• 제목/요약/키워드: Renal Renal Failure

검색결과 943건 처리시간 0.029초

카르바마제핀의 체내동태에 대한 신장해의 영향 (Effect of Renal Failure on Pharmacokinetics of Carbamazepine in Rabbits)

  • 이종기;박현진;조행남
    • 한국임상약학회지
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    • 제9권2호
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    • pp.92-96
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    • 1999
  • The pharmacokinetics of carbamazepine(100 mg/kg, oral) in the folic acid-induced renal failure rabbits was studied. Renal failure was induced by the i.v. injection of folic acid (50, 100, and 200 mg/kg). At folic acid dose of 100 and 200 mg/kg, the serum creatinine concentration (Scr) and blood urea nitrogen (BUN) increased significantly compared with control rabbits. Plasma concentrations and area under the plasma level-time curve (AUC) of carbamazepine increased significantly at folic acid dose of 100 and 200 mg/kg. The elimination rate constant (Kel) of carbamazepine decreased significantly, and half-life $(t_{1/2})$ of carbamazepine increased significantly at folic acid dose of 100 and 200 mg/kg. The serum creatinine concentration (Scr) correlated well with AUC and elimination rate constant (Kel) of carbamazepine, as well as BUN with AUC and elimination rate constant (Kel) of carbamazepine. These results suggest that adjustment of the dosage regimen of carbamazepine is desirable, and serum creatinine concentration (Scr) as well as BUN can be used for adjusting the dosage regimen of carbamazepine in renal failure.

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만성 신부전 환자의 심장수술 - 개심술 4례 보고 - (Open Heart Surgery in Patients with Chronic Renal Failure)

  • 김정택
    • Journal of Chest Surgery
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    • 제23권3호
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    • pp.482-487
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    • 1990
  • The leading cause of death in patients with chronic renal failure is cardiovascular diseases. The problems relevant to cardiac surgery in these patients are occurring more frequently with a growing number of patients at risk. Among these, important risk factors related to uremic patients undergone open heart surgery are fluid and electrolytes imbalance, coagulopathy, increased susceptibility to infection. Since 1968 when Lansing and colleagues reported the first successful aortic valve replacement in patients with chronic renal failure and infective endocarditis, there have been increasing reports of the cardiopulmonary bypass surgery in chronic renal failure patients with acceptable perioperative morbidity and mortality From Jan. 1988 to Nov. 1989 we have experienced four uremic patients necessitating open heart surgery ; one needing a coronary artery bypass graft and the other 3 needed cardiac valve replacement. Based on our observations we would like to suggest followings 1]Intraoperative ultrahemofiltration during C-P bypass thought to be an excellent means for the control of hyperkalemia and fluid balance. 2] The immediate postoperative application of peritoneal dialysis instead of hemodialysis is beneficial in controlling fluid and electrolyte imbalance. 3]The cause of one early postoperative death was not associated to renal failure, rather it was the result of an accidental rupture in the right ventricular wall.

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개에서 Ethylene glycol 중독에 의한 만성신부전증의 속발성 'Rubber jaw syndrome'의 방사선학적 진단례 (Radiographic Diagnosis of 'Rubber Jaw Syndrome' Secondary to Chronic Renal Failure Due to Ethylene Glycol Intoxication in a Dog)

  • 최호정;이영원;왕지환;정인조;연성찬;이효종;이희천
    • 한국임상수의학회지
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    • 제24권2호
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    • pp.260-263
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    • 2007
  • A 9-month-old, intact female mixed dog was referred to Veterinary Medical Teaching Hospital of Gyeongsang National University with symmetrically enlarged and protruded upper jaw. The patient was diagnosed as acute renal failure due to ethylene glycol poisoning and was treated for 1 month in a local animal hospital. In spite of treatment, the patient proceeded to chronic renal failure. Also, the patient's upper jaw begun to enlarge continuously. To evaluate this upper jaw, radiographic examination was performed. Skull radiographs revealed thickening of maxilla, decreased bone opacity, cortical thinning, loss of lamina dura and periodontal space in the maxilla. Diagnosis of rubber jaw syndrome is based on clinicial signs, radiographic findings and laboratory evidence of chronic renal failure due to ethylene glycol poisoning.

만성신부전증(慢性腎不全症)에서와 혈청(血淸) CEA 치(値)에 관(關)한 연구(硏究) (Serum Carcinoembryonic Antigen(CEA) in Chronic Renal Failure)

  • 표희정;김성권;신영태;권인순;정순일;이정상;고창순
    • 대한핵의학회지
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    • 제14권2호
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    • pp.29-34
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    • 1980
  • The serum CEA levels were measured by radioimmunoassay technique in 15 patients with chronic renal failure, who were not treated with hemodialysis, in 39 patients under hemodialysis and in 23 patients who received renal transplantation. The results were compared with those in 65 normal adults and the following results were obtained. 1) Serum CEA concentrations.in 65 normal adults were in the range of 1.0 to 4.3ng/ml with a mean value of $1.6{\pm}0.66ng/ml$. 2) Serum CEA concentrations in 15 chronic renal failure patients who were not treated with hemodialysis, were in the range of 0.3 to 8.3ng/ml with a mean value of $3.6{\pm}2.10ng/ml$ which was significantly higher than those of normal controls(P<0.001). 3) Serum CEA concentrations in 39 chronic renal failure patients under hemodialysis were also much higher than normal controls(P<0.001), but not significantly different from those of the patients who were not under hemodialysis(P>0.05), 4) In 23 patients who received renal transplantation, serum CEA levels were significantly higher than normal controls(P<0.001), but not significantly different from those of chronic renal failure patients.

