식도암(食道癌)에 대한 임상적(臨床的) 고찰

강남부 대한소화기학회 1975 대한소화기학회지 Vol.7 No.1

The clinical study was carried out on 40 cases of the esophageal cancer for 10 years from January, 1960 through December ]969 at the department of surgery, Jeon-Ju provincial hospital. The prevalent age was in the 4th decade of life in both sexes and average 53.2 years. Duration of the disease before seeking medical aid is comparatively long and the duration over 6 months is 32.5% of all the patients. In the majority of patients, the typical symptoms of espohageal cancer is manifested. In the lower esophagus including the cardiac region of the stomach adenocarcinoma was the most frequent type of tumour. In the middle esophagus the squamous cell carcinoma was the most frequent one. Diagno sis was made by esophagoscopy with biopsy and esophagography. Operation was underwent on 55% of all patients and curative resection was feasible only in 13.5%, palliative operation comprising 86.6% of the operated patients. Post-operative complications were relatively high (63%) and mortality was 22.5% of the operated cases. In addition, general eoncepts of the esophageal cancer with brief review of literature was presented here.

선천성 거대결장에 대한 통계학적 고찰

강남부 中央醫學社 1975 中央醫學 Vol.28 No.2

The statistical review of the congenital megacolon was carried out on 25 ases, received corrective surgery, for 15 years at the Department of Surgery, Chollabuk-do Provincial Hospital in Chon-ju. The results were as follows; 1. Body weight on corrective surgery was around 8―10kg in half of the cases. 2. Nearly 90% of the cases, the lesion was confined to rectosigmoid region. 3. The types of surgery were Swenson, Duhamel and Soave pull-through oper- ations. 4. The longterm result of the cases was satisfactory. 5. Mortality was encountered in 3 cases (12%).

Mangement of Portal Hypertension

강남부 () 대한외과학회 1981 대한외과학회 학술대회자료집 Vol.- No.-

上部胃腸管 出血에 對한 臨床的 考察

姜南富 전북대학교 의과학연구소 1978 全北醫大論文集 Vol.2 No.-

A total of 147 patients of upper gastrointestinal track bleeding, who were admitted in Jeonbug National University Hospital during the past 6 years from January. 1971 to December. 1976 were clinically reviewed. The following results were obtained : 1) The incidence of upper gastrointestinal tract bleeding was 1.36% of all patients admitted to Jeonbug University Hospital. 2) The causative diseases producing upper gastrointestinal tract bleeding were peptic ulcer(55.1%) stomach carcinoma(15.7%), esophageal varices(10.95), hemorrhagic gastritis(5.4%) stress ulcer(3.4%), undetermined(2.7%), drug-induced acute ulcer(2.0%), atrophic gastritis(2.0%), blood dyscrasia(1.4%) and marginal uncer(1.4%) in order of frequency. 3) The age and sex distribution of upper gastrointestinal tract bleeding revealed a greater prevalence in male and 5th decade with a ratio of 4.4 males to 1 female. 4) Hematemesis was noted in 25 patients(19.0%) and combined hematemesis and melena in 94 patients(64.0%), 86 patients(58.4%) had massive upper gastrointestinal tract bleeding with low hemoglobin level(below 7.0gm%). 5) Radiological diagnosis was established in 44.9% of all cases. 6) Among 147 cases, 79 cases(53.7%) were treated conservatively and 68 cases(46.3%) were treated surgically. Among 68 operated cases, subtotal gastrectomy was the most common procedure(50.0%). Other procedures were antrectomy and vagotomy, total gastrectomy, shunt opertation, vagotomy and pyloroplasty and splenectomy. 7) The postoperative complication were occurred in 16 cases(23.6%) which were wound infection, hepatic coma, rebleeding, ateletasis, postoperative adhesion, pneumonia, afferent loop syndrome in order of frequency. 8) The mortality rate was 13.9%(11 cases) in conservative group and 8.8%(6 cases) in operative group. The overall mortality rate was 11.6%(17 cases).

