• Archives of Plastic Surgery
• /
• 제32권6호
• /
• pp.782-786
• /
• 2005

Pressure sores are a common complication of hospitalized patients. However, It is often impossible to correct surgically because the general conditions of these patients are poor. It is known that the hydrogel has a powerful autolytic effect by providing moist environments and facilitates wound healing and hydrocolloid dressing is also known to promotes granulation tissue formation and epithelialization. The patients were treated with hydrogel(Purion $gel^{(R)}$, Coloplast A/S, Denmark) and hydrocolloid dressing (Comfeel Plus Transparent $Dressing^{(R)}$, Coloplast A/S, Denmark) after surgical debridement of pressure sores progressed to stage III(n=2) and IV(n=7). This combination treatment could facilitate to debride the nectrotic tissue and promote granulation tissue formation epithelialization simultaneously. We could achieve complete healing of pressure sores using the combination treatment without requiring surgical correction. In conclusion, hydrogel in combination with hydrocolloid dressing is effective in acheiving complete healing of progressed pressure sores.

• Archives of Plastic Surgery
• /
• 제35권1호
• /
• pp.92-95
• /
• 2008

Purpose: Heterotopic ossification in pressure sore patients is reported to rarely develop, but once it occurs, it frequently causes joint stiffness and mobilization restriction. The aim of this article is to report our experience of atypical bone growing at femur neck fracture site with chronic, extensive pressure sore in patient with paraplegia secondary to spinal injury. Methods: A 28-year-old male patient presented with atypical bone growth at femur neck fracture site with pressure sore. He had undergone atypical growth bone removal and separation of united iliac bone and femur, and then pressure sore was covered by advanced rotation flap. Results: The patient mobilized hip joint and rode in a wheelchair. Complications such as dehiscence, infection, hematoma and flap necrosis did not occur. Conclusion: We experienced successful correction of atypical bone growth removal and recovery of pressure sore. We report our experience of atypical bone growth of fracture site and the related literature was reviewed.

• Journal of Chest Surgery
• /
• 제29권2호
• /
• pp.219-222
• /
• 1996

34세 남자가 복수 및 복부 팽 만감을 주소로 입원하였다. 단층촬영 및 하대정맥 조영술상 간정맥 직상부의 하대 정맥폐색이 의심되는 Budd-Chiari 증후군으로 진단되었다. 대증요법으로 간문맥고혈압과 하대정맥폐색증상이 호전이 안되어, 체외순환, 중등도저체온 및 정 상심박동하에 폐색부위절제술 및 하대정맥성형술을 10mm인조혈관을 사용하여 시행하였다. 술후 환자는 구강및 피부와 이학적 검사상 구강궤양, 피하 혈전성 정맥염, 모낭염성 병변, 피부의 자극성 항진 및 포도막염이 관찰되었고 상대정맥 폐색증상이 병발하였으며 Behcet씨 병으로 진단되었다.

• Nuclear Medicine and Molecular Imaging
• /
• 제41권4호
• /
• pp.335-336
• /
• 2007

Meniscus-like presentation of ulcerating gastric carcinoma on upper gastrointestinal series radiograph was first described in 1921 by Carman and has since been known as a useful differential diagnostic sign in radiology. In 1982 using then newly introduced computed tomography (CT) Widder and Mueller revisited the meniscus sign. Their study was primarily focused on a dynamic assessment of the demonstrability of the meniscus sign that largely depends on the judgment and technical skill of examiner, especially graded compression and patient positioning. One year earlier Balfe et al. assessed the diagnostic reliability of gastric wall thickening as observed on CT scan in adenocarcinoma, lymphoma and leiomyosarcoma and concluded that it is not a reliable finding. In contrast, however, Lee et al. recently emphasized that the wall thickness measurement on CT of exophytic carcinoma, myoma and ulcers was a useful diagnostic means. Thus, it appears that gastric wall thickening or mucosal heave-up is by itself not as reliable as the meniscus sign. The electronic search of world literature failed to disclose earlier report of this sign demonstrated by $^{18}F-FDG$ positron emission tomography and computed tomography (PET/CT). The present communication documents $^{18}F-FDG$ PET/CT finding of the meniscus sign as encountered in a case of ulcerating gastric carcinoma, the histological diagnosis of which was moderately differentiated tubular adenocarcinoma. Unlike most gastric tumors without ulceration that tend to unimpressively accumulate $^{18}F-FDG$ the present case of Borrmann type III gastric carcinoma demonstrated markedly increased $^{18}F-FDG$ uptake.

