• 제목/요약/키워드: abdominal distention

검색결과 104건 처리시간 0.023초

소아설사(小兒泄瀉)에 관(關)한 문헌적(文獻的) 연구(硏究) (An Observation of the Pediatric Diarrhea)

  • 이지은;김장현
    • 대한한방소아과학회지
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    • 제13권1호
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    • pp.167-180
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    • 1999
  • Diarrhea is the most common digestive disease next to influenza especially in chidren. The most important spleen function is that of transporting and transforming food and fluids. Any spleen disharmomny will therefore always influence the digestive process, with such symptom as abdominal distention, lack of appetite and loose stools. The results were as follows: 1. The most common causes of diarrhea were cold(寒) Fire(熱) Dampness(濕) and the other causes of diarrhea were Fear(驚) 담(Phlegm) spleen-Qi defiency(脾氣虛), injury diet(傷食). 2.Treatment of oriental medicine consist of herb-medicine Cause of cold is Bujaejungtang(附子理中湯) Cause of fire is Sungbisan(醒脾散) Cause of dampness is Oryungsan(五笭散)

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동물원에서 사육중인 줄무늬하이에나에서 사후 확인된 공장염전 증례 (Postmortem Identification of Jejunal Volvulus in a Captive Striped Hyena (Hyaena hyaena))

  • 김규태;이승헌;곽동미
    • 한국임상수의학회지
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    • 제32권4호
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    • pp.389-391
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    • 2015
  • Jejunal volvulus was diagnosed in a captive 12-year-old male striped hyena at necropsy. The animal was presented with decreased appetite, dullness, vomiting, and mild abdominal distention intermittently for about two months. Then, the animal was found anorexia, lethargy, depression, red brown colored vomiting materials, and decreased defecation from 10 days before death. At necropsy, jejunal volvulus was found about 1 m in length, and coalescence was observed at the inner membranes of jejunum. The parenchyma of the kidney was congested, and the bladder was filled with hematuria. These conditions might cause shock by renal failure that led to death. To prevent volvulus in a captive striped hyena, it is needed to improve zoo environment and early diagnosis using ultrasonography and X-ray.

Surgical Management and Long-Term Follow-Up of a Giant Hepatic Cyst with an Internal Septum in a Cat

  • Kim, Kihoon;Kim, Hyungjoon;Eom, Ki-Dong;Kim, Hwi-Yool
    • 한국임상수의학회지
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    • 제38권6호
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    • pp.295-298
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    • 2021
  • A 1-year-old spayed female Scottish Fold cat presented with a 1.5-month history of vomiting, intermittent dyspnea, and abdominal distention. Radiographic, ultrasonographic, and computed tomographic examinations suggested a tentative diagnosis of a fluid-containing cystic mass with an internal septum. The mass was surgically removed. Histological examinations revealed that the mass was a non-neoplastic hepatic cyst. The patient had no recurrence of the cystic structure but died of acute renal failure 5 years after the surgery. This report describes the unusual case of a giant hepatic cyst with clinical signs that resolved after mass removal.

급성 림프구성 백혈병에 합병된 천공성 typhlitis (Two Cases of Perforated Typhlitis in Acute Lymphocytic Leukemia)

  • 박우현;안근수;최순옥
    • Advances in pediatric surgery
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    • 제7권1호
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    • pp.59-63
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    • 2001
  • 소아 ALL 환자 2례에서 천공성 맹장염을 경험하였다. 주요 증상으로 고열, 복통, 복부팽만 설사가 있었으며, 혈액 검사에서 백혈구 감소증 및 혈소판 감소증이 있었다. 진단은 초음파검사와 콤푸터 단층촬영으로 비정상적인 장벽 비후를 봄으로 가능하였다. 1예는 수술적 치료를 함으로 1예는 내과적 치료로 좋은 결과를 얻었다. 백혈병환자에서 항암 치료 중 고열, 하복부 동통이 있고 백혈구 감소증이 있을 경우는 맹장염의 기능성을 생각하고 조기에 초음파 검사 또는 컴퓨터 단층촬영을 하여 적절히 대처하여야 할 것으로 생각된다. 그리고 비록 천공성 맹장염이라도 증상이 국소적 일 때는 내과적 치료를 시도해 볼 필요가 있다고 생각된다.

