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      • KCI등재후보

        Digitalis 중독증에 대한 임상적 관찰

        김열자 ( Y. J. Kim ),강희태 ( H. T. Kang ),박용재 ( Y. J. Park ),이동용 ( D. Y. Lee ) 대한내과학회 1973 대한내과학회지 Vol.16 No.12

        A clinical study was made on 24 cases of digitalis intoxication which were observed at the National Medical Center from 1970 to 1973 and following results were obtained. 1) Gastrointestinal symptoms were most seen in subjective symptoms of the patient and

      • KCI등재후보

        원발성 동맥염 15 예 ( 4 부검예포함 ) 에 관한 고찰

        안우풍 ( W. P. Ahn ),성낙훈 ( N. H. Sung ),김영호 ( Y. H. Kim ),김열자 ( Y. J. Kim ),유수웅 ( S. W. Yoo ),박승광 ( S. K. Park ),홍진숙 ( J. S. Hong ),강석린 ( Suk Rin Kang ),지정희 ( Chung Hee Chi ) 대한내과학회 1971 대한내과학회지 Vol.14 No.3

        During the period from Jan. 19o9 to Sept. 1967, 15 cases with primary arteritis or pulseless disease were observed in the Department of Medicine of National Medical Center. The diagnosis was made on, the basis of autopsy findings in 2 cases, of aortographi

      • 微小變化 絲 毬體腎炎에 對한 臨床경과 고찰

        이창혜,김열자,김대하 최신의학사 1978 最新醫學 Vol.21 No.12

        The Nephrotic syndrome is commoner in children than in adults, and because the "minimal change" lesion is by far the commonest underlying pathology in children. In adult life, the nephrotic syndrome is rather rare and only 20 to 30 percent of nephrotic adults can be expected to show a "minimal change" lesion. We describe 17 patients who developed a nephrotic syndrome after age of 15 years, and who showed a "minimal change" pattern in their renal biopsies. Among the 17 patients with "minimal change" lesions, 2 had spontaneous complete remission, 2 had complete remission with corticosteroids therapy and 1 died of severe cellulitis. 9 among the 12 surviving patients sustained remissions after drug with-drawal, and their renal function remains rather excellent. We report here our experience with "minimal change" glomerulonephritis in adult population and we have found that histologically seperating these patients into groups with "minimal change" lesions helps to predict their response to treatment as we as their subsequent clinical course.

      • SCOPUSKCI등재

        간 Scintigram의 임상적 고찰

        이종석,이학중,문성수,오경식,김열자,김영철 대한핵의학회 1980 핵의학 분자영상 Vol.14 No.2

        저자들은 1978년 7월부터 1980년 8월말까지 국립의료원 일반내과에서 임상상, 검사실소견 또는 간생검소견으로 확진된 50예의 정상인과 150예의 간질환 환자 총 200예에 대하여교질형 방사성을 이용한 색채간주사를 실시하고 임의로 간기능 검사와 간주사 소견을 중심으로 해서 설정한 군의 기준을 적용하여 A군(정상), B군, C군, D군으로 구분하고 각군에 어떠한 간질환이 속하는가를 검토하여 다음과 같은 결론을 얻었다. 1) A군에는 남자 30예, 여자 20예로 간주사의 소견과 간기능검사상의 성적과 서로 일치하였다. 2) B군에 속한 예는 남자 33예, 여자 17예였고, 20대에서 40대 사이가 39예로 전체의 78%를 차지하였으며, 이군에 속한 질환은 급만성간염 35예(70%), 장티푸스 4예(8%), 간경변증 3예(6%), 기타가 3예(6%)였다. 3) C군에 속한 예는 남자 32예, 여자 18예였고 40대에서 50대 사이가 32예(64%)였으며, 이군에 속한 질환은 간경변증이 41예(82%)였고 만성 활동성간염 6예(12%), cholangiocarcinoma 1예(2%), 간결핵 1예(2%), 담당암 1예(2%)였다. 4) D군에 속한 예는 남자 45예, 여자 5예로 40대에서 60대 사이가 46예(92%)를 찾이하였고, 이군에 속하는 간질환은 원발성간암 26예(52%), 간경변증을 동반한 간암 7예(14%), 전이암 5예(10%), 간농양 10예(20%), 다발성낭종 1예(2%), Cystric duct의 선종 1예(2%)였다. Although primary application of radioisotope scanning technics to the liver has been of use in the detection of the intra-hepatic space occupying Iesion from the normal functioningliver parenchyme, there has been on increasing awareness of its use in evalution of Liver function. In this study, the diseases of the liver were classified into group A,B,C and D by the liver scanning findings, conventional liver function tests and clinical findings. Following were the results: 1) The colloidal radiogold liver scan appeared normal in the group A, also the albumin in serum alkaline phosphatase activity and prothrombin time were within normal levels in this group. 2) In the group B, there were acute hepatitis 24(48%), chronic hepatitis 5(10%), toxic hepatitis3(6%), subacute hepatic necrosis 3(6%), typhoid liver 4(8%), hepatic tuberculosis 2(4%), diabetes mellitus 3(6%) and others 3(6%). In this groups, SGOT and SGPT were increased predominantly as compared with group A, and the liver scan showed small amount of mottling of activity and faintly visualized spleen. 3) In the group C, there were postnecrotic liver cirrhosis 30(60%), Laennec eirrhosis 10(20%), cardiac cirrhosis 1(2%), cholangiocarcinoma 1(2%), chronic active hepatitis 6(12%), hepatic milliary tuberculosis 1(20%) and gall bladder cancer 1(2%). In this group, the albumin in serum and prothrombin time were lowered significantly and the live, scan showed severe mottling of activity with extra-hepatic uptake in the spleen and bone marrow along the vertebral column. 4) In the group D, there were primary hepatoma 26(52%), hepatoma with liver cirrhosis 7(14%), metastatic iiver cancer 5(10%), liver abscess 10(20%), muleiple livet cyst 1(2%) and cystic duct adenoma 1(2%), In this group, the alkaiine phosphatase activity was elevated with single or multiple intrahepatic space occupying lesion in the radiogold colloid liver scan.

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