http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
김평남 ( Pyoung Nam Kim ),김태환 ( Tae Hwan Kim ),김승영 ( Seung Young Kim ),전재범 ( Jae Bum Jun ),한동수 ( Dong Soo Han ),정성수 ( Sung Soo Jung ),이인홍 ( In Hong Lee ),배상철 ( Sang Cheol Bae ),유대현 ( Dae Hyun Yoo ),주경빈 ( 대한류마티스학회 1995 대한류마티스학회지 Vol.2 No.1
Primary biliary cirrhosis is a chronic, progressive liver disease characterized by inflammatory destruction of septal and intralobular bile ducts which results in intrahepatic cholestasis. Although the cause remains obscure, it is frequently associated with a variety of disorders presumed to be autoimmune in nature. We report a case of early primary biliary cirrhosis which was anteceded by rheumatoid arthritis. The patient was a 54-year-old female who was admitted due to arthralgia and joint deformity. She had been diagnosed as having rheumatoid arthritis 10 years before. On admission, she had elevated serum ALT, AST, alkaline phosphatase, gamma-GTP and positive serum antimitochondrial antibody test. Microscopic findings of the liver were consistent with the early stage of primary biliary cirrhosis.
류마티스 관절염 환자에 동반된 림프부종(Lymphedma)
김평남 ( Pyoung Nam Kim ),김동욱 ( Dong Yook Kim ),김태환 ( Tae Hwan Kim ),김승영 ( Seung Young Kim ),전재범 ( Jae Bum Jun ),정성수 ( Sung Soo Jung ),이인홍 ( In Hong Lee ),배상철 ( Sang Cheol Bae ),유대현,주경빈 ( Kyung Bin Joo ) 대한류마티스학회 1995 대한류마티스학회지 Vol.2 No.1
목적: 류마티스 관절염 환자에서 나타나는 사지부종은 그 부위의 활막염이나 건초염에 의한 것으로 사료되나 일부 환자에서 부종의 부위가 활막염이나 건초염의 범위보다 넓으며 염증 증세가 없어진 후에도 지속되는 경우가 있어 활막염이나 건초염 자체만으로는 부종의 원인을 설명할 수 없다. 국부적으로 나타나는 부종의 병태생리학적 원인은 모세혈관의 투과력 증가와 정맥계 혹은 림프계의 순환장애로 대별 할 수 있다. 이에 연자들은 본인 류마티스 센터에 내원중인 류마티스 관절염 환자증 상지부종(손 및 전완)이 있는 환자 8명을 대상으로 림프계의 순환장애 유무를 알기위해 상지 림프신티그라피(Lymphscintigraphy)를 시행하였다. 방법: (99m)Tc-HAS 37MBq(1.0mCi)를 0.3ml 이하가 되도록 만들어 양쪽 2, 3번째 손가락 사이에 각각 피하주사한다. 주사직후 주사부위 및 양쪽 액와 부위의 영상과 2시간후에 같은 부위의 영상을 얻어 2시간후에 액와림프절의 출현 유무와 액와부위의 방사 선교질의 섭취정도를 정량분석하였다. 결과: a) 한 명을 제외한 7명의 환자가 비대칭적으로 한쪽 부위에 부종이 있었으며 부종기간은 1.5년에서 15년이었고 관절염의 시작과 부종발생 사이의 기간은 동시에 발생한 경우부터 22년으로 다양하였다. b) 림프신티그라피상 6명의 환자에서 림프계의 순환장애를 보였으며 2명에서는 정상이었다. 결론: 류마티스 관절염 환자에서 나타나는 상지부종의 원인을 알기위해 림프신티그라피의 시행이 도움이 되며 류마티스 관절염에 동반된 림프부종은 림프계의 순환장애 혹은 국소적인 림프액의 과잉생산으로 추측된다. Objective: To investigate the clinical manifestations and causes of upper limb edema in 8 patients with rheumatoid arthritis. Methods: Eight patients with upper limb edema in association with rheumatoid arthritis were investigated for their clinical manifestations and assessment of lymphatic function with lymphoscintigrphy. In lymphoscintigraphy, (99m)Tc-Human serum albumin (<0.3ml, 1.0mci) was injected subcutaneously into the second web space of each hand. Images were obtained over injetion site and both axillary regions at Ohr and 2hr post-injection. The visualization of axillary lymph node and the percentage uptake of isotope in the axillary regions were evaluated. Results: All patients except one have unilateral upper limb edema and showed no relation between lymphedema and either activity or duration of arthritis. Six of eight cases were found to have impaired lymph drainage and two cases showed normal lymphatic function. Conclusion: This study describes lymphedema in patients with rheumatoid arthritis due to impaired lymphatic function and a relatively rapid production of interstitial fluid.
