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김상수,안필상,박붕연,황찬교,심우익 대한내과학회 1987 대한내과학회지 Vol.32 No.1
Vascular lesions of the gastrointestinal tract, previously thought to be rare, have been recognized as a common cause of gastrointestinal bleeding. The diagnostic approach and management of severe gastrointestinal bleeding have changed dramatically during the past decade. The selective angiography and radioisotope scanners have made possible the accurate identification of the site and cause of bleeding. A great deal of confusion and controversy exists concerning the classification. The authors experienced two cases of GI bleeding due to small capillary hemangioma of ileum and carvernous hemangioma of jejunum, and treated successfully by operation.
심방 및 심실중격 결손증에서 폐동맥판 Vegetation 을 동반한 심내막염 1 예 : 수술 전후의 심에코도 비교
김상수,박순창,박붕연,안필상,황찬교 대한내과학회 1986 대한내과학회지 Vol.31 No.2
We present a case of pulmonic valvular endocarditis in a 22-year-old male with underlying heart disease consisting of ventricular septal defect and atrial septal defect. Though all blood cultures were negative, he had strong clinical evidences of bacterital endocarditis including fever, anemia and heart murmurs. In addition, the abnormal shaggy echoes on the pulmonic valve in M-mode scan and globular mass echoes attached to the pulmonic valve in 2-dimensional echocardiogram were confirmed to be vegetations based on surgical and pathologic findings. This was further proven by the disappearance of the shaggy echoes after surgical excision of the vegetations. We conclude that echocardiography is helpful in the diagnosis of pulmonic valvular endocarditis, expecially in a patient with negative blood cultures.
이종대,조항복,박붕연,심우익,신영태,김선영 충남대학교 의과대학 지역사회의학연구소 1985 충남의대잡지 Vol.12 No.2
In Dae Jeon Eul-Ji General Hospital, activated since 1581, 54 patients with Korean Hemorrhagic Fever Who were all positive for Korea antigen were observed from January, 1981 to December, 1984. Epidemiology, clinical features, laboratory findings, complications and clinical course in Korean Hemorrhagic Fever were analyzed. The results were as follows: 1. The most prevalent area was OK-Chun Kun. 2. The peak incidence of age was fifth decade and male to female ratio was 2:1. 3. The peak incidence was November to December. 4. The most frequent symptomes were epigastric pain, nausea and vomiting and followed by hemsturia. 5. Conservative treatment was done and hemodialysis was performed in 19 patients without death.