• 제목/요약/키워드: abdominal distension

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개 자궁축농증에 대한 임상학적 연구 (Clinical Study of Canine Pyometra)

  • 이병천;조종기;김혜수;이소현;최윤희;박희명;권오경;황우석
    • 한국임상수의학회지
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    • 제17권1호
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    • pp.219-224
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    • 2000
  • This study was conducted to examine the prognosis of canine pyometra after surgical treatment in terms of their clinical indications, hematology and serum chemistry. A total of 20 bitches diagnosed as pyometra after physical examination was hospitalized at the Veterinary Medical Teaching Hospital, Seoul National University, during the period of 1998 to 1999. After examining all profiles, ovariohysterectomy was performed to treat pyometra. All bitches had clinical symptoms of general depression, polyuria/polydipsia, anorexia and abdominal distension. In hematologic profiles, 65% of bitches had higher level of leukocyte count compared with normal level, but RBC and PCV values maintained within the normal ranges in most pyometric bitches. In serum chemistry profiler, ALT and ALP values were increased over the normal range, and BUN and creatine values were higher than normal ranges only in 10(50%) and 3 bitches (15%), respectively. Survival rate after ovariohisterectomy was 90% (18/20), but bitches that had higher ALT, ALP, BUN, creatine and potassium than normal values were died after surgical treatment. The results of this clinical investigation show that the recovery of pyometric bitches after ovariohysterectomy can be prognosed by hematologic and serum profiles including ALT, ALP, BUN, creatinine and potassium.

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담관비대를 동반한 간섬유화에 이환된 어린 아마존 앵무새(orange winged Amazon parrot, Amazona amazonica) (Hepatic Fibrosis and Bile Duct Hyperplasia in a Young Orange Winged Amazon Parrot (Amazona amazonica))

  • 이소영;김대영;박희명
    • 한국임상수의학회지
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    • 제28권6호
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    • pp.617-620
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    • 2011
  • 6개월령 아마존 앵무새(orange winged Amazon parrot, Amazona amazonica)가 2달 간 지속된 체중저하, 식욕감퇴, 복부팽만을 검사 받기 위하여 내원하였다. 신체 검사와 실험실 검사에서 유출성 복수, 아스파라진산 아미노전이효소와 담즙산의 증가 및 알부민-글로불린 비율의 감소와 같은 간부전이 의심되는 소견을 보여주었다. 간 생검을 통하여 담관 비대를 동반한 간섬유화가 진단되었다. 이 증상의 원인은 확실하지 않지만, 간독소에 의한 것으로 여겨진다.

소아에서 진단된 Visceral Leishmaniasis (Visceral Leishmaniasis in a Child)

  • 김현영;정성은;박귀원;김우기
    • Advances in pediatric surgery
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    • 제10권1호
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    • pp.35-38
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    • 2004
  • Visceral leishmaniasis is a life-threatening systemic infection caused by a protozoa of the genus leishmania and transmitted by sandfly. We report the first case of visceral leishmanaisis in Korea. The patient was a one-year-old girl admitted with the symptoms of fever, abdominal distension. pancytopenia, and purpura. She traveled to Argentina 5 months ago, and has had symptoms such as fever and pale appearance. Laboratory findings were: WBC, 12.680/$mm^3$; Hg, 3.7g/dL; platelet, 100K; total bilirubin, 1.2mg/dL; AST/ALT, 48/10 U/L. CT scan and MRI showed hepato-splenomegaly. On laparotomy, excision of an accessory spleen and splenic hilar lymph nodes were performed. Many amastigotes were microscopically identified in histiocytes from the biopsy tissues. Sodium stibogluconate was administrated for 2 weeks, which did not relieve the symptoms. After administration of the additional Amphotericin B for 3 weeks, symptoms were improved.

