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간담도내 Calcium - bilirubinate 결석을 갖는 환자에서 간흡충증의 유병율에 관한 연구
양태영(Tae Young Yang),서정철(Jeong Cheol Seo),김미자(Mi Ja Kim),정규성(Kyu Sung Chung),주기산(Gi San Ju),김태원(Tae Weon Kim),박찬국(Chan Gook Park),김만우(Man Woo Kim),김석일(Suk Il Kim) 대한내과학회 1996 대한내과학회지 Vol.50 No.1
N/A Objectives: Clonorchiasis is very common in the Far East and nation-wide in our country. Hepatobiliary stones is not rare in the group of hepatobiliary disease. Some debates has been made in the point of the relationship between clonorchiasis and calcium-bilirubiante stone. The object of the study is to evaluate the prevalence of clonorchiasis in the hepatobiliary stone patients. Methods: Ultrasonographic survey were made of 72 patients in Chosun University in Kwang-ju from August 1993 to July 1994. The ultrasonogram was Aloka model SSD 680(Tokyo, Japan). The hepatobiliary stones were classified based on their sonographic characteristics by modified Tsuchiya method. The stoo1 examination was carried out using the cellulous thick smear and the anti-C. sinensis IgG was measured by enzyme-linked immunosorbent assay. Results: The ultrasonographic analysis of stones showed that type 1 mainly composed of cholesterol stone was 45 cases(62.5%) and type 3 mainly composed of calcium-bilirubiante stone was 23 cases (31.9%). The prevalence of clonorchiasis in 72 cases of hepatobiliary stone patients, in 23 cases of calcium-bilirubinate stones, and in 49 cases of non calcium-bilirubinate stones were 18 cases(25%), 10 cases (43.5%), and 8 cases(16.3%) respectively. Conclusion: The relationship between Clonorchiasis and calcium-bilirubinate stone was statistically significant(p<0.01)
간담도내 Calcium - bilirubinate 결석을 갖는 한자에서 간흡축증의 유병율에 관한 연구
양태영(Tae Young Yang),서정철(Jeong Cheol Seo),김미자(Mi Ja Kim),정규성(Kyu Sung Chung),주기산(Gi San Ju),박찬국(Chan Gook Park),김만우(Man Woo Kim),김석일(Suk Il Kim) 대한내과학회 1995 대한내과학회지 Vol.49 No.5
N/A graphic characteristics by modified Tsuchiya method. The stool examination was carried out using the cellulous thick smear and the anti-C, sinensis IgG was measured by enzyme-linked immunosorbent assay. Results: The ultrasonographic analysis of stones showed that type 1mainly composed of cholesterol stone was 45cases(62.5%) and type 3 mainly composed of calcium-bilirubinate stone was 23cases (31.9%). The prevalence of clonorchiasis in 72cases of hepatobiliary stone patients, in 23cases of calciumbilirubinate stones, and in 49cases of non calciumbilirubinate stones were 18cases(25%), 10cases (43.5%), and 8cases(16.3%) respectively. Conclusion: The relationship between Clonorchiasis and calcium-bilirubinate stone was statistically significant(p<0.01).
간 낭종을 동반한 성인 다낭신 환자에서 간 낭종의 감염 1예
정규성,서정철,주기산,김원식,임영국,정종훈,문철웅 朝鮮大學校 附設 醫學硏究所 1993 The Medical Journal of Chosun University Vol.18 No.1
Adult polycystic kidney disease(APKD) usually accompanies with renal and extrarenal manifestations and liver cysts are present in aproximately 30% of patients with APKD. Kidney cysts often accompany with hemorrhage, rupture, infection, however, liver cysts are usually asymptomatic and do not impair liver function. Rare complication of liver cysts in patient with APKD include portal hypertension with bleeding esophageal varices and hepatic failure with encephalopathy. But, in APKD patient, infection of liver cysts without infection of renal cysts is extremely rare. We report a case of infected liver cyst in a patient with APKD who has complained generalized abdominal pain and high fever which was confirmed by ultrasound and aspiration. The patient was treated successfully with repeated aspiration and systemic antibiotics.