• 대한한의학회지
• /
• 제18권1호
• /
• pp.238-250
• /
• 1997

This study was done to investigate the clinical effects of Daegunchungtang on the peptic ulcer and the function of gastointestinal tract. The liquid extracts of Daegunchungtang was administerd orally to the rats and mice. Then the effects of isolated ileum, pylorus-ligated and indomethacine-induced ulcer, gastric juice secretion, and transport abilities of the small and large intestine, were studied. The following results have been obtained : 1. Daegunchungtang showed to have an inhibitory effects on the smooth muscle contraction of the isolated ileum by acetylcholine chloride and barium chloride. 2. Daegunchungtang showed to have an inhibitory effect on the contraction of the gastric fundus-strip by acetylcholine chloride and barium chloride. 3. The preventive effects were recognized on the pylorus-ligated ulcer, by administration of Daegunchungtang. 4. The preventive effects were recognized on the indomethacine-induced ulcer, by administration of Daegunchungtang. 5. The Inhibitory effects on the secretion gastric juice, free & total acidity, and pepsin-output were recognized, by administration of Daegunchungtang. 6. The transport abilities in the small intestine were increased, by administration of Daegunchungtang. 7. The transport abilities in the large intestine were not recognized, by administration of Daegunchungtang. According to the above results, it is considered that the experimental effects of Daegunchungtang has correspond to the oriental medical literatures.

• Journal of Oral Medicine and Pain
• /
• 제38권1호
• /
• pp.1-5
• /
• 2013

다형 홍반은 피부 혹은 점막에 영향을 미치는 수포성, 궤양성의 염증성 질환이다. 이는 단순포진 바이러스와 같은 감염이나, 항생제나 진통제와 같은 약물에 의해 유발하는 것으로 알려져 있다. 증상으로는 피부에 과녁모양의 전형적인 병소가 나타나는 것으로 알려져 있으며, 구강 내에 증상이 발현 될 경우, 입술, 볼, 혀에 미란성의 병소가 발현되는 것으로 알려져 있고, 이는 다른 구강내 병소와의 감별을 필요로 한다. 본 증례에서 트리코모나스 감염 또는 메트로니다졸 투여로 인해 유발되었을 것으로 추정되는, 구강에 발생한 다형홍반의 사례를 소개하고, 다형홍반의 진단 및 치료에 대해서 고찰해 보고자 한다.

• 대한기관식도과학회:학술대회논문집
• /
• 대한기관식도과학회 1972년도 춘계종합 학술대회 초록집
• /
• pp.16.3-17
• /
• 1972

본원 이비인후과에서 Achalasia(무이완증)라고 진단한 1예의 환자에 대하여 Mercury bongienage를 실시하여 좋은 치료 효과를 보았기에 보고하는 바이다. 본 환자는 25세의 처녀로써 5년 전부터 식후 흉골하불경감과 타액과다 등이 있어 약 이년 전에 모병원 내과에서 진찰결과 전폐에 심한 건성잡음을 지닌 기관지 천식이라는 추정하에 치료하였으나 포말상백색타액과 호흡곤란, 소화불량, 해수, 연하장애 등의 증상이 계속되어 본과에 문진해 와서 입원 후 Esophagography와 Esophagoscopy를 실시하였다. 그 결과 Esophagogram상 분문부의 심한 협착과 그 상부의 심한 확장을 볼 수 있었고, Esophagoscopy시 분문부에서는 관강을 찾을 수 없었고 그 대신 증대된 mocosal fold를 볼 수 있었고 식도벽의 궤양이나 종물은 발견할 수 없었다. 약 1개월간의 mercury fougienage 결과 많은 증세의 호전이 있었으며 육개월이 지난 현재도 양호한 상태로 특별한 호소없이 지내고 있다.

