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尿絲에 關한 硏究 : 第1報 無症狀成人男子에 있어서의 尿絲의 觀察
高聖健 고려대학교 의과대학 1964 고려대 의대 잡지 Vol.1 No.3
How many persons do have symptomless chronic urethritis among young male in Korea? This should be a good question to be sought. Whether microscopic examination of shreds in urine is helpful for diagnosis of chronic urethritis or not is another problem which is not determined yet. It has been thought that the shreds of urine usually appears in person who has or had urethritis previously. In chronic urethritis, paraurethritis or inflammatory change of urethral glands is usually found, and the shreds are considered to be made from these glands or paraurethra. We tried to find out shreds in urine of individual who did not have any urethral symptoms and a meaningful results were obtained. Five hundred adult males who are in the age group of between 20 to 27, and those who have no urethral syrnptoms were surveyed and 148(28%) were found to have shreds in their urine. The microscopic examination of these shreds and urine sediments were performed separately. Eighteen cases which have more than 5-7/HPF of leukocytes in urine shreds were found and twehe of such cases in urine sediments were also found. The number of leukocytes in one high power field appears almost parallel between these urine shreds and urine sediments. These urine shreds were classified into long type and comma-shaped type, each of which occupies half of total cases evenly. The first urine taken early in the morning (5-6 A.M.) mas more reliable to detect shreds in urine than that of evening, which contained shreds in only 23.5% of former cases.
高聖健 고려대학교 의과대학 1977 고려대 의대 잡지 Vol.14 No.2
When hypercalciuria present, nephrolithiasis and nephrocalcinosis may be develop in pelvis, calices and renal parenchyma. The renal calcium deposit is obscure in its cause yet, but certain causes are known the nephrolithiasis and nephrocalcinosis. The nephrocalcinosis was studied using histopathological examination with staining by Hematoxilin-Eosin method, Alizarin Red S method and von Kossa method. The materials were obtained from accidental death, who had an usual activity as a normal individual before their death. 126 cases were used in this study with the age distribution ranges from new born to 69 years of age. Throngh this study, 46 diseases (36.51%) showed abnormal renal findings: 29 cases of nephrocalcinosis (23.02%), 14 cases of chronic pyelonephritis (11.11%), and every 1 case of renal tuberculosis, acute glomerulonephritis and nephrosclerosis respectively. The site of nephrocalcinesis was not significant difference between right and left kidney. The nephrocalcinosis associated with the other renal abnormal histopathological findings showed in 17 cases (58.62%) and without the abnormality in 12 cases (41.3%) respectively. The most common disease in 29 nephrocalcinosis with the other diseases was chronic pyelonephritis (14 cases). The renal locations of nephrocalcinosis were as follows: 13 cases in renal cortex, 10 cases in medulla and 6 cases in medullary and cortical area.