• 제목/요약/키워드: Hepatic vein

검색결과 152건 처리시간 0.022초

하대정맥과 우심방의 종양혈전을 동반한 신평활근육종 - 1예 보고 - (Renal Leiomyosarcoma with an Extension of the Tumor Thrombi into the IVC and the RA -One of case -)

  • 정기천;이철범;전순호;김상헌;김혁;정원상;김영학;강정호
    • Journal of Chest Surgery
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    • 제36권12호
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    • pp.970-974
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    • 2003
  • 하대정맥과 우심방의 종양혈전을 동반한 신세포암종은 지난 10년 동안 근치적 신절제술과 함께 체외순환을 이용한 종양혈전 제거술로 예후가 많이 증진되었다. 우리는 30세 여자에서 우신평활근육종과 종양혈전이 신정맥 상부의 하대정맥과 우심방까지 성장하고 혈액혈전으로 신정맥 하부의 하대정맥과 양측 장골정맥이 폐쇄된 1예를 진단하고 근치적 우신절개술 후 체외순환을 이용한 초저체온 순환 정지하에서 하대정맥과 우심방을 절개하여 종양혈전과 혈액 혈전 모두를 제거하였다. 수술 12개월 후 후복막강과 하대정맥의 국소적 재발로 우심방까지 성장한 종양을 다시 제거하였다. 환자는 두 번째 수술 11개월 후 폐 전이 및 간정맥에서 종양이 재발하여 우심방과 우심실까지 성장하여 사망하였다.

정제방법이 다른 죽력이 생쥐의 혈액학적 및 간 기능에 미치는 영향 (Effects of the Bambusae Caulis in Liquamen Extracted by a Different Refining Process on the Hematological and Hepatic Function of the Mouse)

  • 나창수;장경선;김정상
    • 동의생리병리학회지
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    • 제19권1호
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    • pp.174-178
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    • 2005
  • 정제 방법을 다르게 하여 추출된 죽력을 30일 동안 생쥐에 구강 투여한 후 혈액생화학적인 변화 및 간조직의 항산화효소 활성 및 조직학적 검색을 수행하였다. 실험군은 7개 군으로 구분하였다; 생리식염수를 투여한 10% 죽력(4mL/kg)을 투여한 실험군(B1, C1, D1), 그리고 30% 죽력(4mL/kg)을 투여한 실험군(B2, C2, D2). 혈액학적 검색 결과 D2군의 적혈구 수와 적혈구 용적이 대조군에 비하여 유의성있게(P<0.05) 감소하였다. Transaminase의 활성은 D2군에서 유의성있게(P<0.05) 증가하였으나, SOD와 catalase의 활성 또한 D군에서 유의성있게(P<0.01) 감소하였다. 조직병리학적 검색 결과 D군의 간조직은 지방공포화 뿐만 아니라 간세포 핵이 괴사되어 있었다. 이상의 결과로 보아 고온으로 추출한 죽력을 $108^{\cir}C$에서 2회 증류하여 정제한 죽력 D가 현저한 독성을 갖고 있음을 확인할 수 있었다.

Fine needle aspiration biopsy에 의한 소의 지방간진단(脂肪肝診斷) (Fine needle aspiration biopsy for the diagnosis of fatty liver in cattle)

  • 황범태;한홍률
    • 대한수의학회지
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    • 제31권1호
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    • pp.109-121
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    • 1991
  • 소의 지방간(脂肪肝)의 이환율(罹患率)을 조사(調査)하고 fine needle aspiration biopsy에 의한 지방간(脂肪肝)의 세포학적진단(細胞學的診斷)을 시도(試圖)하였다. 육안적(肉眼的) 또는 부유법(浮遊法)에 의한 간장지방함량(肝臟脂肪含量)에 기초(基礎)한 소의 지방간(脂肪肝)의 발생율(發生率)은 한우(韓牛)암소에서 0.30%, 유우(乳牛)암소에서 4.70%, 유우(乳牛)숫소에서 0.15%였다. 지방간(脂肪肝)은 육안적(肉眼的) 소견(所見)으로 간장(肝臟)이 종대(腫大)되고 변연(邊緣)이 둔하며 가볍고 창백(蒼白)에서 주황색(朱黃色) 색조(色調)를 보이나 간장(肝臟)의 색조(色調)와 지방간(脂肪肝)의 중증도간(重症度間)에 환상(桓常) 상관관계(相關關係)가 인정(認定)되지는 않았다. 대부분의 정상간장(正常肝臟)과 중도(重度)의 지방간(脂肪肝)을 제외(除外)하고는 간장(肝臟)의 지방침윤(脂肪浸潤)은 중심정맥주위(中心靜脈周圍)에서는 거대지방구(巨大脂肪球)와 변연부(邊緣部)에서는 소지방구(小脂肪球) 그리고 맥관부(脈管部)에 지방침윤(脂肪浸潤)의 소견(所見)을 보였다. 부유법(浮遊法)에 의한 간장지방함량(肝臟脂肪含量)과 비교(比較)한 세포학상(細胞學上)의 민감도(敏感度), 특이도(特異度), 정확도(正確度)는 정상(正常)에서 94.4%, 95.2%, 94.9%, 경도(輕度)에서 64.3%, 100%, 87.2%, 중등도(中等度)에서 100%, 83.39%, 82.2%, 그리고 중도(重度)에서 모두 100%였다. 세포학적(細胞學的) 소견(所見)은 조직학적(組織學的) 소견(所見)과 잘 일치(一致)하였다. Fine needle aspiraton biopsy에 의한 합병증(合倂症)은 임상적(臨床的)으로 인지(認知)되지 않았다. 결론적(結論的)으로 needle aspiration biopsy에 의한 세포학적(細胞學的) 진단(診斷)은 소의 지방간(脂肪肝) 진단(診斷)에 있어서 조직학적(組織學的) 기법(技法)과 비교(比較)했을 때 단순(單純)하고 신속(迅速)하며 안전(安全)하며 경제적(經濟的)인 방법(方法)으로 사료(思料)된다.

