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원발성 종격동 정상피종(Anaplastic Subtype) 1 예
이영욱,김효진,이현제,박용구,유영길,장대환,오춘수,승기배 대한내과학회 1987 대한내과학회지 Vol.33 No.6
Seminomatous germ cell tumors can arise as primary malignancies in the mediastinum without involving the testis. It is identical to testicular seminoma histologically. Currently, testicular seminomas are classified into three subtypes; typical or classical seminoma, anaplastic seminoma, and spermatocytic seminoma. We experienced one case of primary mediastinal seminoma. He was 25 year old male, and complained of a growing anterior chest wall mass for 1 month prior to admission. The patient underwent open thoracotomy. But we coudn't resect the mass completely, because of tumor encroachment on adjacent mediastinal structures. Excisional biopsy was interpreted as anaplastic seminoma. He began combination chemotherapy and radiation therapy involving the whole mediastinum and lower neck. The patient had no response to therapy and died of metastatic tumor 4 months after admission.
기관지천식에 있어서 흡입성 Fenoterol 과 Ipratropium Bromide 의 기도확장효과 비교
송창훈(Chang Hoon Song),양재범(Jae Beom Yang),김영철(Young Chul Kim),김정일(Jung Il Kim),오춘수(Choon Soo Oh),이춘기(Chon Kee Lee),최인선(In Seon Choi),박경옥(Kyung Ok Park) 대한내과학회 1989 대한내과학회지 Vol.37 No.5
N/A We assessed the bronchodilator effects of inhaled fenoterol and ipratropium and compared them according to the localization of airway obstruction in 37 patients with bronchial asthma. Although FVC and FEV1 increased remarkably at 10 minutes and one hour after each inhalation of fenoterol or ipratropium, there were no significant differences in effects between the two drugs except that there was a more distinguishable response in FEF25~75% at 10 minutes after fenoterol inhalation. In the response group in which Δvma×50 was more than 20%, fenorerol showed more significant increases in FEV, and FEF25~75% than in the nonresponse group, and showed a more marked response of FEF25~75% than that of the ipratropium group at 10 minutes after inhalation, However, at one hour after inhalation, their bronchodilator efficacy was similar without any statistical differences. The above results suggested that the bronchodilator effect of fenoterol occurred more rapidly than that of ipratropium and that both drugs are able to act on the central large airways as weI1 as the peripheral small airways.