• 제목/요약/키워드: Hemorrhagic diseases

검색결과 120건 처리시간 0.025초

An Elderly Man with Fatal Respiratory Failure after Eating a Poisonous Mushroom Podostroma cornu-damae

  • Jang, Juah;Kim, Cheol-Hong;Yoo, Jun Jae;Kim, Mi Kang;Lee, Jae Eun;Lim, Ah Leum;Choi, Jeong-Hee;Hyun, In Gyu;Shim, Jung Weon;Shin, Ho-Seung;Han, Joungho;Seok, Soon Ja
    • Tuberculosis and Respiratory Diseases
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    • 제75권6호
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    • pp.264-268
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    • 2013
  • A 73-year-old, previously healthy man presented with nausea, vomiting, diarrhea, dry mouth and febrile sensation 3 hours after eating boiled wild mushrooms. After admission, he showed progressive severe respiratory distress, pancytopenia, azotemia, hypotension, hypoxemia and consolidation of the entire left lung on chest radiography. With a preliminary diagnosis of necrotizing pneumonia, he underwent left pneumonectomy in order to remove all necrotic lung tissue. Lung histology showed extensive hemorrhagic necrosis, massive inflammatory cell infiltration, prominent proliferation of young fibroblasts and the formation of an early-stage hyaline membrane along the alveolar wall. Despite aggressive treatment, including mechanical ventilation, continuous renal replacement therapy and administration of granulocyte colony stimulating factor and broad spectrum antibiotics, he died on hospitalization day 13. Subsequently, the mushroom was identified as Podostroma cornu-damae. This is the first case of a histological evidence of lung involvement by Podostroma cornu-damae poisoning in Korea.

기후변화에 기인한 연안 수온상승에 따른 연안 어류의 바이러스성 질병 발생 예측 (Changes in Fish Viral Disease Outbreaks in the Coastal Area of Korea Due to Increasing Water Temperature, an Impact of Climate Change)

  • 김위식;김석렬;박명애;이준수;사티샤 에분제;김도형;오명주
    • 한국수산과학회지
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    • 제46권5호
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    • pp.582-588
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    • 2013
  • The impact of global warming on aquatic systems has been a priority research area in the past decade. However, the possibility that increased temperatures will cause shifts in viral disease outbreaks has not been well addressed. In the present study, with increasing water temperature (WT) in the coastal area of Korea, we estimated the possibility of changes in fish viral diseases. From the present time, WT may rise between 0.62 and $1.7^{\circ}C$ by 2050, and the effect on aquaculture could be more adverse than benefitial. Red seabream iridovirus disease (RSIVD) and viral nervous necrosis (VNN) cause high mortality above 22 and $24^{\circ}C$, respectively, and outbreaks could commence earlier and persist for prolonged periods. Nevertheless, the period of occurrence of viral hemorrhagic septicemia (VHS), which outbreaks at a lower WT (< $18^{\circ}C$), could be shorter than the current infectious period. Thermal stress in fish causes reductions in growth and immunocompetence; thus, increases in summer WT can lead to the development of new viral diseases. WT has a strong influence on fish population dynamics; therefore, entry of new viruses and changes in the prevalence of infection can be expected if carrier fishes are introduced or migrate to Korean waters.

어류 빈혈에 관한 병리학적 고찰 (Pathological Discussion of Anemia in Fish)

  • 허민도;송나영;이무근
    • 한국어병학회지
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    • 제18권2호
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    • pp.105-118
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    • 2005
  • 어류의 빈혈은 병어 또는 임상적으로 건강한 어류에서 확인되는 증상으로 심하면 아가미가 창백해 보이거나 채혈 혈액의 물성으로 인지될 수 있다. 어류의 적혈구 수는 일반적으로 1-3${\times}10^6$개이며, 헤마토크리트 (Ht)는 35-45%로 포유류와 유사범위로 보고되는 경우가 많으나 아직 그 정상치에 대하여 체계적으로 제대로 정리된 자료가 없다. 어류에서도 출혈성, 용혈성, 재생불량성 빈혈로 나누고 있다. 포유류와 유사한 병리학적 영향이 예상되지만, 어류의 경우 10% 이하의 극단적으로 낮은 Ht에서도 생존이 가능하며, antarctic icefish (Chanenocephalus aceratus)에서는 적혈구가 없이 생존하고 있다는 점 등으로부터, 포유류와 다른 병리학적 영향이 예상되나 그 정보가 매우 부족하다. 양식현장에서 어류 질병에 따른 경제적 피해가 해마다 증가하고 있는 시점에서, 빈혈 소견은 어체의 건강평가에 중요한 파라메타의 하나로 볼 수 있는 병리학적 측면을 가지고 있다. 따라서 저자는 지금까지 알려진 각종 어류 질병에 대하여 기술된 임상병리 및 병리조직학 변화 내용을 검토함으로써, 어류에서의 빈혈 관련 질병을 정리하고, 저자 등의 예비적 실험 결과와 함께, 그 병리학적 영향에 대하여 고찰하였다.

