空腸粘膜下動脈瘤의 破裂出血

裵仁根,柳昊鐘,李華永,梁文浩 최신의학사 1973 最新醫學 Vol.16 No.10

A case of ruptured sumucosal aneurysm of the jejunum is reported. Clinical manifestation was massive upper gastrointestinal hemorrhage of unknow unknown cause. The lesion is considered to ae congenital. The clincal findings in this case could not lead one to a correct preoperative diagnosis of so rare a lesion, but the diagnosis was made easier at laparotomy by the presence of a small rice sized protruding adherent clot simulating a small polyp. The literatures reviewed uncovered only three other occurrences, one of them fatal.

급성충수염(急性蟲垂炎)의 임상적(臨床的) 고찰

배인근 대한소화기학회 1976 대한소화기학회지 Vol.8 No.2

A clinical study and statistical analysis was performed on 515 cases of acute appendicitis vhich experienced at the Department of Surgery, College of Medicine, Kyung Hee University from 5 th Oct., 1971 to 30 th Sept, 1975. The result obtained as followings; 1. The sex distribuiton is 287 in males and 228 in females with a ratio of l. 25: 1. 2. The peak age incidence was in the groups of 20 t 29 years in 32 percent and of 10 to 19 years in 23. 6 percent. 3. The chief complaint ivas the pain on right lower quadrant of abdomen and the loss of appetite. 4. The main physical findings were tenderness on the right lower quadrant of abdomen, rectal tenderness, rebound tenderness and fever. 5. Leucocytosis, over 10,000 per cubic milimeter, was 75 percent of all patient. 6. The interval between onset of symptom and operation was variable but was commonest in 12 to 24 hours group(32%). 7. In pathological examination, suppurative form was in 56% and perforated form was in 14.5% of all patients respectively. 8. Post operative complication were wound infection, intestinal obstruction, pulmonary complication and pelvic abscess in order of frequency. 9. The average hospital day in un-perforated case was 7 days. 10. The mortality was absent.

우측 Bochdalek Hernia - 1례 보고 -

배인근 대한흉부심장혈관외과학회 1973 Journal of Chest Surgery (J Chest Surg) Vol.6 No.1

Bochdalek hernia is the most common congenital diaphragmatic hernia and that of the foramen of Bochdalek is rare in right side of the diaphragm. Two cases of right Bochdalek hernia were reported in literatures published in Korea. The first case was associated with hypoplasia of the lung and could not be survived. The second case [four months old male infant] was operated on August 28, 1971. at Ewha University Hospital arid survived. The third case was a three months old male infant who had been born at 8th lunar month in a private clinic. During the period of three months prior to admission this premature infant was suf-fered from mild respiratory distress measured as pneumonia. On December 20. 1972, this infant was admitted at Kyung Hee University Hospital with severe respiratory distress developed abruptly. Chest X-ray examination [barium study] demonstrated right diaphragmatic hernia. Right hemithorax was filled with intestines and right lobe of the liver which were repositioned back into the peritoneal cavity through the foramen of Bochdalek. 3. 0 cm x3.5 cm in size, and the defect was closed with interrupt mattress sutures. There was hypospadia with chordee but no other associated anomalies such as hypoplasia of the lung, malrotation or malfixation of intestines, and cardiovascular anomalies. The Postoperative hospital course was not eventful and the baby was discharged on the 14th postoperative day.

유기용제 폭로 근로자에 있어서 신경행동검사의 시행시점에 관한 연구

박강원,박인근,김진하,배강우,이덕희,이용환,Park, Kang-Won,Park, In-Geun,Kim, Jin-Ha,Bae, Kang-Woo,Lee, Duk-Hee,Lee, Yong-Hwan 대한예방의학회 1997 Journal of Preventive Medicine and Public Health Vol.30 No.1