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만성 신부전 환자의 혈청과산화 지질에 관한 연구 (Serum Lipid Peroxide Level in Chronic Renal Failure)

  • 박란숙
    • Journal of Nutrition and Health
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    • 제22권1호
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    • pp.32-35
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    • 1989
  • Serum lipid peroxide levels in 25 chronic renal failure patients undergoing hemodialysis were examined by determining TBA reaction with spectrofluorometry. The lipid peroxide levels, 208.9$\pm$88.4nmol/ml, in the patient group was significantly higher than 152.4$\pm$43.9nmol/ml of 48 control healthy subjects. It is likely that the elevated serum lipid peroxide levels can play a role in increasing tendency of hemorrhage and incidence of atherosclerosis in chronic renal failure patients.

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소아의 고삼투압성 비케톤성 혼수에서 발생한 횡문근 융해증에 의한 급성 신부전 1례 (A Case of Acute Renal Failure Caused by Rhabdomyolysis due to Hyperosmolar Nonketotic Coma in Children)

  • 곽정원;오재민;김수영
    • Clinical and Experimental Pediatrics
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    • 제48권5호
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    • pp.565-568
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    • 2005
  • 저자들은 14세 남아에서 당뇨병에 합병된 고삼투압성 비케톤성 혼수에서 발생한 횡문근 융해증에 의하여 초래된 급성신부전으로 내원하여 치료 후 회복된 증례를 경험하여 문헌 고찰과 함께 보고하는 바이다.

Mercuric chloride 유발 신부전에서 산소유리기에 미치는 Sodium selenite의 영향 (Influence of sodium selenite on oxygen free radical in mercuric chloride induced renal failure)

  • 김형춘;주왕기;허인회
    • 약학회지
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    • 제32권4호
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    • pp.287-293
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    • 1988
  • Oxygen free radical have recently been found to mediate cell injury after ischemia in the kidney. The purpose of our study was to determine whether selenium had an effect on damge mediated by oxygen free radical in inorganic mercury induced renal failure, toxic model of renal failure. Toxic renal failure model was produced by subcutaneous injection of mercuric chloride (4mg/kg) once a day for 7 consecutive days. In additionally, coadministration of sodium selenite (1mg/kg) was performed by the same condition. As a consequence of this study, we were able to detect partially unequivocal role of selenium as below dipicted. The combination of sodium selenite showed that markedly inhibited production of superoxide radical in mercuric chloride alone. On the other hand, combined sodium selenite was unable to enhance against significantly lowered superoxide dismutase activity after mercuric chloride insult. However, simultaneous administration of sodium selenite was inclined to induce mitochondrial superoxide dismutase and catalase.

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심근증이 동반된 만성 신부전 환자에서 Tc-99m MDP의 심근 섭취 (Myocardial Uptake of Tc-99m MDP in Chronic Renal Failure With Cardiomyopathy)

  • 김성은;손형선;정용안;박영하;김성훈;정수교
    • 대한핵의학회지
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    • 제34권3호
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    • pp.260-263
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    • 2000
  • A uremic patient on hemodialysis, who had concurrent cardiomyopathy showed intense myocardial uptake of $^{99m}Tc$-methylene diphosphonate (MDP). The presumed cause of uptake in the myocardium is metastatic calcification due to hypercalcemia secondary to the renal failure. However, supplementary mechanism caused by cardiomyopathy should be considered. We describe a case with bone tracer uptake in the myocardium in the absence of infarction in a patient with chronic renal failure.

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만성 신부전이 동반된 Asphyxiating Thoracic Dystrophy 1례 (A Case of Asphyxiating Thoracic Dystrophy with Chronic Renal Failure)

  • 조현정;이윤경;김동언;이익준
    • Childhood Kidney Diseases
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    • 제2권2호
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    • pp.196-199
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    • 1998
  • The classical manifestation of asphyxiating thoracic dystrophy comprise narrow chest, short limbs, and pelvic changes. The degree of respiratory distress varied from negligible to lethal. The development of progressive renal failure may indicate that the condition is asphyxiating thoracic dystrophy. We have experienced a case of asphyxiating thoracic dystrophy who died from chronic renal failure in a 5-month old infant. Abriefreviewofassociatedliteratureisalsopresented.

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배양상황버섯 자실체의 승홍투여로 유도된 흰쥐 신기능에 미치는 영향 (Effects of the Cultivated Fruit Body of Phellinus linteus on Mercuric chloride-induced Renal Failure)

  • 양기숙;정은주;표명윤
    • 약학회지
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    • 제46권3호
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    • pp.174-178
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    • 2002
  • Phellinus linteus (Hymenocaetaceae) is a member of Basidiomycotinae, which has been used for the treatment of gastric cancer, non-insulin-dependent diabetes mellitus, diarrhea, and menstrual irregularity. To investigate the diuretic action of Phellinus linteus, urinary volume, serum parameters and urinary electrolytes in HgCl$_2$-induced acute renal failure rats in vivo were measured. The results showed that its MeOH extract produced significant increases on urinary volume, sodium and potassium excretion, and revealed lowering effects of the abnormally elevated BUN, creatinine and uric acid value in acute renal failure rats.