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신생아에서 발생한 태변장폐색증에 동반된 낭성섬유증 1례 (A case of cystic fibrosis presented with meconium ileus in a female neonate)

  • 황인옥;이은실
    • Clinical and Experimental Pediatrics
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    • 제50권12호
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    • pp.1252-1256
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    • 2007
  • 태변장폐색증은 낭성섬유증에서 가장 초기에 나타나는 임상 증상으로 태변이 장관내 축적되어 회장말단의 폐색을 일으키고 복부팽만, 담즙성 구토, 태변 배출 지연이 동반된다. 낭성섬유증은 7번 염색체 장완에 위치한 막전도조절유전자의 돌연변이로 야기되며 한국인에서는 드문 질환이다. 지금까지 대한민국에서 보고된 호흡기 질환에 동반된 낭성섬유증과 달리, 저자들은 태변장폐색증에 동반된 낭성섬유증이 유전자 검사로 진단된 1례를 경험하였기에 보고하는 바이다.

"기문비록(岐門秘錄)" 에 대(對)한 고찰(考察) (하(下)) (A Review on "Kimoonbirok" II)

  • 최경석;김상운;송지청;이시형
    • 대한한의정보학회지
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    • 제16권2호
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    • pp.51-88
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    • 2010
  • An empirical formula that has been empirically shown to be effective for a particular condition can be said to add medical materials to an exciting formula or to make a new prescription by Korean medical doctors' empirical clinic. This dissertation aims to study the prescriptions according to A Confidential Document of A Distinguished Medical Family and to contribute to the development of Korean medicine. A Confidential Document of A Distinguished Medical Family is a medicinal recipe that is an heirloom of the Gyeongju Kim family for the eighth generation. And the date and the writer of the book are unknown. The contents of the book consist of 18 parts and are made up of about 300 medical recipes. Of these, 153 formulas and indications of roundworm, cholera, puffy swelling, abdominal distension, phlegm-rheum, woman, child, summerheat, dryness-heat, eye, and blood are found in the book. From among these, 26 formulas are directly quoted out of The Precious Mirror of Oriental Medicine, 93 formulas are adjusted in proportion or combined and 34 formulas are empirical ones. By the parity of reasoning of the above, I think that this book was published after The Precious Mirror of Oriental Medicine.

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비허증(脾虛證)의 본질(本質)에 대(對)한 최근(最近) 연구(硏究) 개황(槪況) (A summary on the recent studies on the nature of deficiency of Pi)

  • 원진희;문구
    • 대한한방내과학회지
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    • 제13권1호
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    • pp.135-142
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    • 1992
  • Pi(Spleen, 脾) corresponds to central earth and is called as the basis of acquired essence as it has the function of transforting and transforming the nutrients, keeping the blood circulating, and nourishing the muscle and limbs. Recently many studies to research the nature and deficiency of Pi are actively carried out. Especially functional deficiency of Pi(脾虛證) which occupies 60 to 70% or 88% in miscell aneous disease is divided into deficiency of Qi(脾氣虛), Yang(脾陽許), and Yin(脾陰虛), and tought to be positive when three or more such symptoms as anorexia, abdominal distension, loose bowels, pale face and weakness are present. Investigating the resent studies on the nature of the deficiency of Pi shows that Pi has the function of digestive system and also should be considered as functional unit of mult system related immune, metabolic, hematic, muscular, rnddocrine and nervus system. Various experiments as ptyaline activity test and xylose absorption test are used as an indication to deficiency of Pi and would be helpful to understand its nature. As deficiency of Pi appears in many disease and has various manifestations, further studies to diagnose the symptom of Pi using various experiments and oriental medical diagnostic method should be ensued.

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Four Human Cases of Diphyllobothrium latum Infection

  • Choi, Hee-Jung;Lee, Jung-Hye;Yang, Hyun-Jong
    • Parasites, Hosts and Diseases
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    • 제50권2호
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    • pp.143-146
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    • 2012
  • Diphyllobothrium latum infections in 4 young Korean men detected from 2008 to 2012 are presented. Three were diagnosed based on spontaneously discharged strobila of the adult worm in their feces, and 1 case was diagnosed by finding the worm at colonoscopy examination in a local clinic. The morphologic characteristics of the gravid proglottid and eggs were consistent with D. latum. All patients were treated with praziquantel 15 mg/kg, and follow-up stool examinations were done at 2 months after the medication. The main clinical complaints were intermittent gastrointestinal troubles such as indigestion, abdominal distension, and spontaneous discharge of tapeworm's segments in their feces. The most probable source of infection was the flesh of salmon or trout according to a patient's past history. These are the 45th to 48th recorded cases diagnosed by the adult worm in the Republic of Korea since 1971.

