http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
간경변증 환자의 혈청 칼륨 농도와 산 - 염기 평형 변화에 관한 연구
김상목(Sang Mok Kim),박경근(Kyung Geun Park),김호중(Ho Jung Kim),기춘석(Choon Suhk Kee) 대한내과학회 1996 대한내과학회지 Vol.50 No.4
N/A Objectives: This study was performed to evaluate the changes of serum potassium concentration and acid-base balance, and probable mechanisms for those changes, in a total of 24 patients of liver cirrhosis with(group I, n=8) and without ascites (group II, n=16) during hospital course. Methods: All 4 cirrhotic patients were put on the conservative treatments. On hospital day 1 and hospital day 10, blood levels of sodium and potassium, 24 hour urine for sodium & creatinine and creatinine clearance were evaluated in patients with and without ascites. Patients were weighed and performed arterial blood gases. Aldosterone & norepinephrine levels were checked from the blood samples obtained after one hour supine before meal by way of radio-immunoassay. Results: As compared to group II serum potassium level was significantly elevated in group I (3.9±0.4mEq/L vs 4.6±0.5mEq/L, p=0.003) with significantly decreased urinary sodium and potassium excretion(Una; 43±24mEq/1, Uk; 31±21 mEq/ L), as well as creatinine clearance in hospital day l. There was significant elevation of norepinephrine in group I (781±284pg/ml vs 557 ±150pg/ml, p=0.018) but no difference in aldosterone level between group I and II. The frequency of acid-base imbalance was higher in Group I (Croup I : 100%, group II : 43%). On hospital day 10, the serum potassium concentration was significantly decreased in group I as compared to that of hospital day 1(4.1±0.3mEq/L, p=0.017) with concomitant decrease of creatinine clearance(46±11ml/min, p=0.003) and with concomitant increase of mean arterial blood pH(7.5±0.06, p=0.0011). On contray, in group II serum potassium concentration as well as creatinine clearance were not changed significantly over 10 days in hospital. Both groups showed no significant changes in 24 hour urine excretion of sodium and potassium over 10 days respectively. Group I and II showed decreased body weight over 10 days in hospital with more prominent decrement in group I (-3.7±3.2Kg vs. -0.2+/-1.2Kg, p=0.001). Conclusion: These results indicated that the initial blood potassium concentration of cirrhotic patients on admission was closely related with urinary sodium amount, and the change of potassium during hospital course was dependent on decreased effective circulatory volume and intracellular shifting of potassium due to alkalosis following conservative treatments.
김상대 ( Sang Dae Kim ),박정율 ( Jung Yul Park ),정용구 ( Yong Gu Chung ),이훈갑 ( Hoon Kap Lee ),서중근 ( Jung Keun Suh ) 대한뇌종양학회 2002 대한뇌종양학회지 Vol.1 No.2
Diverse pathological types of tumor are known to occur in the orbital space, although not common. Object of this study was to evaluate and analyze the characteristics of these uncommon tumors that were undertaken operatively in past ten years. Moreover, choice of surgical approaches for various types of tumor was reconsidered. A total of 55 cases operated in our institution from 1988 to 1998 were included in this study. Primary intraocular tumors, e.g., retinoblastoma, and those arising from appendages were excluded. Age distribution, sex ratio, symptomatology, radio- histopathological types, and surgical methods with their results were analysed. Age distribution was 1 to 60 years with average of 29.1 years. Male to female ratio was 26:29. The most common symptom was exopthalmos(40%). Radiologic findings were related to types of pathology. Pseudotumor(16.3%), dermoid(14.6%), meningioma(10.9%), neurilemmoma(10.9%), hemangioma(9.1%) were among more common histologic types. Various surgical approaches were applied according to types and locations of tumors including two-step supraorbital approach. There were 8 cases of recurrence in whom reoperations were necessary. Most of postoperative cosmetic results were acceptable. Wide variety of histologic types of orbital tumors can be seen with recurrences in some cases. Thus, careful selection of surgical plan seems to be mandatory for good functional outcome.
중풍환자 1기 고혈압에 청혈단(淸血丹)의 항고혈압 효과
김이동,이상호,김은주,김태훈,박영민,정동원,신원준,정우상,배형섭,윤상필,Kim, Lee-Dong,Lee, Sang-Ho,Kim, Eun-Ju,Kim, Tai-Hun,Park, Young-Min,Jung, Dong-Won,Shin, Won-Jun,Jung, Woo-Sang,Bae, Hyung-Sup,Yun, Sang-Pil 대한한방내과학회 2004 大韓韓方內科學會誌 Vol.25 No.2
Background and Purpose : Hypertension is one of the modifiable risk factors for stroke. Lowering blood pressure is a primary or secondary preventative measure for stroke. This study aims to assess the efficacy of Chunghyul-dan(Qingxue-dan) in stage 1 hypertensive patients who have suffered a stroke by 24 hour ambulatory blood pressure monitoring(24ABPM). Subjects& Methods : We enrolled 40 hospitalized stroke patients with stage 1 hypertension and divided them into 2 groups by stratified randomization; group A took 1200mg of Chunghyul-dan(Qingxue-dan) at 8:00 a.m. for two weeks without changing herbal medicine, and group B was the control group. 28 patients were included in the final analysis(15 in group A. 13 in group B). Blood pressure is monitored from 8:00 am to 7:30 am every 30 minutes for 24 hours. Blood pressure was monitored two times at baseline and again two weeks later. We used 3 parameters for evaluating the efficacy of Chunghyul-dan(Qingxue-dan); The first parameter is change from baseline to two weeks later in blood pressure and pulse rate. The second parameter is the trough/peak ratio(TPR) and smoothness index(SI). The third parameter is antihypertensive rate by antihypertensive efficacy guideline. Results : There is no significant difference in the baseline assessment hetween the two groups. Systolic blood pressure $(141.37{\pm}8.96\;mmHg\;vs\;132.28{\pm}9.46\;mmHg)$ decreased after two weeks of 1200mg(P=0.03) intake of Chunghyul-dan(Qingxue-dan). Systolic TPR and SI was 0.87 and 1.04 in group A. Antihypertensive rate was higher in group A. Conclusion: These results suggest that 1200mg doses of Clunghyul-dan(Qingxue-dan) is an effective antihypertensive agent on stage 1 hypertension patients who have suffered a stroke.
김성(Sung Kim),이동민(Dong Min Lee),김호영(Ho Young Kim),김재연(Jae Yun Kim),최영렬(Young Ryoul Choi),유재경(Jae Kyoung Yoo),윤길중(Gil Jung Yoon),황인수(In Su Hwang) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.11
The prenatal diagnosis of spine bifida include the combined use of maternal serum α-fetoprotein (MSAFP) screening and fetal sonography. Sonographically, spina bifida is characterized by direct signs of the visualization of the spinal defect, and indirect signs of the cranial markers : the lemon sign, the banana sign, and ventriculomegaly. These ultrasonographic signs are more accurate in defining the cranial malformations associated with spina bifida than evaluation of the spine. Recently, three cases of spina bifida which was diagnosed as splaying of the posterior ossification centers, meningomyelocele sac at the lumbosacral area, lemon sign, banana sign and ventriculomegaly by ultrasonography at 21+2 gestational weeks in a 32 years old nullipara, at 21+2 gestational weeks in a 26 years old nullipara, at 23+6 gestational weeks in a 26 years old multipara were experienced at our department. We present this cases with a brief review of literatures