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개 비장염전의 진단영상 2례 (Diagnostic imaging of isolated splenic torsion in two dogs)

  • 최지혜;김현욱;김진경;장재영;김준영;윤정희
    • 대한수의학회지
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    • 제47권3호
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    • pp.349-356
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    • 2007
  • Isolated splenic torsion is a rare disease, which is usually produced in deep-chest large breed dogs. A five-year old Pitbull terrier and a four-year old Yorkshire terrier were diagnosed as isolated splenic torsion with chronic form. Leukocytosis, anemia and elevated hepatic enzyme level were found in blood test and a large amount of ascites was observed. Abdominal radiography revealed splenomegaly and ascites and ultrasonography showed diffuse hypoechoic change of spleen in case 1 and hyperechoic change of spleen with focal hypoechoic regions in case 2, thromboembolism of splenic vein and abnormal direction of spleen. To identify the underlying disease of isolated splenic torsion, the histopathologic examination of excised spleen is essential and splenic neoplasia was found in case 2. Chronic isolated splenic torsion shows nonspecific clinical signs and laboratory results. Through diagnostic procedure, particularly ultrasonography, prompt diagnosis may be achieved and improve the prognosis of the patient.

개에서 심장사상충증의 대동맥 이소기생 (Adult Dirofilaria immitis in the Aorta of a Dog)

  • 왕지환;최호정;이영원;박기태;연성찬;이효종;이희천
    • 한국임상수의학회지
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    • 제25권4호
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    • pp.303-306
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    • 2008
  • Unknown age, spayed female mixed dog was presented with a severe lethargy. Radiography, ultrasonography, and blood screen test were performed to make a diagnosis. There were no specific radiographic findings. On the ultrasonography, small amount of ascites was found around gallbladder and hepatic vein was dilated approximately 6.1 mm. Blood screen test revealed a severe anemia. Result of heartworm ELISA kit was positive. At necropsy, parasites were in the left atrium, right ventricles, aorta, pulmonary artery, right renal artery.

Effect of Toluene Application to Skin on the Liver Injury in Rats

  • Chae, Soon-Nim;Lee, Sang-Hee;Yoon, Chong-Guk
    • 대한의생명과학회지
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    • 제7권1호
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    • pp.47-51
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    • 2001
  • To investigate an effect of the topical toluene application to .at skin on the liver injury, toluene (35 mg/$cm^2$) was sequentially applied for 3 or 5 days to rat skin and then the animals were sacrificed. 5 day toluene-treated rats showed the slight increase of live. weight per body weight(%) compared with control. Serum levels of xanthine oxidase and alanine aminotransferase activity were significantly increased both in 3 days and 5 days toluene-treated animals compared with control. In the histopathological findings, cytoplasmic degeneration of hepatocytes around the central vein was noted in the liver of rats applied with toluene to the skin. These results indicate toluene application to rat skin feds to somewhat slight liver injury. On the other hand, the hepatic benzylalcohol or aldehyde dehydrogenase activities were significantly decreased by toluene application to rat skin. In conclusion, the liver min was induced by toluene application to rat skin, and it can be hypothesized that accumulation of benzaldehyde in liver cell may be responsible for liver injury.

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Behcet's 병을 동반한 Budd-Chiari 증후군 -1례 보고- (Budd-Chiari Syndrome Complicating Behcet's Disease -Report of one case-)

  • 오봉석;김보영;김인광
    • Journal of Chest Surgery
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    • 제29권2호
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    • pp.219-222
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    • 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.

