• Title/Summary/Keyword: 동반진단치료

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Sphenoid Sinus Carcinoma with Intramedullary Spinal Cord Metastasis and Syringomyelia -Report of A Case- (접형동암 환자에서 척수공동증을 동반한 척수내 전이 -증례 보고-)

  • Oh, Yoon-Kyeong;Kim, Young-Sook
    • Radiation Oncology Journal
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    • v.14 no.1
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    • pp.61-67
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    • 1996
  • Purpose : Primary sphenoid carcinoma is rare. It accounts for $0.3\%$ of all primary paranasal sinus malignancies. Because of the rarity of sphenoid carcinoma, large series of patients with outcome and survival statistics are currently unavailable. So we followed up the 1 case of sphenoid sinus carcinoma treated in our hospital and reported the course of the disease. Case report : In a review of case reports and small series of patients, 2-rear survival was $7\%$. Our case is alive at 29 months after diagnosis of sphenoid sinus carcinoma. Intramedullary spinal cord metastasis (ISCM) is an unusual complication of cancer. In our case rapidly progressive paraparesis and urinary retention developed at 25 months after diagnosis of sphenoid sinus carcinoma. MRI of the thoracic spines showed the intramedullary spinal cord tumor mass at T3 and 74 level with accompanying syringomyelia. Here we report a case of ISCM associated with syringomyelia which has developed after primary sphenoid sinus carcinoma with a review of literature about the clinical behavior and treatment of this lesion.

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학술자료I- 고양이 외인성 췌장부전 Part 2(Feline Exocrine Pancreatic Insufficiency)

  • Lee, Jin-Su
    • Journal of the korean veterinary medical association
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    • v.47 no.12
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    • pp.1086-1090
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    • 2011
  • 외인성 췌장부전은 췌장에서 분비되는 소화효소의 부족한 합성 및 분비에 기인한다. 대부분의 개체에서 보이는 임상증상은 체중감소, 다량의 연변, 지방변이다. 혈청 고양이 유사트립신 면역활성 농도검사는 외인성 췌장부전 진단에 있어 매우 유용한 검사법이다. 외인성 췌장부전 환자의 치료는 췌장 소화효소의 공급이다. 대부분의 외인성 췌장부전 환자에서 심각한 혈청 코발라민의 감소와 동반되기 때문에 코발라민의 투여는 반드시 필요하다. 마지막으로 개에 비해 흔하게 확인되진 않지만, 만성적인 연변 및 체중감소를 보이는 환자에서는 진단에 있어 외인성 췌장부전에 대한 고려가 필요하다.

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The effect of perioperative inhaled iloprost on congenital heart disease with severe pulmonary arterial hypertension (심한 폐동맥 고혈압을 동반한 선천성 심장병 환자에서 수술 전후 Iloprost 효과)

  • Kim, Su Nam;Choi, Deok Young
    • Clinical and Experimental Pediatrics
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    • v.53 no.1
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    • pp.93-96
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    • 2010
  • A 47-year-old male patient in whom atrial septal defect (ASD) had been diagnosed 15 years previously was admitted for cardiac catheterization. He had definite cyanotic lips and nail beds and severe pulmonary arterial hypertension (PAH). He had received medical treatment only for the last few years after being diagnosed with Eisenmenger syndrome. After cardiac catheterization, he received iloprost inhalation therapy pre and postoperation and was discharged after successful surgical closure of the ASD.

Two Cases of Esophageal Perforation due to Esophagoscopy (식도경술에 의한 식도천공의 2례)

  • 손학순
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.3.1-3
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    • 1978
  • Esophageal perforation tend to occur more frequently today because of the increased use of therapeutic and diagnostic endoscopy. Even the slightest trauma to the esophageal can be fetal. Thus, esophageal perforation carries a very high mortality and morbidity unless early diagnosis and prompt therapy are instituted. We have had two cases of esophageal perforation associated with periesophageal abscess due to esophagoscopy after removal of foreign body with good results. Therefore these two cases of esophogoscopic esophageal perforation are reported with a review of the literature.