오희용,김평남,김기순 최신의학사 1977 最新醫學 Vol.20 No.6
To find normal range and the variation by sex and age of Korean School Children's hemoglobin, hematocrit value, RBC count, and wintrobe index. Those of 4,004 Seoul city primary, middle and high school children were studied from Jan. 4th, 1975 to Dec. 31st 1975, at Seoul school health center. The results of this study is as follows; 1. The normal range of male student's hemoglobin was 10.1-16.1gm/100m1 (95.4%) and that of female student was 9.6-15.2gm/100ml (97.3%) . 2. The normal range of hematocrit values were 32.0-48.4% (95.5%) for male student and 31.8-45.4% (94.2%) for female student. 3. The normal values of RBC were 3.22 million-5.50 million (97.3%) for male student and 3.55. million-4.81 million (97.2%) for female student. The RBC count were average 500,000 higher in male students, than female students. 4. No significant difference between male and female student was found in all values of age between 6-13, but the average value of male student hemoglobin,, hematocrit and RBC count from age 14-19 were increased significantly with the advance of age. 5. No significant variation by age were found for average values of Mean Corpuscular Hemoglobin (MCH), throughout age 6-19. The average MCH value were 24.2-34.2z??g, for male and 24.4-34.0 ??g, for female student. 6. No significant variation by sex were found for average values of Mean Corpuscular Volume (MCV). The- average value of MCV, were throughout age 6-19, 88.9-93.3?3, for male student and 89.4-93.4?3, for female student. The MCV value were slightly higher than western study value. 7. No significant variation by sex were found for average values of Mean Corpuscular Hemoglobin Concentration (MCHC). The average value of MCHC were 30.1-34.9% for male student and 29.7-34.9% for female student.
김중남,오재선,김평남,김용태,김종두,이승일 朝鮮大學校 附設 醫學硏究所 1989 The Medical Journal of Chosun University Vol.14 No.2
Essential thrombocythemia, also known as a hemorrhagic thrombocythemia or essential throbocytosis is a primary myeloproliferative disorder in which the predominant laboratory features is a persistent, striking elevation of the platelet count. It is frequently associated with thrombosis and hemorrhage. We experienced one case of E.T who was a 33 yeyar old female admitted via OPD with fever, chill and burning pain in the feet, with confirmed by biopsy of bone marrow, repeated LAP score and chromosomal analysis.
위장관 ( 胃腸管 ) : 정상인에서 호기내 수소농도 측정법을 이용한 유당불내성률
김만우(Man Woo Kim),김평남(Pyoung Nam Kim),나한식(Han Sik Na),오재선(Jae Sun Oh),이승일(Seung Il Lee),박찬국(Chan Guk Park) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
N/A In order to detect lactose intolerance in study groups, we have performed the lactose breath test, lactulose breath test, and oral lactose tolerance test. The 50 cases (28 men, 22 women) of this study were selected from healty adults without known disease and free from gastrointestinal symptoms. 1) In 50 subjects, there were 32 subjects who had the intolerant symptoms such as abdominal pain, flatulence and diarrhea. 2) All subjects with intolerant symptoms were more than 20 ppm in breath hydrogen. 3) In two subjects among 11 cases with less than 20 ppm in breath hydrogen by lactose breath test have not increased by lactulose breath test (<10ppm). 4) The prevalence of lactose intolerance in healthy adults was 82 percent. From the above results, it is concluded that lactose breath test offers an attractive, noninvasive way of diagnosing lactose intolerance.
소화성 궤양환자의 흡연여부에 따른 혈청 Pepsinogen 1 치의 변화
오재선(Jae Sun Oh),김평남(Pyung Nam Kim),나한식(Han Sik Na),김중남(Jung Nam Kim),문철웅(Chul Oong Moon),김만우(Man Woo Kim),양성훈(Sung Hun Yang) 대한내과학회 1990 대한내과학회지 Vol.39 No.4
N/A Serum group I Pepsinogen (sPG I) levels were measured by radioimmunoassay in 159 patients undergoing endoscopy, then all patients were classified by endoscopic diagnosis, gastric mucosal histology, and smoking habits. The results were as follows: 1) Both nonulcer dyspepsia and duodenal ulcer smokers had significantly higher sPG I levels than their nonsmoking controls (p<0.005). 2) The frequency distvibution of superficial gastritis in the nonulcer dyspcpsia group with smoking habits revealed significantly higher levels than that of the nonsmoking controls (p<0.0025). 3) Serum PG Iin nonulcer dyspepsia patients revealed significantly higher levels in patients with superficial gastritis but there were not related to cigarette smoking. 4) The relationship between the mean level of serum PG I and fundic mucosal histology in duodenal ulcer patients was found to be statistically insignificant, but the mean level of sPG I in the smoking group showed a higher value than that of the nonsmoking controis (p< 0. 05). 5) The frequency distribution of high serum PG I level (> 80 ng/ml) in duodenal ulcer smokers was higher than that of the nonsmoking control group (chi square test: p<0.). From the above findings, it is concluded that the smoking induced increase in sPG I in duodenal ulcer is proposed to release an augmented pepsin secretory capacity, which can have aetiologic significance in association between smoking and duodenal ulcer.
문두섭 ( Doo Seop Moon ),김태환 ( Tae Hwan Kim ),김승영 ( Seung Young Kim ),김평남 ( Pyoung Nam Kim ),전재범 ( Jae Bun Jun ),정성수 ( Sung Soo Jung ),이인홍 ( In Hong Lee ),배상철 ( Sang Cheol Bae ),유대현 ( Dae Hyun Yoo ),최웅환 대한류마티스학회 1995 대한류마티스학회지 Vol.2 No.1
Possible association between systemic lupus erythematosus and disorders of thymus has been shown in several reposrts. But the association is clearly not common as judged by fewer than 20 case reports in the world literature. One case of systemic lupus erythematosus in a patient with thymic hyperplasia is described. The woman had been suffered from purpura, dry mouth and dry eyes and complained of chest discomfort. In this case, thymectomy did not modify the course of systemic oupus erythematosus. Systemic lupus erythematosus with thymic disorder is very rare so we report this case with a review of literatures.