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채응석 ( Eung Suk Chai ),채일석 ( Il Suck Chai ),김경석 ( Kyung Suk Kim ),임융의 ( Young Eui Lim ),홍천수 ( Chein Soo Hong ) 대한내과학회 1973 대한내과학회지 Vol.16 No.1
Nitroblue-tetrazolium (NBT) dye, which has been widely used in histochemical studies of various enzymes, can be reduced to water-insoluble formazan by peripheral neutrophils during phagocytosis. On the basis of this observation, Park et al. reported the fi
증례 : 승모판 및 대동맥판 Ball - valve prosthesis 시술후의 용혈성 빈혈
고윤웅 ( Yun Woong Ko ),채응석 ( Eung Suk Chai ),김경식 ( Kyung Sik Kim ),한지숙 ( Jee Sook Hahn ),채일석 ( Il Suck Chai ) 대한내과학회 1973 대한내과학회지 Vol.16 No.9
Described here is a 17 year old boy who developed hemolytic anemia following intracardiac prosthesis, together with review of the literature of similar cases. Although the mechanism is not certain, mechanical destruction of erythrocyte by hemodynamic alter
차홍도 ( Hong Do Cha ),이해선 ( Hae Sun Lee ),이웅구 ( Woong Ku Lee ),채일석 ( Il Suck Chai ) 대한내과학회 1972 대한내과학회지 Vol.15 No.9
The tendency for ventricular septal defects to decrease in size finds its ultimate expression in the phenamenon of complete spontaneous closure. The spontaneous closure may be accompliehed by a number of mechanisms, and the majority of the defects are dest
홍천수,강진경,최흥재,이호영,채일석 대한소화기학회 1975 대한소화기학회지 Vol.7 No.1
We have presented a clinical review of 387 established cases of pancreatitis among the 501 patients with pancreatic dicrease during the peried between January 1963 and May 1973. The results are as follows; 1. Acute pancreatitis was found in 88.9%: and the chronic form in 11.1% of the 387 patients. There was no significant difference in occurrence between both sexes; 48.6% were males and 51.4% were females. The 71.5% of the patients with acute panreatitis were in the 3rd∼5th decade of the life and 67.4% of the patients with chronic pancreatitis were in the 5th∼6th decade. 2. The relative incidence of the various etiologies of pancreatitis in our series differs markedly from that of other reports. In our series of acute pancreatitis only 5.8% of the patients had gallstones and only 6.9% were alcoholics. The other frequent etiologic factors were dietary factors in 16.8% and peptic ulcer in 8.1%. The 58.7% of the patients appearently had no underlying etiologic factor. In chronic pancreatitis 30.1% had gallstoaes and 11.8% were chronic alcoholics. In 48.8% of the patients with chronic pancreatitis the causes were not determined. 3. In acute pancreatitis the upper abdominal pain was a major symptom in 99.7%, radiating pain was present in 31.9%, nausea and vomiting in 48.8% and fever in 16.9%, In chronic pancreatitis, abdominal pain was preseot in 90.6%, radiating pain in 25. 6%, nausea and vomiting in 25.6%, fever in 11.8%, and jaundice in 9.3%. 4. On laboratory tests, 75.9% of the patients with acute pancreatitis showed more than 200 units/100 ml of serum amylase, abnormal GTT in 33.3%, hyperbilirubinemia in 28.4%, and hypocalccmia in 23.0%, The 21.6% of the patieats with chronic pancreatitis revealed eievatioz of serum amylase, and abnormal GTT in 63.6% and hyperbilirubinemia in 43.8%. 5. The radiologic examinations in acute pancreatitis revealed pleural effusio in 2.4%, paialytic ileus in 67.6% nonvisualized gallhladder in 27.5%o, and compressiov of the stomach and duodenum in 36.3%. In the chronic pancreatitis pleural effusion was present in 4.7%, pancreatic calcification in 4 cases, radolucent gallstones in 21.2%, and compreession of the stomach and duodenum in 42.8%. 6. The 89.6% of the patients with acute pancreatitis had medical treatment and 10.4% had surgical treatment; whereas 60% of chronic pancrcatitis had medical treatment and 40% had sur surgical treatment. The overall mortality in acutce pancreatitis was 2.7%. The mortality of the patients with medical treatment was 2.3% aucl patients with surgical treatment 5.6%. There was no death in chronic panereatitis during admission. 7. The complications developed in 12.5% of in patients with acute pancreatitis and 27.9% of the patients with of chronic pancreatitis.