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      • KCI등재

        발생 15기(카네기 발생기) 배자

        김호정(Kim Ho Jeong),구철희(Koo Chul Hoe),박형우(Park Hyoung Woo) 대한체질인류학회 1991 대한체질인류학회지 Vol.4 No.2

        저자들은 카네기 발생 15기에 속하는 배자 4예를 보고한다. 배자들은 머리둔부길이가 7.33~8.7mm 이였으며, 사진촬영, 복사 및 컴퓨터를 이용한 재구성 모형 및 영상으로 분석하였다. 이 배자들은 외형상 닫혀 있는 수정체소포, 얕게 관찰하는 코오목, 제2아가미궁에 형성되는 최복측분절 및 원시수판의 형성 등이 특징이 였다. 조직관찰에서는 분명한 장관고리 및 맹장의 출현, 뚜렷하게 관찰되는 비뇨직장중격, 특징적으로 90˚정도 회전되어 있으며 문맥의 복측벽 이상으로는 뻗어 있지 않은 복측 췌장, 페엽기관지의 출현, 요관싹의 끝 부분이 팽대되어 형성된 원시신장깔대기, 대뇌 원기의 출현 등이 특징이 였다.

      • KCI등재후보

        지속적 통원성 복막투석 ( CAPD ) 121 예에 대한 임상적 고찰

        한대석(Dae Suk Han),주현영(Hyun Young Joo),오광재(Kwang Jae Oh),조준구(Joon Ku Cho),구철희(Chul Hoe Koo),이호영(Ho Young Lee),김문재(Moon Jae Kim) 대한내과학회 1987 대한내과학회지 Vol.33 No.3

        N/A From March 1983 through August 1986, 121 patients with end-stage renal disease of various causes were treated by continuous ambulatory peritoneal dialysis(CAPD), Peritoneal access was achieved by insertion of doublecuff Tenckhoff catheter by closed surgical technique and four 2-L exchanges per day were carried out by all patients. Clinical and biochemical status of patients was followed up monthly; the dialysis was adequate and stable in all except a few patients. Body weight and hematocrit tended to increase progressively, serum albumin decreased slightly within normal range, but serum levels of cholesterol and triglyceride showed no significant increase during the follow-up period, Overall peritonitis rate was one episode per 9,7 patient-months, But culture rate of causative organism was poor, 29.1%, most of which was Staphylococcus epidermidis. Mean hospitalization days per patient-year was 9.8 days for CAPD related and unrelated causes. Peritonitis was the most common cause of catheter removal and cumulative catheter survival rate with technical success over 24 months was 78%, while the percentage of patients remaining on CAPI) at 24 months was 48%. In our experience, the long-term potential of CAFD remains uncertain at this point. The future of CAPD as a long-term therapeutic modality seems to depend on the control of peritonitis.

      • SCOPUSKCI등재

        자상후 유발된 지연성 신동맥류 및 신동맥-하대정맥루에 의한 신성 고혈압

        최승옥(Seung Ok Choi),한병근(Byoung Geun Han),김진수(Jin Soo Kim),이은영(Eun Young Lee),김재권(Jae Kwon Kim),김영주(Young Ju Kim),구철희(Chul Hoe Koo) 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.1

        Renovascular hypertension is the most common cause of curable hypertension. The exact prevalence of renovascular hypertension is not known, and the diagnosis is probably missed in many patients. It is important to recognize this condition in clinical practice, first, because it is a correctable form of secondary hypertension, and second, it is a reversible cause of renal failure in some patients. The Basic lesion of renovascular hypertension is stenosis of the renal artery caused usually by either one of the two most common etiologies, atherosclerosis or fibromuscular dysplasia. Other known causes of renovascular hypertension include aneurysm, embolism, arterio venous fistula, neurofibromatosis, tumor, hematoma, foreign body induced compression, and trauma. Its treatment can be divided into surgical intervention, percutaneous transluminal balloon angioplasty, and medical therapy. Recently, selective embolization has been introduced as a useful alter native therapeutic modality in the management of arterio venous fistula and aneurysm. We report a case of delayed renovascular hyper-tension in stab injury induced renal artery-IVC fistula and its renal artery aneurysm in a 20 year-old man. Embolization of the renal arterio venous fistula was achieved by inserting a detachable balloon, and embolization of the renal aneurysm and lumbar artery pseudoaneurysm was performed using micro-eo-ils. Arteriogram immediately after embolization con- firmed complete occlusion of the ancurysm and closure of the arterio venous fistula. After the procedure, improvement of blood pressure was noted in the patient who is currently being followed-up on an out-patient basis.

      • KCI등재후보

        좌심실 조영술중 합병된 좌심실 천공 3 예

        조승연,심원흠,이웅구,구철희 대한내과학회 1986 대한내과학회지 Vol.31 No.6

        Cardiac angiography is widely used in modern cardiologic fields to diagnose and evaluate the preoperative cardiac function and treatment. Although infrequently, however, this procedure causes the various and serious complications such as embolization, myocardial infarction, myocardial rupture and death. So, we report 3 cases of myocardial rupture complicated during the left ventricular angiography.

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