본 연구는 유기용제 만성 폭로 근로자들에게서 급성 폭로후 폭로 중지 시간에 따른 신경행동검사의 변화 양상을 보기 위하여 시행되었다. 대상군은 1개 피혁운동화 제조업체에서 5년이상 근무한 여성 근로자 34명이었으며 NCTB증 4가지 항목-숫자 암기, Santa Ana Dexterity, Benton Visual Retention, 숫자 부호 짝짓기-을 1인당 3회 반복 시행하였다. 검사 시점은 각각 월요일 작업 시작 전, 평일 작업 시작 전, 평일 작업 중이었다. 시행 시점에 따라 유의한 수행 능력의 차이를 보인 항목은 숫자 암기 정순, Benton Visual Retention, Santa Ana Dexterity 우수와 열수, 그리고 숫자 부호 짝짓기였으며 특히 평일 작업 중의 수행 능이 월요일 작업시작 전, 평일 작업 시작 전에 비하여 통계적으로 유의하게 감소하였다. 또한 Santa Ana Dexterity 우수, 숫자 부호 짝짓기에서는 평일 작업 시작 전의 수행능력도 월요일 작업 시작 전에 비하여 유의하게 감소하였다. 전반적으로 고 폭로군, 50세 이상, 6년 미만의 교육수준에서 평일 작업 중의 수행능 감소가 뚜렷하게 나타났다. 이상에서 만성 유기용제 폭로의 중추 신경계 장애를 보기 위한 신경행동검사는 휴일 후 작업 시작 전에 시행하는 것이 바람직하며 단기 기억력과 관련된 검사 항목은 평일 작업 시작전에 시행하는 것도 고려해 볼 수 있을 것으로 보인다. This study was performed to see whether neurobehavioral tests was affected by the exposure-free time in the workers chronically exposed to organic solvents. Thirty-four female workers were participated and four items among neurobehavioral core test battery of World Health Organization, including digit span, Santa Ana Dexterity, digit symbol and Benton Visual Retention, were administered to the workers. Test was conducted three times-preshift on Monday, preshift on Weekday and during shift on Weekday-per person and the interval of tests was 2 weeks. Digit span forward, Santa Ana Dexterity, digit symbol, and Benton Visual Retention showed significant decrements by performing time, especially during shift on Week-day versus preshift on Monday and preshift on Weekday. In addition, the score at preshift on Weekday was significantly lower than preshift on Monday, in preferred Santa Ana Dexterity and digit symbol. Generally, those who were exposed to high concentration, over 50 years and under 6 years of education showed marked decrease of score at during shift. So, it would be desirable that neurobehavioral test is conducted at preshift on Monday and items related to short term memory could be considerable to be done at preshift on Weekday.

乳腺葉狀囊胞肉腫

李完信,裵仁根,梁文浩,李華永 中央醫學社 1973 中央醫學 Vol.25 No.5

Cystosarcoma phyllodes which was first described in 1838 by Miller is a rare variant of fibroadenoma often referred to as a giant fibroadenoma. Most of these tumors are benign, but a few develop true sarcomatous potential. And it occur most commonly in women in an age group between that of the peak incidence of fibroadenoma and that of the peak incidence of breast carcinoma. Two cases of these tumors, both of which are teenager, were treated and those are presented in this article with their clinical manifestations, incidence, diagnosis, malignant potential, surgical managements, and with a brief review of literature.

原發性重複癌

尹忠(Yoon C.),裵仁根(Bae I.G.),朱興在(Joo H.Z.),梁文浩(Yang M.H.),安在斗(Ahn J.D.) 대한외과학회 1974 Annals of Surgical Treatment and Research Vol.16 No.7

VDT작업별 정신사회적 스트레스와 근골격계 장애에 관한 연구

백남종,강종두,주영수,배인근,권호장,박종만,조수헌,김돈규,김재용,최홍렬 大韓産業醫學會 1998 대한직업환경의학회지 Vol.10 No.4

It has been hypothesized that jobs that have both high psychological demands and low decision latitude("job strain") can lead to musculoskeletal disorder. The objective of this study was to test whether job strain was correlated with the presence of work-related musculoskeletal disorder, especially myofascial pain syndrome(MPS). Information on demographic factors, confounders such as household load and taking care of children or not, and scores for decision latitude, job demand, and social support was obtained by self-administered questionnaire, which had been developed in Korean language, by adopting NIOSH instrument and Extended Karasek Model(16 items). All subjects were also examined by rehabilitation medicine specialists for musculoskeletal disorders. Subjects(n=370) could be categorized into 4 groups, these were, housewives(n=89), shipyard CAD workers(n=89), general female workers(n=79; nurses, insurance counselors, public officials, clerks, etc), and telephone directory assistance operators(n=113). Results from univariate analyses indicated that all demographic factors, all confounders, scores for decision latitude and social support were not associated with the risk of musculoskeletal disorder. However, score for job demand was higher in musculoskeletal disorder cases than others. In subgroup analysis, this association was convinced again, in telephone directory assistance operators. Job strain model showed that the group of telephone directory assistance operators was high-stain group, and OR of musculo skeletal disorder was 2.446(95% C. I. : 1.174, 5.096), when comparing this with the low strain group. In conclusion, job strain is a risk factor for work-related musculoskeletal disorder.