppies considered having healthy hear by X-ray and clinical examination are used feom April to July 1994. Scanning point selection of probe head and the distinction of imaged cardiac structures were accomplished by necropsy and cardiac scanning performed through thoracotomy under general anesthesia. At 10 o'clock position of transducer(at an angle of 30$^{\circ}$ between imaginary line from elbow joint to 3rd sternum and probe head, 60$^{\circ}$ from body surface, 4th intercostal space of right thorax) with the marker of scanner toward the head of dogs right atrium, left atrium and left ventricle were observed in 2, 3, 4, 5 intercostal space(2cm from the sternum) of experimental dog positioned ventrodorsally under general anesthesia. Under these conditions, the numerical values of imaged diastolic hear are as follows : the distance from skin to apex(mean$\pm$S.D) 47.53$\pm$6.94mm, thickness of left ventricular wall 6.00$\pm$1.60mm, length of left ventricle 16.27$\pm$5.31mm, width of left ventricle 15,33$\pm$4.25mm, length of left atrium 12.33$\pm$3.82mm, width of left atrium 11. 33$\pm$3.94mm, length of right atrium 1.00$\pm$2.41mm, width of right atrium 11.21$\pm$2.76mm and the area of left ventricle 270.92$\pm$109.81mm$^2$, area of left atrium 98.00$\pm$41.08mm$^2$, area of right atrium 62.75$\pm$21.04mm$^2$.

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개에서 Staphylococcus intermedius에 의한 복막후농양 발생례 (Retroperitoneal Abscess Caused by Staphylococcus intermedius in a Dog)

  • 이상관;허우필;엄기동;이근우;오태호
    • 한국임상수의학회지
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    • 제26권2호
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    • pp.176-180
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    • 2009
  • 2년령의 암컷 miniature schnauzer가 침울, 복통 및 식욕부진으로 내원하였다. 신체검사를 통해 빈맥, 발열과 복통을 확인하였다. 총혈구계수 검사에서 호중구수의 증가를 동반한 백혈구증가증이 관찰되었다. 방사선 검사에서 하행결장의 변위와 척추와 평행하게 방사선투과가 감소한 부위가 관찰되었다. 초음파검사시 방광내 결석과 슬러지, 우측 신장의 수신증 및 근위뇨관의 확장이 관찰되었다. 뇨검사결과 단백뇨와 혈뇨가 나타났으며 뇨침사검사에서 다수의 상피세포, calcium oxalate 결정, struvite 결정, 무정형 결정과 과립원주, 백혈구 및 구균이 관찰되었다. 상기의 결과와 배설성 요로 조영술을 통해 신우신염과 편측성 뇨관 완전폐색증으로 진단하였다. 신장절제술을 위한 개복술시 후복막강에 풍선형의 구조물을 발견하였다. 구조물로부터 채취한 시료의 세포검사와 배양검사결과 다수의 퇴행성 호중구와 탐식된 구균을 관찰하였다. 결론적으로 뇨관폐색과 방광결석을 동반한 Staphylococcus intermedius에 의한 복막후농양으로 최종 진단하였고 우측신장의 절제를 실시하여 치료하였다.