Vero-E6 세포에서 한탄바이러스의 증식에 관한 전자현미경적 연구 (Electron Microscopic Study on the Replcation of Hantaan Virus in Vero-E6 Cells)

  • 박경희;성인화
    • 대한바이러스학회지
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    • 제29권4호
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    • pp.201-209
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    • 1999
  • Results of the studies on the morphologic and molecular biologic characteristics of Hantaan virus (HTNV), one of the etiologic agents of Hemorrhagic fever with renal syndrome (HFRS), revealed that HTNV was a member of Family Bunyaviridae and its RNA divided into three segments. And the nucleotide sequences of these segments also were known and the differences in nucleotide sequences of HTNV from other members of genus Hantavirus were clearly evaluated. But the morphorgenesis, pathogenesis of HFRS and the replication time had not been clearly determined. In this study, to estimate the replication time of HTNV in Vero E-6 cells, Vero cells were infected with HTNV 76/118 strain, and cells were harvested from two hours post-infection up to 24 hours at two hours-intervals. Harvested cells were treated with ordinary techniques for electron microscopy and immune-electron microscopy. And then thin sections were observed under transmission electron microscope. HTNV particles were not found in the cytoplasm and in the extracellular space between $2{\sim}8$ hours after inoculation of virus, but virus particles were observed in extracellular space near the cell membrane of Vero-E6 cells 10 hours after infection. In immune electron microscopy, mature HTNV particles in extracellular spaces and immature virus labelled with gold particles in the cytoplasm of Vero E-6 cell 10 hours after infection of HTNV could be seen. This results suggest that the replication time of HTNV might be about 10 hours.

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표준한방처방 EBM 구축을 위한 이진탕 문헌 연구 분석 (Systematic Studies on Yijin-tang(Erchen-tang) for Establishment of Evidence Based Medicine)

  • 이준경;서창섭;정다영;강기성;신현규
    • 동의신경정신과학회지
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    • 제21권3호
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    • pp.77-86
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    • 2010
  • Objectives : The purpose of this report was to provide the information activity and safety of Yijin-tang by analyzing domestic/international papers and theses about Yijin-tang. Methods : Domestic/international papers and theses related to Yijin-tang were reviewed and analyzed. These papers were then classified by year, experimental method and subject. Results : 1. Administration of Yijin-tang showed therapeutic effects on diseases of the circulatory system such as thrombosis and hyperlipisemia in in vivo experiments. 2. Administration of Yijin-tang reduced hemorrhagic erosion and ulcer by inhibition of gastric juice secretion and protection effect of gastric mucosa in in vivo experiments. 3. Both clinical and basic science researches, Administration of Yijin-tang showed improvement of digestive function by up-regulated of digestive enzyme and gut-regulated protein in plasma levels. Conclusions : Administration of Yijin-tang showed therapeutic effects on diseases of the circulatory system and protection effect of gastric mucosa in in vivo experiments. Furthermore, both clinical and basic science researches, administration of Yijin-tang showed improvement of digestive function.

한타바이러스 폐 증후군 (A Case of Hantavirus Pulmonary Syndrome)

  • 이계영;김윤섭;지영구;배현주;윤성철;김건열
    • Tuberculosis and Respiratory Diseases
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    • 제44권6호
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    • pp.1382-1389
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    • 1997
  • 저자들은 감기증상 후에 빠른 시간내에 급성호흡부전증에 이르렀던 환자에서 신증후성 출혈열과는 다르게 주로 호흡기와 순환기를 침범하는 한타바이러스 폐 증후군 1예률 경험하였기에 고하는 바이다.

