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- 저자 : 박원회 (검색결과 2 건)
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全南淡水産 및 半鹽水産 魚類의 吸충類 被囊幼충 感染狀況
An epidemiological study was undertaken to know the metacercarial infection status of fresh and brakish water fishes caught from Jeonnam Province. during August- September. 1983. A total of 253 fresh and brakish water fishes were collected from several areas such as ; Yeongsanpo. Gujinpo. Gangjin. Jangheung. Mokpo. Haenam and Boseong Bay and examined for the infection status with trematode metacercariae by muscle compression and/or artificial digestion technique. The results were summarized as follows: 1. All of the 182 fresh water fishes examined were found infected with one or more kinds of the metacercariae of Clonorchis sinensis Metagonimus yokogawai. echinostomatid or unknown trematode. Also the 71 brakish water fishes examined were all positive for either heterophyid (probably Heterophyes heterophyes nocens) or unknown metacercariae. 2. The infection rate and density of the metacercariae of C. sinensis were 100% and 9.1 per fish in Sarcocheillichthys wakiyae collected from Yeongsan River basin. while 7.7-16.7% and 1-2 per fish in Pseudogobio esocinus. Zacco platypus and Carassius carassius collected from Tamjin River basin. 3. The infection rate and density of the metacercariae of M.yokogawai were 14.3-45.5% and 1.7-3.8 per fish in Z.platypus.Cyprinus carpio,C. carassius collected from Yeongsan River basin. while 10.0-100% and 72.9-3.382.3 per fish in Plecoglossus altiuelis. C. carassius,Z. platypus collected from Tamjin River basin. 4. Three (30.0%) and 38(76.0%) among 10 and 50 loaches. Misgurnus anguillicaudatus collected from Yeongsan and Tamjin Rivers respectively were found infected with echinostomatid metacercariae and its density in the viscera and gut of the loach was 1.3 and 6.7 per fish respectively. 5. The distinct heterophyid metacercariae were found from 1. 3 and 5 mullets.Mugil cephalus (10.0-62.5%) among 10, 7 and 8 collected from Gangjin. Mokpo and Haenam with the density of metacercariae per gram of fish flesh ranging 1.0-4.6. while other brakish water fishes such as Lateolabrax japonicus and Acanthogobius flavimanus were positive only for unknown trematode metacercariae. From the results. it was concluded that some adequate preventive measures against human trematode infections are indispensible, by means of public health education not to eat raw fresh and/or brakish water fishes, etc.
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This study is based on a clinical analysis of 62 cases of the benign surgical disease of the biliary tract whom we treated surgically at the Department of Surgery. Medical School. Chosun University from Jan. 1975 to Aug. 1979. The results were summarized as follows; 1. Among the causative diseases of the 62 analysed cases. 31(50%) were acute or chronic cholecystitis with biliary stone. 11(17.7 %) Cholecystitis without stone, 6(9.7%) intrahepatie Stone, 5(8.1%) bile peritonitis, 3(4.9 %) clonorchiasis, and 2 cases(3.2 %) choledochoasoa-riasis. 2. There was slightly prevalent in female. The most frequent age group was the fifth (24.2%) and the sixth (29%) decades. 3. The recant acute onset was observed in 39(62.9%) of 62 cases within 7 days. while the majority of the patients had been Sufferred from frequent attacks of abdominal pain Over a year until operation in their history. 4. The prominent clinical manifestations in order of frequency were RUQ abdominal pain, local tenderness, referred pain to the right shoulder or the back, chronic dyspepsia, jaundice, fearer and chillness, nausea or vomit-ing, palpable gallbladder, and hepatomegaly. 5. There wore 24 patients (38.7%) who had general diseases. of which 5 cases had hypertension, 4 case pulmonary tuberculosis, 3 cases liver cirrhosis, and 12 cases others 6. On X-pay examinations stone was detected in 7(13.5%) of 52 plane films of abdomen, 3 (11.1%) of 27 oral chole-cyetograms, and 5 (19.2%) of 26 intravenous cholangiograms. An abnormal findings were revealed in 19 cases(59.4%) of 32 operative cholangiograms, and. 17 cases(45.9%) of 37 T-tube cholangiograms. 7. The common bile duct exploration was abnormal in 31(67.4%), and normal in 15(32.6%) of 46 cases. 8. In 40 cases of the calculous biliary tract diseases the location of Stones were the gallbladder in 13 cases (32.5%), the common bile duct in 12 cases(30%), and the intrahepatic duct in 6 cases (l5%). 9. The most frequently performed operative procedure was the cholecystectomy and choledochotomy with T-tube drain-age in 28 cases(45.2%) and cholecystectomy in 10 cases(21%) in order. 10. The incidence of postoperative complication was 17 cases(27.3), of which commonest were wound infection (5 cases), residual stone(3 cases) and pulmonary complications (3 cases). Tho overall mortality rate was 4.8%(3 cases), The cause of death were septicemia, hepatic coma and renal failure.
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