| 영문 | acute hepatitis | 한글 | 급성간염 |
|---|---|---|---|
| 설명 | 바이러스에 의해 간에 생기는 급성염증. 급성간염이란 간염바이러스(A형-B형-비A비B형)에 의해서 간에 생기는 급성염증을 병명으로 이르는 말로, 이는 그 감염양식에 수혈 후에 발생하는 수혈후 간염과, 감염경로를 알 수 없는 산발성간염 및 집단으로 발생하는 유행선간염의 세가지 유형으로 나눌 수 있다. 수혈후 간염은 그 95%가 비A비B형간염이며 나머지가 B형 간염이다. 산발성 간염은 A형 간염과 B형 간염이 각각 30%를 이루고 나머지 40%는 비A비B간염이다. 집단으로 발생하는 유행성간염은 거의가 A형간염이지만 때로는 여기에 포함되지 않은 형의 간염일 경우도 있다. 급성간염의 증세는 먼저 몸이 나른해지고 온몸에 권태감이 찾아오며 조그마한 일에도 곧 피로를 느끼게 된다. 그리고 식욕부진-발열-구토증-복통-설사 등, 감기나 급성위장염에 걸렸을 때와 같은 증세 등이 나타난다. 뒤이어 황달증세를 보이는데, 이때는 초기의 증세가 약간 가벼워진 것처럼 느껴지는 것이 보통이다. 그러나 황달증세가 심해지고 초기의 증세들이 다시 진행되면 이때는 전격성간염이 될 위험이 있다. 간염 증세가 심하지 않았을 경우는 황달이 눈에 띄지 않은 경우도 있는데 이때는 진찰을 해도 감기나 급성위창자염으로 자칫 오진되기 쉽다. 또 A형간염은 열이 38~39℃까지 오르고 증세가 갑자기 나타나는 것이 특징이며 급성비A비B형간염은 증세가 비교적 가벼운 것이 특징이다. 급성B형간염의 증세는 A형간염과 급성비A비B형간염의 중간 정도인 것이 보통이다. |
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| 영문 | fulminant hepatitis | 한글 | 전격간염 |
|---|---|---|---|
| 설명 | 바이러스 간염의 한 형으로 급성 황색위축증이라고도 부른다. 간세포의 대부분이 괴사상태로 되며 환자는 보통 사망한다. 황달이 나타나기 전부터 이미 증상은 현저히 진행하여 황달의 출현도 빠르고, 급성 발열을 수반하며 점막이나 피하출혈을 볼 수 있다. 간의 압통을 수반하는 수도 있다. 위축에 의하여 간은 자주 작아진다. 최후에는 의식장애를 초래하여 졸음이 오고 혼미상태로 되며 간성혼수로 진행하여 사망하게 된다. 증상이 시작되어 2~3주 내에 간뇌병증까지 진행하는 간기능 상실을 전격성 간기능상실이라고 부르며, 진행 속도가 빠르지 않아서 3개월에 이르러 간기능상실에 빠지는 것은 아급성 간기능상실이라고 부른다. 모든 간염 바이러스가 모두 일으키지는 않는다. 간염A바이러스와 간염E바이러스는 보유자 상태나 만성 간염을 거의 일으키지 않는다. 기타 다른 감염 또는 비감염성 원인, 특히 약물과 독소도 본질적으로 동일한 증후를 일으킬 수 있다. 그러므로 바이러스성 간염의 진단과 각 간염 바이러스를 구별하는데는 혈청학적 검사가 필수적이다. |
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| CP | candle power; capillary pressure; cardiac pacing; cardiac performance; cardiopulmonary; caudate puta... |
|---|---|
| CRD | carbohydrate-recognition domain; chronic renal disease; chronic respiratory disease; child restraint... |
| NEC | Necrotizing Entero-Colitis |
| If | nec if necessary |
| NEC | National Electrical Code; necrotizing enterocolitis; neuroendocrine cell; neuroendocrine convertase;... |
| persistent ectopic pregnancy | An ectopic pregnancy which has persistent viable tissue, secreting hCG after conservative surgery. (05 Mar 2000) |
|---|---|
| persistent foetal circulation syndrome | <syndrome> A syndrome of persistent pulmonary hypertension in the newborn infant, without demonstrable cardiac disease. It is characterised by cyanosis and acidosis, severe pulmonary vasoconstriction, hypertrophy of pulmonary arterial muscle, and elevated pulmonary vascular resistance, with resultant right-to-left shunting of blood through a patent ductus arteriosus and at times a patent foramen ovale. (12 Dec 1998) |
| persistent generalised lymphadenopathy | A syndrome characterised by reactive hyperplasia of lymph nodes (of at least one month's duration and at two different body sites, not including the inguinal area) in patients infected with the human immunodeficiency virus. The lymph node lesions progress from benign reactive hyperplasia through a stage of mixed follicular hyperplasia, to follicular involution with lymphocyte depletion. Many go on to a malignant non-Hodgkin's lymphoma. (05 Mar 2000) |
| persistent mullerian duct syndrome | <syndrome> Familial disorder with presence of fallopian tube, uterus, and testis in a male. Deficient mullerian inhibitory substance secondary to Sertoli cell defect. Synonym: hernia uteri inguinale. (05 Mar 2000) |
| persistent posterior hyperplastic primary vitreous | A unilateral congenital anomaly in full-term infants; associated with a congenital retinal fold and a vitreous membranous stalk containing remnants of the hyaloid artery. (05 Mar 2000) |
| persistent tremor | A tremor that is constant, whether the subject is at rest or moving. Synonym: continuous tremor. (05 Mar 2000) |
| persistent truncus arteriosus | A congenital cardiovascular deformity resulting from failure of development of the spiral septum and consisting of a common arterial trunk opening out of both ventricles, the pulmonary arteries being given off from the ascending common trunk. (05 Mar 2000) |
| persistent vegetative state | A persistent loss of upper cortical function that may follow acute (e.g., infections, toxins, trauma or vascular) events or chronic (e.g., degenerative) events. The patient is bedridden and nutritional support is completely passive, either parenteral or via nasogastric tube. The patient does not require respiratory support or circulatory assistance for survival and is in a state of chronic wakefulness without awareness which may be accompanied by spontaneous eye opening, grunts or screams, brief smiles, sporadic movement of facial muscles and limbs. While the eyes blink upon stimulation, they do not do so in response to visual threats. Some patients chew or clamp their teeth. Urinary and faecal incontinence is universal. (12 Dec 1998) |
| truncus arteriosus, persistent | A congenital anomaly resulting from the failure of the aorticopulmonary system to develop and divide the truncus arteriosus into the aorta and the pulmonary trunk. (12 Dec 1998) |
