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어수택,김양기,이영목 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
A bronchial carcinoid tumor is identified in the patients with cough and normal chest PA or during routine examination of chest PA. Sometimes it is very difficult to diagnose the bronchial carcinoid tumor with normal chest PA, especially if the patient complains the typical symptoms of bronchial asthma. We experienced a 30 year-old female, who had been suffered from coughing and dyspnea in spite of asthma medications for 1 year, with bronchial carcinoid tumor. We describe here a case of bronchial carcinoid tumor mimicking refractory bronchial asthma.
이영목,어수택,김양기 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Sweet's syndrome is a neutrophilic dermatosis that has various clinical characteristics and is often associated with inflammatory, malignant or autoimmune diseases, so the viral or bacterial antigens and tumor antigens are suspected to play a role in the pathogenesis of Sweet's syndrome. We describe here a Korean male who had Sweet's syndrome accompanied by anaphylaxis.
김현태,이상무,어수택,박춘식,정성환,허승재,남충희,강창희,김용훈 순천향대학교 1994 논문집 Vol.17 No.4
We analysed 404 patients with primary lung carcinoma who were treated at Soonchunhyang University Hospital from July, 1985 to september, 1993 in order to investigate the survival rate and epidemiolgical properties of primary lung cancer. They were 330 males and 74 females. The most prevalent decade was seventh. In terms of cell type, the squamous cell was 225 patients (55%), and adenocarcinoma, small cell, mixed type was 21%, 19%, 4%, respectively. Among non-small cell lung carcinoma, stage Ⅲa was the most prevalent one(92%). In case of small cell carcinoma, the limited stage was 64%. The 12-, 24-, 36- month survival rate of total patients was 57%, 31%, 22%, respectivley and median sruvival time was 15 months. The 36-month survival rate tended to be longer in non-small cell lung carcinoma than that of small cell lung cancer, but there was no difference between two groups, statistically. In non-small cell carcinoma, The 36-month survival rate and meidan survival time were longer in the stage Ⅰ and Ⅱ than those of Ⅲa, Ⅲb, Ⅳ (80% versus 38%, 22%, 0%, p<0.05). According to involvement of lymph node, the 36-month survival rate was longer in NO and N1 than those of N2, N3 (61.9%, 48.7% versus 17.7%, 17.3%, p<0.05). In small cell carcinoma, The 36-month survival rate and median survival rate were higher and longer in limited stage than those of extensive stage(16.1% and 13 month vs 10% and 8 month, p<0.05). In conclusion, we report here the incidence of primary lung carcinoma and the survival rate of paients with primary lung carcinoma who were treated in Soonchunhyang University Hospital.
Rifampicin에 의한 Clostridium difficile-associated disease 1예
김양기,이영목,어수택 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Clostridium difficile-associated disease (CDAD) is a common cause of antibiotics-associated diarrhea. Rifampicin is one of the first line agents in treatment of tuberculosis and a large number of patients are exposed to its potential adverse effects. We report a case that diarrhea due to CDAD after receiving antituberculous medication, and which was probably caused by rifampicin. A 76-year-old female was admitted with general weakness and fever of 6 days duration. The patient was diagnosed as active pulmonary tuberculosis following sputum AFB smear. She was started on isoniazid, rifampicin, ethambutol and pyrazinamide as antituberculous medication. She complained watery diarrhea at sixth days after antituberculous medication, and was positive result for C.difficile toxin. She was diagnosed as CDAD, and treated with oral metronidazole and continuous antituberculous medication without rifampicin. Diarrhea did not recur after antituberculous medication without refampicin continued. In patients with persistent diarrhea receiving anti-tuberculosis treatment, rifampicin associated CDAD should always be kept in mind.
성인에서 발병한 지역사회폐렴의 원인으로서 호흡기 바이러스의 역할
김지희,곽영호,나병국,이주연,신구철,정혜선,홍정연,오명돈,정희진,김민자,배현주,김양리,신완식,강재명,우준희,어수택,이환종 대한감염학회 2001 감염 Vol.33 No.1
Purposes : To investigate the viral etiology of community-acquired pneumonia in Korean adults, we have detected respiratory viruses (Respiatory syncytial virus, adenovirus, influenza virus and parainfluenza virus) in the way of prospective, multi-center study. Methods : From July 1997 to April 2000, nasal aspirates or sputum were obtained from adults patients with community pneumonia admitted to the participating hospitals and transferred immediately to the central laboratory at the Seoul National University Children's Hospital. The specimens were divided into three parts. One part was used for indirect immunofluorescent test for respiratory viruses, the other part for the culture of RSV and adenovirus in HEp-2 cell monolayer. The other part was used for the culture of influenza virus and parainfluenza virus in MDCK or LLC-MK2 cell monolayers. Results : Of 317 samples, 32 (10.1%) specimens were positive for viral agent by indirect IF staining or culture, including one dual-infected specimen (adenovirus and parainfluenza virus). Influenza virus was most commonly detected (16 specimens). Parainfluenza virus, adenovirus and RSV were detected in 10, 4 and 3 patients, respectively. All isolated influenza viruses were type A (H3N2 in 9 patients, HIN1 in 2 and unspecified in 5), and 8 out of 10 parainfluenza virus isolates were type 3. Conclusion : Similar to previous reports from other countries, a significant portion of community-acquired pneumonia in Korean adult is caused by respiratory viruses. (Korean J Infect Dis 33:8~14, 2001)