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The Study on Hypertension Cure Rate Management Centering around Wellness Local Community : With GwangJu as a Central Figure (웰니스 지역사회 중심의 고혈압 치료율 관리 방안에 관한 연구 : 광주광역시 중심으로)

  • Yang, Yu-Jeong;Park, Jong-Ho
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.351-361
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    • 2021
  • This study was conducted to identify the factors of hypertension treatment in Gwangju and to establish a hypertension cure rate management plan by using local community health surveys to provide the hypertension cure rate management plan centering around the wellness local community. The research collected 13,714 Gwangju research data among a total of 685,820 local community health surveys of KDCA (Korea Disease Control and Prevention Agency) from 2017 to 2019. Among the data, 2,941 subjects, those with diagnosed hypertension aged over 30, were selected and analyzed through SAS 9.4, SAS Enterprise Miner 15.1. The results are as follows. The differences in hypertension diagnosis cure rate in Gwangju based on the subjects' socioeconomic characteristics were shown in gender, age, marital status, level of educational attainment, economic activity status, and monthly income. The significant differences in hypertension cure rate based on health behavior characteristics were shown in current smoking, monthly alcohol consumption, high-risk drinking, breakfast, recognition of good health level, diabetes and treatment, annual unmet medical needs, and annual health center use. As a result of the logistic regression analysis and interactive decision tree analysis to identify the factors affecting hypertension treatment, the research found that the factors that appear are age, marital status, diabetes and treatment, and annual unmet medical needs. Accordingly, to increase the recognition of the importance of hypertension treatment to people of young ages and not to develop complications, public health-educational effort in Gwangju is needed with an effective preparation plan.

A case of Behcet's Disease with CNS Manifestations (중추 신경계 증상이 동반된 Behcet,씨 병 1예)

  • Shin, Dong-Gu;Ko, Myung-Ku;Yoon, Kyung-Woo;Kim, Chong-Suhl
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.307-311
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    • 1986
  • Beh,cet's disease was originally described as a triple symptom complex of oral aphthous ulceration, genital ulceration, and hypopyon iritis. It is now known to have a wide systemic manifestations. Among them, the central nervous system involvement should be diagnosed earlier because of it's lethal potential. Recently the authors experienced a case of Behcet's disease with CNS involvement. A 51-year-old female patient was admitted due to deterioration of mentality and generalized ache since 2 years prior to admission. The findings on physical examination were compatible with Behcet's disease, but without cerebrospinal pleocytosis. The manifestations were improved with medications of prednisolone, chlorambucil, colchicine, but relapsed 2 months later during subsequent tapering of prednisolone and chlorambucil. The patient is now on medication again. A case of Beh,cet's disease with CNS manifestations is reported with review of literature.

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Urinary Stone in Children (소아 요로 결석에 관한 연구)

  • Eun Young-Min;Rho Kwang-Sik;Kim Pyung-Kil;Han Sang-Won
    • Childhood Kidney Diseases
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    • v.1 no.1
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    • pp.60-66
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    • 1997
  • Even though the urinary stones are rare in children, careful observation and monitoring are necessary because the incidence has been increasing. This study is aimed to document the characteristics of urinary stones in children including the symptoms, diagnosis, with or without urinary tract infection, other urinary tract anomaly and treatment. 45 patients under the age of 15 years with urinary stones hospitalized during Jan. 1986 to Jun. 1996 at Severance Hospital were reviewed retrospectively. Patients' mean age was 6.5 years and sex ratio (male : female) was 5.4:1. The most common symptom was gross hematuria. Stones accompanied with urinary tract infection was 46.7%, and stones associated with urinary tract anomaly was 35.6%. Extracorporeal shock wave lithotripsy, percutaneous nephrolithotorny, hydration and diuretics were the treatment modality used. Urinary stone were found to be a significant cause of urinary tract obstruction in children, requiring prompt diagnosis and treatment. Although KUB, IVP, and ultrasonography were commonly used to make the diagnosis, many cases were detected only by ultrasonographic study.

