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RISS 인기검색어
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- 저자 : 김치열(Chi Youl Kim) (검색결과 4 건)
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신용운(Yong Woon shin),정원재(Won Jae Chung),김진희(Jin Hee Kim),한명희(Myung Hee Han),김영범(Young Bum Kim),김기수(Chi Su Kim),김치열(Chi Youl Kim),김경국(Kyung Gook Kim),주영채(Young Chae Joo) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
Polyarteritis nodosa, one of the necrotizing vasculitis involving predominantly small and medium sized arteries is rare disease.Polyarteritis nodosa may afiect many organs such as kidney, heart, liver,gastrointestinal tract and muscle, so that non-specific symptorns ate characteristic and diagnosis is very difficult. Gastrointestinal Ivoivement was reported in about 50% of cases, but bleeding complication is rere and results in poor prognosis.Recently we experionced a case of plolyarteritis nodosa complicating massive upper gastrointestinal bleeding, which was diagnosed by pathologic wxamination of stomach apecimen surgically removed.
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신용운(Yong Woon shin),정원재(Won Jae Chung),김영범(Young Bum Kim),김치열(Chi Youl Kim),주영채(Young Chae Joo),우재순(Jae Soon Woo),김응진(Eung Jin Kim) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
Primary malignant melanoma of the esophagus is a rare lesion accounting for only 0.1% of primary esophageal malignant neoplasms and almost invariably neoplasms of adulthood. To be interpreted as primary, a mucosal melanoma should ideally have overlying or lateral junctional change, approximately half of all patients had clinically, surgically or pathologically detected metastasis at the time of diagnosis and very poor prognosis. A 28 years-old-female was admitted because of dysphagia and odynophagia for 6 months. Confirm diagnosis of primary malignant melanoma of the esophagus was made by endoscopic biopsy. The case presented here is of interest because it is the first case in the Korea.
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위, 소장, 대장을 침범한 Peripheral T-cell Lymphoma 1예
김영범,이소현,신용운,김치열,우재순,임형은,최혜란,박찬섭,주영채,김진주 대한소화기내시경학회 1991 Clinical Endoscopy Vol.11 No.2
This article is the case report of the peripheral T-cell lymphoma which involove the stomach, small bowel, and colon. A 40-year-old male was admitted to Inha University hospital because of epigastric pain, diarrhea, and weight loss. He was taken by gastrofiberscopy with biopsy, upper G-I series, colonscopy with biopsy, lower G-I series, ultrasonogram, and abdominal computerized tomogram. Endoscopic picture demonstrated the malignant ulcer in the posterior wall of angle. Sigmoidoscopic picture demonstrated the polipoid hyperemic mucosal edema. In the X-ray & endoscopic findings, the lesion was suspected as lymphoma. Histologically, the lesion was diagnosed as peripheral T-cell lymphoma. Immunohistochemical staining using UCHL-1(pan-T-cell maker) demonstrated the lymphoma as T-cell origin. The patient was treated with the multiagent chemotherapy(Bleomycin + Vincristin + Cyclophosphamide + PDS).
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관상동맥 경련이 의심되는 한국인에서 0.4㎎ Ergonovine Maleate 단일괴 사용법에 의한 유발 검사
고광곤,윤진,이기형,우재순,김치열,김영범,조철호,조상균,김삼수 대한내과학회 1992 대한내과학회지 Vol.42 No.2
관상동맥 경련은 허혈성 심질환의 다양한 임상상에 역할을 한다. 관상동맥조영검사가 경련을 진단 내리는데 유일한 직접적인 검사 방법이다. 경련을 유발시키기 위해서 여러 검사 방법들이 사용되었지만, ergometrine이 경련을 유발시키는데 가장 효과적 약물이라고 발표되었다. 여러 사람들이 다양한 용량과 다양한 방법으로 ergonovine을 사용해왔다. 하지만 ergonovine의 dose-response curve는 누적용량(0.1+0.2+0.3+0.4㎎)이 0.4㎎의 단일 용량과 똑같은 효과를 보였고, 용량 중강 방법이 시간 소비적이am로 0.4㎎ ergometrine 단일괴를 사용하여 검사한 결과, 위험성이 용량 중강 방법과 차이가 없다고 발표되었다. 방법 : 비전형적 흉통을 주소로 하는 6명과 급성 심근경색증 1명 모두 7명을 A군, 임상적으로 이형협심증이 강력히 의심되는 환자 6명을 B군으로 나누어 13명 환자들에게 단일괴 0.4㎎ ergonovine을 정주하여 검사하였다. 결과 : A군 환자들에게 관상동백조영검사상 30% 이하의 미만성 혈관수축을 관찰하였고, 흉통이나 심전도 변화는 없었다. B군 환자들에게 관상동맥조영검사상 2명에서 우측 관상동맥이 각각 100%, 95% 협착, 1명에서 좌전하행지 완전 협착, 1명에서 좌측 회선지 완전 협착, 2명에서 50에서 75%에 이르는 미만성 삼혈관상동맥 협착 소견을 관찰하였다. 6명 모두 전형적 협심증을 호소하였고, 6명중 2명에서 ST-T분절 변화 소견을 보였다. 저자들은 이형협심증이 의심되는 한국인에서 단일괴 0.4㎎ ergonovine 검사 방법을 치명적인 부정맥이나 심경색증, 사망 등의 합병증 없이 좋은 결과를 얻고 시행하였다. 결론 : 0.4㎎ 단일괴 ergonovine 유발 검사는 관상동맥 환자들은 진단내리는 데 예민하고 특이적이고 임상적으로 유용한 방법이며, 대상과 금기 사항을 잘 가기고 주의사항을 잘 알고 이행하며, 한국인에서도 안전하고 정확하게 시행될 수 있는 방법이라고 생각된다. Background. Many tests have been proposed for the provocation of coronary arterial spasm. But, ergonovine maleate has been known to be most effective for the provocation. Although ergonovine testing is usually safe, a number of complications have been described. Therefore, several investigators recommend the use of incremental doses starting with an intravenous injecion of 0.05~0.1㎎ followed by small incremdents of 0.1~0.15㎎ at 2~5 min intervals up to a maximum of 0.4㎎. By a dose-response curre of ergonovine, the cumulative doses (0.1+0.2+0.3+0.4㎎) have the same effects that a single dose of 0.4㎎ Methods. Because the technique with incremental doses is time-consuming, we performed using a single bolus of 0.4㎎ ergonovine intravenously without any increments in 13 patients who were divided clinically into 2 groups: group A: 7 patients with atypical chest pain (6) and acute myocardial infarction (1). group B: 6 patients with strongly suspected variant angina. Results. In group A patients coronary angiography demonstrated less than 30% diffuse vasoconstriction not accompanied by chest pain or electrocardiographic changes. In group B patients coronary angiography demonstrated right coronary artery 100%, 95% stenosis in 2 patient, total occlusion of left circumflex coronary artery in 1 patients and more than 50% to 75% stenosis of diffuse three vessel coronary in 2 patients. All six patients complained of typical angina and 2 of 6 patients showed ST-T segment changes. We performed using a single bolus of 0.4㎎ ergonovine to provoke coronary arterial spasm in Korean patients without major arrhythmia, myocardial infarction or sudden death. Conclusion. Provocative testing with a single bolus of 0.4㎎ ergonovine maleate in Korean is safe, time-saving and radiation exposure-reducing if precautions and contraindications are used.
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