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선천성 십이지장 폐쇄증의 임상적 연구 (Clinical Study of Congenital Duodenal Obstruction)

  • 허영수;임명국;박성규
    • Journal of Yeungnam Medical Science
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    • 제15권1호
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    • pp.67-74
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    • 1998
  • Successful management of duodenal obstruction in newborn infant implies not only satisfactory nutrition but also achievement of normal growth. To aid early diagnosis and management, we evaluated the diagnostic methods, operative interventions and clinical characteristics of thirty-nine infants with congenital duodenal obstructions. In the 11-year period from July 1986 through June 1997, thirty-nine patients with congenital duodenal obstruction (23 males and 16 females) were treated and reviewed at the Department of Pediatric Surgery, Yeungnam University Hospital. The ratio of male to female was 1.4:1, and 29 cases(74.1%) among total 39 patients were newborn. There were 5 premature patients and 16 patients of small for gestational age. The most common causes of the congenital duodenal obstruction was malrotation (26 cases, 66.7%) and followed by annular pancreas (9 cases, 23.1 %), type 1 atresia (3 cases, 7.7%) and wind-sock anomaly (1 case, 2.6%). Common symptoms were vomiting, abdominal distention, jaundice. Plain abdominal X-ray study combined with upper gastrointestinal series was the most commonly used diagnostic method. The operative procedures were performed by same pediatric surgeon utilizing Ladd's procedure in 26, duodenoduodenostomy in 8, duodenojejunostomy in 4, excision of wind-sock membrane in 1. A total of 15 associated congenital anomalies were found in 9 patients. Postoperative complications occurred in 13(33.3%). Overall mortality was 2.6%(1/39). Bilious vomiting and plain abdominal radiologic study were most useful for the diagnosis of congenital duodenal obstruction. Early diagnosis and operative intervention were important to prevent complications such as sepsis and peritonitis.

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동의보감(東醫寶鑑) 중(中) 지각(枳殼)이 주약(主藥)으로 배오(配伍)된 방제(方劑)의 활용(活用)에 대한 고찰(考察) (A study on Applications of prescriptions including Fructus Ponciri Seu Aurantii as a main component in Dongeuibogam)

  • 유승훈;임영환;유승열;윤용갑
    • 대한한의학방제학회지
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    • 제16권1호
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    • pp.15-27
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    • 2008
  • This report describes 46 studies related to the use of Fructus Ponciri Seu Aurantii main blended prescriptions from Dongeuibogam. The following conclusions were reached through investigations on the prescriptions that use Fructus Ponciri Seu Aurantii as a key ingredient. 1. 19.6% of feces recorded the largest number of clinical frequency of the prescriptions in therapeutic use when Fructus Ponciri Seu Aurantii was taken as a monarch drug in prescriptions. In addition, 13.0% of each of a cough and an abdominal mass with distention and pain ranked second. 2. Prescriptions that utilize Fructus Ponciri Seu Aurantii as the main ingredient are used in the treatmeant of 5 diseases related to each of feces and an abdominal mass with distention and pain, and they are also used for treating different types of diseases related to the following ; a cough, a chest, ribs, eyes, the fullness in the chest, Qi, skin areas. 3. In the view of the causative agent of a disease, the prescriptions which are compounded with Fructus Ponciri Seu Aurantii as a monarch drug are related to endogenous agents such as seven emotion, food, deficiency, exogenous agents such as wind-cold pathogen, heat and non-endo-exopathogcnic factors like diseases due to external factors, poison. And in the view of the pathology of a disease, they are applied to the viscera pathology related to the lung, the spleen and stomach, the pathology of Qi and blood related to the reversed flow of Qi, the congestion of Qi, the deficiency of blood, the obstruction of Qi and blood, and the pathology about the retention of phlegm and fluid related to phlegm stagnation. 4. The dosage of Fructus Ponciri Seu Aurantii is 1.25pun(about 0,47g) to 2jeon(about 7.5g), however 1jeon(about 3.75g) has been taken the most for clinical application. 5. We can find out that according to herbs or prescriptions blended with itself, Fructus Ponciri Seu Aurantii makes a variety of functions to penetrate and remove stagnation, regulate Qi flow, relieve stagnation, expell wind and get rid of pain.