사람의 Brain-associated θantigen과 淋巴組織의 θ抗原分布

姜南富,金在天 전북대학교 의과학연구소 1979 全北醫大論文集 Vol.3 No.-

사람의 뇌로 가토를 면역하여 가토항-인쇄혈청을 만들어 사람의 흉선세포에 대한 HBAθ 항혈청의 세포독성을 검사하였든 바 고도의 세포독성이 있었다. HBAθ 항혈청의 마우스 흉선세포에 대한 세포독성은 마우스의 간분말과 골수에 의해 흡수되지 아니하였다. 그러나 사람의 흉선세포 또는 마우스의 흉선세포에 대한 HBAθ 항혈청의 세포독성은 사람의 뇌, 흉선세포, 마우스의 뇌, 또는 흉선세포에 의해 완전히 흡수되었다. 이와 같은 본 실험결과는 사람 뇌의 항원결정기가 사람 흉선세포의 항원과 동일하거나 대단히 유사하다는 근거를 제시한 것이며 도한 인뇌의 항원은 마우스흉선세포와도 교우반응함을 시사한다. HBAθ 항혈청을 사용하여 사람의 흉선세포, 말소혈액림파구 및 충양돌기에 있는 인뇌관련항원(HBAθ )의 분포를 검사하였다. 그 결과 흉선세포의 95%, 말소혈청림파구의 66%, 그리고 충양돌기세포의 22%가 HBAθ 를 가지고 있다. 사람의 말소혈청액임파의 자연로젤(E-rosette) 형성과 HBAθ 항혈청의 독성을 비교 실험하였다. 그 결과 E-rosette 형성과 세포독성은 관계가 있었다. 이와 같은 본 실험결과는 HBAθ 항혈청의 세포독성을 사용하여 사람의 말소혈청액중의 T림파구를 검색할 수 있음을 시사한다. 사람의 충양혈책림파구, 마우스, 가토의 임파세포에 대한 세포독성은 대단히 낮았다.

Intestinal Duplication 1례

강남부,李永來 전북대학교 의과학연구소 1978 全北醫大論文集 Vol.2 No.-

Intestinal duplication is a rare entity characterized by the tubular structure and adjacent to the bowel, in which cases they lie on their mesenteric side, or they may be cystic. This duplication seems to be the result of localized faults in the development of the gut. A case of duplication which was located on the distal ileum was treated because of torsion with gangrenous change at Department of Surgery, Jeonbug National University Hospital. A case of intestinal duplication is submitted with a reveiew of the literatures.

腸티프스性 腸穿孔에 對한 臨床的 考察

姜南富 전북대학교 의과학연구소 1977 全北醫大論文集 Vol.1 No.-

Clinical observation was made of 42 cases of patients who were operated with perforation of the ileum secondary to typhoid fever, which were experienced from February, 1972 to August, 1976 at the Department of Surgery, Jeonbug National University Hopital. The results were as follows : 1. Ileal perporation due to typhoid fever was occurred most frequently in those between the age of 20-29 years and the male-female ratio was 2, 8:1. 2. perforation was developed most frequently over 2 weeks after onset. 3. Most of the patients complained of fever, abdominal pain, chills, nausea and vomiting in order of frequency. 4. Common physical findings were abdominal tenderness, rebound tenderness, rigidity and distention in order of frequency. 5. In the hematologic finding on admision, the leukopenic changes(below 6,000/㎣) was in 45.2%. 6. The result of the widal test was positive in 71.8%(above 1:160 in O titers) 7. The X-ray studies revealed the subdiaphragmatic free gas in 54.8% and the paralytic ileus in 92.9% of the perforated cases. 8. In operative findings, over 85% of the perforations occurred within 60 cm, proximal to the ileocecal vave, and the number of the perforation was single in 32 cases(76.25) and multiple in 10 cases(23.8%). 9. Four types of operative methods were used, those were segmental resection with end-to-end anastomosis in 27 cases(64.3%), simple closure in 8 cases(19%), ileostomy in 6 cases(14.3%) and abdominal drainage only in 1 case(2.4%). 10. Complications after surgery were wound infections(35.7%), septicemia(16.75), wound disruption(14.3%), adhesion(9.5%), intestinal fistula(7.1%), intraabdominal abscess(4.8%), bleeding(2.4%) and disruption of the anastomosis(2.4%). 11. The overall mortality rate was 16.7%.