| acute parenchymatous hepatitis | A lesion in which there is extensive and rapid death of parenchymal cells of the liver, sometimes with fatty degeneration of the size of the organ; the necrosis may result from fulminant viral infection or chemical poisoning; associated with jaundice. Synonym: acute parenchymatous hepatitis, Rokitansky's disease. (05 Mar 2000) |
| anicteric hepatitis | Hepatitis without jaundice. (05 Mar 2000) |
| anicteric virus hepatitis | A relatively mild hepatitis, without jaundice, due to a virus; the principal physical signs and symptoms are enlargement of the liver, lymph nodes, and often the spleen, together with headache, continuous fatigue, nausea, anorexia, sudden distaste for smoking, abdominal pains, and sometimes mild fever; labratory tests reveal evidence of hepatitis. (05 Mar 2000) |
| autoimmune hepatitis | <pathology> A type of chronic active hepatitis that results from circulating auto-antibodies and chronic inflammation of the liver. Symptoms are those of chronic active hepatitis. (27 Sep 1997) |
| vaccination, hepatitis a | When immediate protection against hepatitis a (infectious hepatitis) is needed, immunoglobulins are used. Protection is effective only if given within 2 weeks of exposure and lasts but 2-4 months. Immunoglobulins can be used to protect household contacts of someone with acute viral hepatitis and travelers to regions with poor sanitation and high hepatitis a rates, when the traveler has to depart sooner than the vaccines can take effect (about 2 weeks). Travelers can receive the immunoglobulin and vaccine simultaneously and be protected immediately and for longer term. When immediate protection is not needed, hepatitis a vaccines are considered for individuals in high-risk settings, including frequent world travelers, sexually active individuals with multiple partners, homosexual men, individuals using illicit drugs, employees of daycare centres, and certain health care workers, and sewage workers. Two hepatitis a vaccines called havrix and vaqta are commercially available in the u.s. Both are highly effective and provide protection even after only one dose. Two doses are recommended for adults and 3 doses for children (under 18 years of age) to provide prolonged protection. (12 Dec 1998) |
| vaccination, hepatitis b | Hepatits B (hep B) vaccine gives prolonged protection, but 3 shots over a half year are usually required. In the u.s., all infants receive hep b vaccine. Two vaccines (engerix-b, and recombivax-hb) are available in the us. The first dose of hep b vaccine is frequently given while the newborn is in the hospital or at the first doctor visit following birth. The second dose is given about 30 days after the initial dose. A booster dose is performed approximately six months later. Babies born to mothers testing positive for hep b receive, in addition, hbig (hep b immune globulin) for prompt protection. Older children (11-12 years) are advised to receive a hep b booster as are adults in high-risk situations including healthcare workers, dentists, intimate and household contacts of patients with chronic hep b infection, male homosexuals, individuals with multiple sexual partners, dialysis patients, iv drug users, and recipients of repeated transfusions. Health care workers accidentally exposed to materials infected with hep b (such as needle sticks), and individuals with known sexual contact with hep b patients are available in the u.s. Both are highly effective and provide protection even after only one dose. Two doses are recommended for adults and 3 doses for children (under 18 years of age) to provide prolonged protection. Vaccination, hepatitis b: hepatits b (hep b) vaccine gives prolonged protection, but 3 shots over a half year are usually required. In the u.s., all infants receive hep b vaccine. Two vaccines (engerix-b, and recombivax-hb) are available in the us. The first dose of hep b vaccine is frequently given while the newborn is in the hospital or at the first doctor visit following birth. The second dose is given about 30 days after the initial dose. A booster dose is performed approximately six months later. Babies born to mothers testing positive for hep b receive, in addition, hbig (hep b immune globulin) for prompt protection. Older children (11-12 years) are advised to receive a hep b booster as are adults in high-risk situations including healthcare workers, dentists, intimate and household contacts of patients with chronic hep b infection, male homosexuals, individuals with multiple sexual partners, dialysis patients, iv drug users, and recipients of repeated transfusions. Health care workers accidentally exposed to materials infected with hep b (such as needle sticks), and individuals with known sexual contact with hep b patients are usually given both hbig and vaccine to provide immediate and long term protection. (12 Dec 1998) |