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다발성 장기 경색을 동반한 폐선암 1례 (A Case of Adenocarinoma of the Lung Associated with Multi-oragn Infarctions)

  • 박창환;이정훈;황준화;장일권;박형관;김영철;박경옥
    • Tuberculosis and Respiratory Diseases
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    • 제44권5호
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    • pp.1177-1183
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    • 1997
  • 저자들은 임상적으로 신장, 비장 그리고 뇌에 다발성 및 재발성 경색이 발생하여 주요 원인 질환으로 폐선암을 진단하였던 1예를 경험하였기에 문헌 고찰과 함께 이에 보고한다. 다발생 경색의 원인기전으로는 비세균성 혈전성 심내막염 또는 파종성 혈관내 응고증에 의한 in situ thrombosis 등이 추정되었다.

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개에서 발생한 비전형적 부신피질선종 1례 (Atypical Adrenocortical Adenoma in a Dog)

  • 최호정;주보나;안지영;오이세;정성목;박성준;조성환;이영원
    • 한국임상수의학회지
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    • 제26권1호
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    • pp.95-100
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    • 2009
  • A 15-year-old, spayed female maltese dog was presented with polydipsia, polyuria, polyphagia, abdominal distention, alopecia and hyperpigmentation. The complete blood counts were in normal range, and the serum biochemistry revealed elevated level of glucose and globulin. Mild hepatomegaly was seen on radiography of abdomen. Abdominal ultrasonography revealed the uniformly enlarged left adrenal gland measured 2.4 cm in diameter. ACTH stimulation test and LDDST revealed hyperadrenocorticism. HDDST revealed pituitary dependent hyperadrenocorticism. On CT images, isodense mass with contrast enhancing was seen in left adrenal gland. Cytologic result is consistent with benign tumor. Adrenal mass was surgically removed and evaluated. Histopathologic examination revealed adenocortical adenoma.

S상 결장 분절확장증 (Segmental Dilatation of the Sigmoid Colon : A Rare Cause of Chronic Constipation)

  • 박우현;최순옥;백태원;이희정;서수지;김상표
    • Advances in pediatric surgery
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    • 제1권1호
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    • pp.68-72
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    • 1995
  • Segmental dilatation of the colon is a very rare disease entity of unknown etiology and may mimic Hirschsprung's disease. It is characterized by dilatation of a segment of the colon of variable length with obstruction due to lack of peristalsis in a normally innervated intestine. Recently authors experienced a case of segmental dilatation of the sigmoid colon in a 6 month-old male, who presented with severe constipation, abdominal distention, and abdominal mass since 2 months of age. Down's syndrome and congenital nystagmus were associated. Barium enema demonstrated focal dilatation of the sigmoid colon, but the rectum and descending colon proximal t o the affected colon were of normal caliber. Rectal suction biopsy with acetylcholinesterase staining was normal and anorectal manometry showed normal rectosphincteric reflex. At operation, there was a massively dilated and hypertrophied sigmoid colon with increased tortuous serosal vessels, measuring 15 cm in length and 10 cm in width. Teniae coli were identifiable in the affected segment. Frozen section biopsies at the proximal, affected, and distal colon showed ganglion cells. Descending loop colostomy was constructed initially and segmental resection and end to end colocolostomy were carried out 3 months later. Final histologic examination showed 1) normal colonic mucosa with ganglion cells, 2) prominent submucosal fibrosis and marked muscular hypertrophy, 3) unremarkable acetylcholinesterase activity and immunohistochemical findings against S-100 protein. On 8 months follow-up, he has been doing well and moves bowels 1-2 times daily.

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