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RISS 인기검색어
- 검색키워드
- 저자 : 강기상(Ki Sang Kang) (검색결과 5 건)
- 무료
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강기상(Ki Sang Kang),이언탁(Eon Tak Lee),이명수(Myung Soo Lee),김주인(Joo In Kim),정정명(Jung Myung Chung),최하진(Ha Jin Choi) 대한내과학회 1989 대한내과학회지 Vol.37 No.3
N/A Idiopathic portal hypertension, the equivalent of hepatoportal sclerosis in the United states and of non- cirrotic portal fibrosis in India, is defined as a clinical entity of obscure etiology characterized by overt splenomegaly with pancytopenia, portal hypertension, and a relatively normal liver function test. Prognosis is relatively benign if variceal bleeding is controlled or prevented, and disease does not progress to cirrhosis. The etiology is still undetermined. The authors report eleven such cases among 584 patients who were subjected to portal hypertension during the period from July 1982 through November 1988. 1) The incidence of idiopathic portal hypertension was 1.9% in all 584 portal hypertension cases during the period from July 1982 to November 1988. The majority of patients were of a younger age, and there were 5 men and 6 women with a male to female ratio of 1:1.2. Chief complaints at the time of admission were esophageal variceal bleeding and splenomegaly. 2) The initial hematologic findings that brought them to the physician were pancytopenia with anemia in the majority of patients except one case who had a pro- longed prothrombin time. The liver function was normal in all cases, and 2 hepatitis B carriers out of 11 cases were found. 3) Splenoportography was performed in 6 cases. The splenoportal tree was patent, and an increase in caliber of the splenic and portal vein and well developed collateral vessels were observed. Portal pressure was more than 310 mmH2O in all cases. 4) The microscopic findings of liver tissues were normal in all cases, however, electron microscopic examination in one case demonstrated deposition of collagen bundles in the space of Disse. 5) Surgical management was carried out in all cases (splenectomy only: 6 cases, non-shunt operation: 4 cases, shunt operation: 1case) Rebleeding of the esophageal varix developed in two cases of the splenectomized patients and they were treated with sclerotherapy.
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간 질환들에 있어서 HBs 항원 및 HBs 항체 공존예에 관한 관찰
정정명(Jung Myung Chung),최하진(Ha Jin Choi),박경태(Kyung Tae Park),이시억(Si Eok Lee),진지천(Gi Chun Chin),강기상(Ki Sang Kang),설상영(Sang Yung Seol) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.1
N/A A clinica] analysis was made, by enzyme immunoassay, of 64 cases of coexistence of HBs antigen and HBs anti-body in the same serum with the subtype in 12 cases of them being observed. The results were as follows: 1) The overall incidence of coexistence in one period was 1.9% (64/3,395). 2) The highest occurrence rate of coexistence was found in age group of 5th decade: 14 cases (21.9%); in age group of 6th decade: 17 cases (26.6%); and the ratio of male to female was 2.4:l. 3) The diagnostic distributions were 18 cases of liver cirrhosis, 12 cases of hepatoma, 6 cases of chronic active hepatitis, 6 cases of acute viral hepatitis, 7 cases of healthy carrier, and 15 cases were suspected to be chronic hepatitis not confirmed by liver biopsy. 4) In 64 cases of coexistence we studied Hbe antigen and Hbe anti-body in 32 cases. In this study Hbe antigen positive and Hbe antibody negative was found in 18 cases (56.3%); Hbe antigen negative and Hbe antibody positive in 11 cases (34.4%); both Hbe antigen and Hbe antibody vere positive in 1 case (3.1%) and negative in 2 cases (6.2%). 5) The results of subtype were as follows: in 12 cases of HBs antigen positive only, 8 cases were of ay type and the other 4 cases of ay/ad complex type. And in 12 cases of HBs antibody positive onlv, 5 cases v:ere found to be of anti-y type. 5 cases of anti-d type, 1 case of anti-a type and 1 case of anti-y/anti-d complex type. And in 12 cases of HBs antigen and HBs antibody coexistence, ay type antigen were found in 8 cases, and antibody types of these antigen were 8 cases of anti-y type, and 1 case of anti-y/anti-d complex type. In conclusion, although the results of these studies are those of the screening test and have geographic limitation. The coexistance of HBsAg and anti-HBs is considered mostly as a form of seroconversion and rarely as a result of the superinfection with another subtype.
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박종범,강기상,장한 대한척추외과학회 2001 대한척추외과학회지 Vol.8 No.3
Study Design : Review of the literatures. Objectives : To provide the principles of fusion and internal fixation for the degenerative lumbar disc diseases. Summary of Literature Review : Lumbar spine stabilization can be achieved with fusion that eliminates the motion of the lumbar motion segment. Materials and Methods : Fusion only or fusion with internal fixation, anterior or posterior approach, additional use of interbody fusion and cages as well as decompression have been used for the treatment of degenerative lumbar disc diseases. Results : Various radiological and clinical results, fusion rates and complications have been reported on each fusion techniques and internal fixation devices in the literatures. Conclusions : Stabilization is considerd to be useful therapeutic option for degenerative lumbar disc diseases but not absolute one. Therefore, careful consideration should be required for its applications of degenerative lumbar disc diseases.
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