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선천성 후두열

  • 백정환;권중근;손영익;추광철
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1996.04a
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    • pp.81-81
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    • 1996
  • 선천성 후두열은 매우 드문 선천성 기형으로 신생아에게 심각한 호흡곤란 및 수유장애를 초래할 수 있다. 해부학적 결손정도와 관련된 기형에 따라 다양한 증상이 나타난다. 가장 흔한 특징적 증상으로는 흡기시 천명, 간헐적으로 나타나는 수유시 호홉곤란을 들 수 있다. 이 증상들은 후두연화증, 성대마비, 후비공폐색 둥과 같은 다른 선천성 기형에서도 나타나기 때문에 미리 의심하지 못하면 진단이 어렵다. 따라서 진단을 위해서는 세심한 주의와 정확한 내시경 검사가 필요하다. 저자들은 선천성 후두열 2례를 경험하였다. 첫 증례는 제 II형이었고 두번째는 III형이었으며, 두 증례 모두 전방 후두열 접근법으로 치료하였다. 제 III형 환아는 술전 흡기시 천명을 동반한 호흡곤란과 여러번의 흡인성 폐렴을 겪었으며 술후 캐놀라발거는 가능하였으나 경구를 통한 수유시 흡인을 동반하여 현재까지 위루술을 통해 음식을 섭취하고 있는 상태이다. 저자들은 최근 경험한 선천성 후두열 2례를 video presentation과 함께 보고하는 바이다.

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성인의 급성 후두개염

  • 김중강;김희준;박기철;송달원;김덕준
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1997.04a
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    • pp.115-115
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    • 1997
  • 성인에 있어서 급성 후두개염의 발생빈도는 점차 증가하고 있다는 보고들이 있다. 일명 성문상부염(supraglottitis)이라고도 불린다. 이는 비단 후두개뿐만 아니라, 성문상부 구조물의 광범위한 염증을 흔히 동반하기 때문이다. 항생제의 발달로 과거와 같은 심각한 호흡곤란및 급성 상기도 증상을 일으켜, 기관지 절개술 등을 필요로 하는 경우는 많이 줄었다 하더라도 여전히 급성상기도 폐쇄를 일으킬 수 있는 응급질환 중의 하나이다. 저자들은 최근 18년동안 본교실에서 급성 후두개염으로 진단받고 치료받은 성인환자 103례중 77례를 대상으로 후향적으로 임상적 특징, 검사소견, 치료성적 등을 비교, 분석하였다. 문헌고찰과 아울러 보고하고저 한다.

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Concomitant Subscapularis Tear (견갑하근 동반 파열)

  • An, Gi-Yong;Mun, Yeong-Rae
    • 대한관절경학회:학술대회논문집
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    • 2009.10a
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    • pp.8-13
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    • 2009
  • 견갑하근의 단독 파열은 드물고 또 이에 대한 치료와 관련된 논문도 한정적이었으나 최근 관절경 술식의 발달로 견갑하근 파열의 진단과 치료방식이 발전하고 있다. 이러한 관점에서 견갑하근의 중요성이 더욱 대두되었고 이에 견갑하근의 파열양상, 봉합방법 그리고 후상방회전근 개 파열과의 관련성 등이 여러 저자들에 의해서 연구 되고 있다. 즉, 이전까지 관심의 대상에서 제외 되었던 견갑하근의 부분파열이 점차적으로 회전근 개 파열의 중요한 역할을 하며 상완 이두건초염과 오구상완 인대의 내측활차의 손상이 이러한 부분파열의 원인을 제공할 수 있음을 알 수 있다. 그러나 견갑하근 파열에 대한 정확한 원인 인자는 아직 불투명하다.

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