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비디오흉강경을 이용하여 폐절제술로 치료한 편측 미만성 폐동정맥루 1례 (A Case of Video-Assisted Thoracoscopic Pneumonectomy for Unilateral Diffuse Pulmonary Arteriovenous Malformation)

  • 정종열;임종근;전성완;서원나;김대준;이광훈;박무석;김세규;장준;김성규;김영삼
    • Tuberculosis and Respiratory Diseases
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    • 제61권6호
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    • pp.585-590
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    • 2006
  • 저자들은 편측성으로 우측 폐전체를 침범한 미만성 폐동정맥루에 대해 색전술 등의 중재적 시술이 불가능하여 비디오흉강경을 이용해서 폐절제술로 치료한 1예를 경험하였기에, 문헌 고찰과 함께 보고하는 바이다.

기관지내 종양 형태로 나타난 Rasmussen 동맥류 1예 (A Case of Endobronchial Mass-Like Rasmussen Aneurysm)

  • 이정록;이수화;정성훈;송소향;김치홍;문화식;송정섭;박성학
    • Tuberculosis and Respiratory Diseases
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    • 제56권1호
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    • pp.85-90
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    • 2004
  • Rasmussen 동맥류는 공동성 폐결핵에 동반되어 종종 대량객혈을 일으킬 수 있어 임상적으로 중요하다. 그동안 이의 존재나 치료에 대한 보고는 간헐적으로 있어왔으나 본 증례와 같이 기관지내시경으로 직접 병변을 관찰하고 나선식 CT로 Rasmussen 동맥류의 존재를 확인한 경우는 없어 이에 보고하는 바이다. 또한 기관지 내시경 검사시 발견되는 종양 형태의 병변에는 이와 같은 혈관성병변도 있을 수 있으므로 생검 등의 침습적 검사시에 보다 신중해질 필요가 있으며, 기존 질환이 진행된 공동성 폐결핵일 경우에는 더욱 주의를 필요로 한다.

Immortalization of Swine Umbilical Vein Endothelial Cells with Human Telomerase Reverse Transcriptase

  • Hong, Hai Xia;Zhang, Yan Ming;Xu, Hao;Su, Zheng Yuan;Sun, Pei
    • Molecules and Cells
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    • 제24권3호
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    • pp.358-363
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    • 2007
  • Swine endothelial cells are commonly used as an in vitro model for studying features of the blood-brain barrier and some hemorrhagic diseases. However, primary cultures of swine cells have finite lifespans. To establish immortalized swine umbilical vein endothelial cells (SUVECs) using human telomerase reverse transcriptase (hTERT), the plasmid pCI-neo-hTERT was transfected into SUVECs by lipofection. Clones were selected for G418 resistance, and positive clones were amplified. One of the clones was cultured for up to 50 passages. Factor VIII-related antigen and CD34 were detected. The immortalized cells shared the properties of normal cells, such as contact inhibition, serum requirement and anchorage dependence. Karyotype analysis revealed that the immortalized cells were in the diploid range. In addition, both in vivo and in vitro assays of tumorigenicity showed no neoplastic transformation. Furthermore, NO, $PGI_2$, and ET-1 concentrations in the transfected cells were normal. These results suggest that the SUVECs immortalized by hTERT retain their original characteristics.

체외순환 개심술이 혈액응고 요소에 미치는 영향에 관한 임상적 연구 (A clinical study on blood coagulation factors after open heart surgery with extracorporeal circulation)

  • 이철범;박영관
    • Journal of Chest Surgery
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    • 제13권4호
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    • pp.356-363
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    • 1980
  • Even now, the hemorrhagic syndrome after cardiac surgery with the aid or a pump oxygenator constitutes a significant problem. The purpose of this study is to postulate the possible causes of the bleeding after open hear surgery [OHS]. Fifteen consecutive OHS patients with various heart diseases were selected and platelet count, plasma fibrinogen, serum calcium level were observed pre-, intra- and post- operatively until 21 th postoperative day [POD]. The platelet count was significantly decreased with initiation of extracorporeal circulation [ECC] and continued to decrease slowly until cessation of ECC. Within 10 minutes after ECC the platelet count stared to increase. But it was significantly less than preoperative count until 5th POD. The peak count was found on 14th POD and the platelet count was gradually decreased. Plasma fibrinogen also decreased significantly during operation, but it recovered up to preoperative amount within 5 hours after termination of ECC. Thereafter it rapidly increased until 3rd POD when it reached its peak. From 3rd POD it showed slow downward slope until 21st POD, but it remained in significantly higher level than preoperative amount. Serum calcium levels showed minimum fluctuations during the whole course of study. Conclusively, the decrease in platelet count and fibrinogen amount may play a considerable role for the postoperative hemorrhage. But numerous other effects of ECC must be accounted for.

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