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미성숙 랫트와 젊은 성체 랫트간의 생체내 에탄올 대사의 차이 (A Difference in Ethanol Metabolism Between Premature and Young Adult Rats)

  • 김성연;김상겸;손영란;김영철
    • 약학회지
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    • 제41권4호
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    • pp.492-497
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    • 1997
  • A difference in ethanol metabolism between premature and young adult rats was examined. Female SD rats, either 4wk or 12wk old, were injected with a single dose of ethanol (1.5g /kg) through jugular vein and the blood ethanol level was monitored for 300 min using a gas chromatographic method. Reduction of blood ethanol level per unit of time was less and the area under the blood concentration-time curve (AUC) was significantly greater in young adults compared to premature rats. Activity of hepatic alcohol dehydrogenase was not influenced by the age increase. Total cytochrome P-450, cytochrome $b_5$. or aminopyrine N-demethylation was not different between premature rats and young adult rats. However, p-nitrophenol hydroxylation and p-nitroanisole O-demethylation activities were significantly higher in premature rats. The relative liver weight was 45% greater in premature rats leading to an overall increase in ethanol metabolizing activity in these animals. The results indicate that the reduction in ethanol elimination in young adult rats appears to be mostly associated with the decrease in relative liver weight as the age of animals increases.

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Computed Tomographic Features of Gallbladder Agenesis in a Golden Retriever

  • Yujung Lee;Dongjun Kim;Jeongin Choi;Youngwon Lee;Hojung Choi
    • 한국임상수의학회지
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    • 제41권1호
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    • pp.43-48
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    • 2024
  • A two-year-old, intact female Golden Retriever had previously been diagnosed with a portosystemic shunt (PSS) during an ultrasonographic examination at a local animal hospital. The serum biochemistry revealed elevated liver enzymes and bile acid levels. The abdominal radiographic examination revealed mild serosal detail loss and microhepatica, while abdominal ultrasonography revealed mild ascites and high-velocity flow to the caudal vena cava (CVC) suspected as a PSS. The gallbladder was not observed within the hepatic parenchyma during ultrasonography. Computed tomography (CT) revealed an absent gallbladder and dilation of the common bile duct (CBD). Dilations of the gastroduodenal, splenic, colic and renal veins were also observed. A dilated left phrenico-abdominal vein that entered the CVC was previously misinterpreted as a PSS on the ultrasound examination. Based on the imaging examinations, the dog was diagnosed with congenital gallbladder agenesis associated CBD dilation.

Contrast Media in Abdominal Computed Tomography: Optimization of Delivery Methods

  • Joon Koo Han;Byung Ihn Choi;Ah Young Kim;Soo Jung Kim
    • Korean Journal of Radiology
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    • 제2권1호
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    • pp.28-36
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    • 2001
  • Objective: To provide a systematic overview of the effects of various parameters on contrast enhancement within the same population, an animal experiment as well as a computer-aided simulation study was performed. Materials and Methods: In an animal experiment, single-level dynamic CT through the liver was performed at 5-second intervals just after the injection of contrast medium for 3 minutes. Combinations of three different amounts (1, 2, 3 mL/kg), concentrations (150, 200, 300 mgI/mL), and injection rates (0.5, 1, 2 mL/sec) were used. The CT number of the aorta (A), portal vein (P) and liver (L) was measured in each image, and time-attenuation curves for A, P and L were thus obtained. The degree of maximum enhancement (Imax) and time to reach peak enhancement (Tmax) of A, P and L were determined, and times to equilibrium (Teq) were analyzed. In the computed-aided simulation model, a program based on the amount, flow, and diffusion coefficient of body fluid in various compartments of the human body was designed. The input variables were the concentrations, volumes and injection rates of the contrast media used. The program generated the time-attenuation curves of A, P and L, as well as liver-to-hepatocellular carcinoma (HCC) contrast curves. On each curve, we calculated and plotted the optimal temporal window (time period above the lower threshold, which in this experiment was 10 Hounsfield units), the total area under the curve above the lower threshold, and the area within the optimal range. Results: A. Animal Experiment: At a given concentration and injection rate, an increased volume of contrast medium led to increases in Imax A, P and L. In addition, Tmax A, P, L and Teq were prolonged in parallel with increases in injection time The time-attenuation curve shifted upward and to the right. For a given volume and injection rate, an increased concentration of contrast medium increased the degree of aortic, portal and hepatic enhancement, though Tmax A, P and L remained the same. The time-attenuation curve shifted upward. For a given volume and concentration of contrast medium, changes in the injection rate had a prominent effect on aortic enhancement, and that of the portal vein and hepatic parenchyma also showed some increase, though the effect was less prominent. A increased in the rate of contrast injection led to shifting of the time enhancement curve to the left and upward. B. Computer Simulation: At a faster injection rate, there was minimal change in the degree of hepatic attenuation, though the duration of the optimal temporal window decreased. The area between 10 and 30 HU was greatest when contrast media was delivered at a rate of 2 3 mL/sec. Although the total area under the curve increased in proportion to the injection rate, most of this increase was above the upper threshould and thus the temporal window was narrow and the optimal area decreased. Conclusion: Increases in volume, concentration and injection rate all resulted in improved arterial enhancement. If cost was disregarded, increasing the injection volume was the most reliable way of obtaining good quality enhancement. The optimal way of delivering a given amount of contrast medium can be calculated using a computer-based mathematical model.

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