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강영우,박봉기,이상숙,송홍석,박재후,서승연 대한내과학회 1987 대한내과학회지 Vol.33 No.1
Herein we reported a case of sinus histiocytosis with massive lymphadenopathy which was the second in our nation. The patient was 53-year old man with a ten-year clinical course of SHML. Since three years before admission, he was suffered from generalized lymphadenopathy, nasal stuffiness, and multiple dark-reddish colored skin papules. Since 1 month before admission, more progression of nasal stuffiness and lymph node enlargement with persistent frontal headache were developed. Microscopic examination of cervical lymph node and skin tissues revealed characteristic features of SHML: predominant histiocyte infiltration, lymphophagocytosis, plasma cell proliferation. Laboratory examination disclosed anemia, increased erythrocyte sedimentation rate, polyclonal gammopathy and CSF protein of 434 mg/dl with WBC of 63/mm³. We observed a defect in cellular immune function, cutaneous anergy by Multi-CMI skin test. After treatment with vinblastine and prednisolone, improvement of headache, nasal stuffiness, and lymph node enlargement were noted.
운동장애성 소화불량 환자에서 물 섭취가 포만감과 위전도에 미치는 영향
강영우,손수상,박승국,황재석,장병국 대한소화기학회 1999 대한소화기학회지 Vol.33 No.4
Background/Aims: The aim of this study was to evaluate the influence of water ingestion on electrogastrographic findings and epigastric fullness in patients with dysmotility-like functional dyspepsia (DLFD). Methods: The study was performed on 15 patients with DLFD and 17 normal controls Abdominal surface electrogastrography was applied for 30 min in fasting state and for 30 min afte water ingestion to bring epigastric fullness. Results: Patients with DLFD showed higher scale of epigastric fullness in fasting, postprandial 20 min and postprandial 30 min, compared with norma controls. There was no difference between the patients and controls in the amount of ingested wate which brought epigastric fullness. Significant differences were found in the percentage of fed 3 cpm wave and the percentage of fed bradygastria. No significant differences were found in the percentage of fed tachygastria, fasting electrogastrographic findings and power ratio. No correlation was found between the percentage of 3 cpm slow wave and the scale of epigastric fullness. Conclusions: Pati ents with DLFD showed higher percentage of 3 cpm wave after ingestion of water. The amount o ingested water to bring epigastric fullness was similar in the patients and normal controls.
기능성 소화불량환자에서 체감각 , 뇌간청각 및 시각 유발전위
강영우,한승엽,임정근 대한소화기학회 1997 대한소화기학회지 Vol.29 No.6
Background/Aims: Although gastrointestinal dysmotility have played an important role in pathophysiology of functional dyspepsia, visceral perception abnormalities due to visceral hypersensitivity are now thought to be a major pathophysiologic mechanism of functional dyspepsia. Visceral hypersensitivity occurred at both visceral afferent pathway and autonomic regulation of central system. The present study was performed to evaluate the possible role of abnormal central perception in the pathophysiology of functional dyspepsia by using various evoked potentials. Methods: The study population consisted of 22 patients with functional dyspepsia and 22 healthy volunteers attending Keimyung University hospital from June 1995 to December 1995. They were studied somaiosensory evoked potentials(SSEP), brainstem auditory evoked potentials(BAEP) and visual evoked potentials(VEP) and compared the absolute latencies, interpeak latencies and amplitudes of each evoked potential between two groups. Results: There were no significant differences in absolute latencies of EP, N13, N19 and P22 waves and amplitudes of EP, N13 and N19/P22 at SSEP between functional dyspepsia and norrnal control. There were no significant differences in absolute latencies of I, II, III, IV and V waves, and interpeak latencies of I -III, m- V and I V at BAEP between functional dyspepsia and normal control. There were no significant differences in absolute latencies and amplitudes of P100 at VEP between functional dyspepsia and normal control. Conclusions: The present study could not reveal abnormal central percepition by using somatosensory, auditory and visual evoked potentials in patients with functional dyspepsia.
강영우,이상곤,안성훈 대한소화기학회 1992 대한소화기학회지 Vol.24 No.4
Currently, the incidence of corrosive esophagitis and gastritis caused by strong acid for suicidal purpose has been increased instead of decreasing tendency of accidental ingestion of strong alkali. It is important to analyze the current statua of strong acid injury in upper gastrointestinal tract because the report about this field is rare in Korea. We reviewed 18 cases of corrosive esophegitis and gastritis caused by strong acid, who were admitted to Dongsan Hospital from Januaty, 1978 to December, 1991. In conclusion, urgent diagnosis and management is necessary to these patients for longterm survival and prevention of complications.
고혈압성 뇌실질내 출혈의 CT 소견과 치료 결과의 분석 고찰
강영우,김태영,이봉암,임언 대한신경외과학회 1981 Journal of Korean neurosurgical society Vol.10 No.1
The result of the treatment of hypertensive intracerebral hemorrhage in 40 cases, who admitted to the Kyung Hee Medical Center from October 1977 to February 1981, are analyzed with the correlation to the CT findings. The following results were obtained. 1) In the age distribution, the 6th decade was most frequently involved. 12 among 40 patients (30%). 25 cases were male and I5 cases were female. 2) The most frequent site of hypertensive intracebral hemorrhage was putamen in 40% ; followed by subcortical 30%, thalamic 1576, cerebellar 7.5%. and pontine 7.5%. Intraventricular hemorrhage occured in 27.5%. In morphological classification of the hematoma on CT scans, the most frequent type of putaminal hemorrhage was type 3, in 56%, and the most frequent type of thalamic hemorrhage was type 2A and type 3, respectively in 33%. 3) Calculated amounts of the hematomas based on CT scans ranged from 3 to 311 cc. The averages were 119cc in the putaminal hemorrhage, 79cc in the thalamic hemorrhage, 102cc in the subcortical hemorrhage, 51cc in the cerebellar hemorrhage and 13cc in the pontine hemorrhage. 4) On the basis of the morphological classification, the fact, that the operation was done or not, had not influenced on the outcome, but the type had relatively constant relationship with the outcome. 5) When the hematoma was less than 100cc, the result was favorable in the cases of the stage of O or I at the operated and the non-operated, but in the cases of stage of III, the operated cases showed the better outcome than the non-operated cases. When the amount of the hematoma of the hemorrhage was over 100cc. the result was favorable after the operation in the cases of the stages O or I, but in the cases of the stage III, all patients died after the operation. 6) It may be preferable to decide the time of the operation according to the progressive changes in the conscious level and neurological findings.