• 약학회지
• /
• 제55권2호
• /
• pp.160-167
• /
• 2011

Cirsium japonicum var. ussuriense (CJ) is used as a folk medicine for diuretic, arthritis, dyspepsia, and bleeding in Korea. Until now, more than fifteen kinds of CJ were identified and among them, Cirsium japonicum var. nakaianum Nakai was selected as experimental material. Both that from The Medical Herb Garden of Seoul National University located at Gayang-dong, Koyang city and native that from a hillock near Dangjin, Chungnam were collected and analyzed to determine whether it is varied in efficacy on their habitats. Extracts and fractions of CJ had a strong effect of antibacterial activity on H. pylori and antioxidant effects. And the CJ from Garden and Dangjin were showed to be more efficient in acute gastritis through the HCl${\cdot}$ethanol-induced gastric lesion test and chronic gastritis through the indomethacin-induced gastric lesion test, respectively. This study proved that the effects of CJ are varied by their habitats. Also, these results suggest that the CJ has potentials for use as functional food and medicine.

• 한국약용작물학회지
• /
• 제16권2호
• /
• pp.100-105
• /
• 2008

We previously examined extracts, isolated from Scutellaria baicalensis (SB), chemical mediators, and IgE by mesenteric lymph node (MLN) lymphocytes in rats. The present study was to evaluate the effects of extracts of SB on the MLN lymphocytes function of mice given orally by 20 mg/kg for 2 weeks with dextran sulfate sodium (DS)-induced colitis. Results show that IgE levels in MLN lymphocytes was low, while IgA was high, in mice given SB compared to that fed water. Concentrations of $Inteferon-{\gamma}$ and interleukin (IL)-2 of T cells by concanavalin A treatment was significantly higher in the SB fed group than the normal group. Activation-induced IL-4 and IL-10 secretion was lower in SB fed mice compared control mice after DS-induced colitis. These results suggested that SB suppresses the inflammation in DS-induced colitis through the modulation of Th1/Th2 balance to down-regulate $Th_2$ response in MLN lymphocytes.

• 사상체질의학회지
• /
• 제16권3호
• /
• pp.129-132
• /
• 2004

1. Objectives Besides Diabetes Mellitus, its complications are matter of concerns as well. Its following complications are cardiovascular disease, glomerulopathy, retinopathy, neuropathy and diabetic gangrene. These complications can cause overall damage in major organs. In traditional oriental medicine it has been perceived that gangrene is mainly caused by "hwa(火)" but under sasang constitutional medicine its has been diagnosed as Taeumin superficial-disease(太陰人 表病) and Taeumin Jowiseungchung-tang(調胃升淸湯) was prescribed. As a result, significal improvments was noted and thefore we report the outcome. 2. Methods We have given Taeumin Jowiseungchung-tang(太陰人 調胃升淸湯) to a patient for treating diabetes complications. 3. Results This patient was treated with Sasang Constitional Medicine and acupuncture for about three weeks. After treatment, ulcer and whole body edema were improved considerbly. 4. Conclusions We have dianosed the patient as Taeumin superficial-disease(太陰人 表病) by undergoing several diagnostic method used in sasang constutional medicine. Therefore we have given Taeumin Jowiseungchung-tang(太陰人 調胃升淸湯) to the patient and has obtained satisfactory results in curing several diabetic complications especially ulcer due to diabetes.