Congenital Antral Web in Premature Baby

  • Nam, So-Hyun;Koo, Soo Hyun;Chung, Mi Lim;Jung, Yu Jin;Lim, Yun-Jung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제16권1호
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    • pp.49-52
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    • 2013
  • Antral web is a rare cause of gastric outlet obstruction in neonate. It is a 2-4 mm thin mucous membrane that can be found anywhere from 1 to 7 cm proximal to the pylorus. The baby was born at gestational age of $32^{+1}$ weeks with 1,880 g as 2nd baby of dizygotic twin. After birth, the baby had constant non-bilious vomiting without feeding while he didn't show abdominal distension or discoloration. The infantogram showed distended stomach with distal small bowel gas. Upper gastrointestinal series revealed that the antrum was abruptly narrowed at 1 cm proximal to pylorus. We performed laparotomy at the 10th day after birth and excised the 2 mm-thick web circumferentially. He began milk feeding after 6 days and discharged uneventfully at postoperative 35 days with corrected age of $38^{+4}$ weeks with body weight 2,420 g. The antral web should be considered in the case of non-bilious vomiting in neonate.

피로와 현훈을 동반한 알콜성 간질환 환자의 한방치험 1례 (A Case of Korean Medicine for Alcoholic Liver Disease Patients with Fatigue and Dizziness)

  • 정영은;조연수;백정한;김종대
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.224-229
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    • 2018
  • Objectives: The purpose of this study is to report the clinical effectiveness of Korean medicine, especially Palmijihwang-hwan and Oryung-san, on an alcoholic liver disease patient with fatigue and dizziness. Methods: A patient was treated with Korean medicine, including herbal decoction, acupuncture, moxibustion, and cupping. Then, the patient was asked about his condition every day and underwent liver function tests three times. Results: After 13 days of treatment, fatigue decreased by 80%, and dizziness disappeared on the second day of hospitalization. It also recovered from indigestion and abdominal distension. Conclusions: According to this study, Korean medicine, including Palmijihwang-hwan and Oryung-san, is an effective treatment for symptoms associated with alcoholic liver disease.

간경변 환자의 증상경험에 영향을 미치는 요인 (Factors influencing Symptom Experience in Patients with Liver Cirrhosis)

  • 김수현
    • 성인간호학회지
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    • 제17권2호
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    • pp.248-258
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    • 2005
  • Purpose: The purpose of this study is to examine the factors influencing symptom experience in patients with liver cirrhosis(LC). Method: A descriptive correlational study design was used. A convenience sample of 129 subjects was recruited from the gastroenterology department at two university hospitals in Seoul, Korea. Symptom experience in LC was measured with the instrument developed by the researcher based on Theory of Unpleasant Symptoms(Lenz et al, 1995) and the Child-Pugh Score, the Korean version of Profile of Mood States, and the Family Support Questionnaire were used to identify the factors influencing symptom experience. Results: The mean score of symptom experience was relatively low(M=41.67, SD= 24.71). Among individual symptoms, fatigue had the highest score in all dimensions. Fatigue, abdominal distension and/or peripheral edema, muscle cramps, dry mouth, and change in appearance were explored as symptoms needing management. In the regression analysis, symptom experience was found to be influenced significantly by anxiety/depression($R^2=.418$, p=.000) and the severity of LC(Child-Pugh Score)($R^2=.125$, p=.000). These variables explained 54.3% of the variance in symptom experience(F=63.607. p=.000). Conclusion: It suggests that nurses need to take into consideration psychological factor as well as physiological factor in symptom management for patients with LC.

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