외상성(外傷性) 복부(腹部) 손상에 대한 임상적(臨床的) 고찰

강남부 대한소화기학회 1976 대한소화기학회지 Vol.8 No.1

A clinical investigation of 53 cases of abdominal injuries treated at the Department of General Surgery, Jeonbug University Hospital from April, 1973 through October, 1975, was performed. 1) The sex distribution was 42 males (79%) and 11 females (21%) with ratio of 3.7: 1 and the age distribution revealed a high incidence in 3rd and 4 th decades (54.7%). 2) The scasenal distribution showed the highest incidence in early summer invoving 22 cases (44.6%). 3) The causes of blunt trauma (34 cases, 64.1%) were violence (35.9%) car accidents(16.9%), and falling (11.3%). The causes of penetrating trauma (35.9%) were stab injuries (34%) and missile (1.9%). 4) A most cases (77%) were operated within 8 hours after injury and the cases who were operated after 8 hours from injury were 11 cases (23%). 5) The clinical Manifestations were abdominal pain (92.5%), tenderness (88.7%), rebound tenderness (73.6%), rigidity (67.9%) diminished peristalsis (64.2%), and abdominal distention (47.2%) in order of frequency. 6) Preoperative leukocytosis were noticed in 80% of cases. Abdominal paracentesis was helpful in diagnosis and 29 cases (82.7%) of 35 cases had a positive finding. Free air was present in 75% of hollow viscus perforation. 7) As to the organs injured and the frequency of involvement, the small bowel was most frequently injured (26.2%), followed by splenic rupture (16.4%), liver injury (8.2%), retroperitoneal hematoma (6.6%), and negative finding in penetrating trauma was 13.1%. 8) Twenty-eight (70%) had single organ involvement, four cases (10%) two organ involvement, and 8 cases (20%) had more than two organ involvement. 9) The frequently associated extraabdominal injuries were chest injuries (15.0%), urethral ruptures (5.0%), pelvic bone fracture (2.5%) in order of frequency. 10) Simple closure or resection and end-to-end anastomosis was possible in most cases of injuries of stomach, small intestine and urinary bladder. In the injuries of large intestine, primary closure with colostomy was done. Liver injury was treated with primary closure and drainage in the most cases. All cases of splenic injury were treated with splenectomy. In the renal injuries, nephrectomy was done in 2 cases and conservative treatment in one case. 11) The major complications were infection(6 cases, 12.5%), and septicemia(3 cases, 6.3%). Complication was seen in 15 patients (31.4%). 12) Mortality rate was 7.5%, and main causes of death were septicemia (2 cases), hypovolemia (1 case), and renal shut down (1 cases).

先天性 膽管囊腫의 臨床的 分析

姜南富 전북대학교 의과학연구소 1979 全北醫大論文集 Vol.3 No.-

Congenital dilatation of the common bile duct is an uncommon congenital lesion. The location, degree, and type of dilatation are variable. The most cases are involved in common duct, especially in extrahepatic than intrahepatic portion, and occur more frequently in female than male. The symptoms and signs are variable, but upper abdominal pain, jaundice and mass in the right upper quadrant are the prominent feature. Author experienced 3 cases of typical extrahepatic choledochal cysts and are presinting with review of the world literatures its etiology, clinical features and treatment of these types of anomalies.

小兒에 있어서 急性 蟲垂炎과 鑑別을 요하는 疾患

姜南富 최신의학사 1976 最新醫學 Vol.19 No.11