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        위의 Leiomyosarcoma

        박충래 ( Choong Rae Park ),김유선 ( Yu Sun Kim ),김문수 ( Mun Soo Kim ) 대한내과학회 1972 대한내과학회지 Vol.15 No.6

        In this report, a case of leiomyosarcoma in the stomach is reported because its occurrence is rare and there are many confusions to make differencial diagnosis between leiomyma and leiomyosarcoma. A 39-year-old man has complained of melena, dizziness, easy

      • SCOPUSKCI등재

        장기간 관찰한 간디스토마증 - 수명에 (壽命) 대하여 -

        박충래 ( Choong Rae Park ),이상윤 ( Sang Yyun Lee ),윤자훈 ( Ja Hun Yun ) 대한소화기학회 1971 대한소화기학회지 Vol.3 No.1

        In this report, a case of life spane in the final host of the clonorchis sinensis is reported. A 45 vears old man has a history of exposuring himself to cionorchis sinensis by ingestion of raiv fresh water-fish such as carps fished in the Hva-Cheon take in Kang Won Do, on July, 1957. Then, the clonorchis'sinenis vas found on feces accidently in physical examination on Oct. 1962, However, any subjective symptoms have not been conplained. Previousli, this patient had not been exposed to clonorchis sinenis and since 1957, he bas not also been reinfestated ivith clonorchis sinensis. On the physical examination, no any specific findings was revealed with the exception of 1 F.R. palpable liver which is not tender and has smooth surface with normaI consistency and edge. All of the laboratory findings including tbe liver function tests were witbin normal Jimit. Prior to April 1970, the patient had serious fecal exan:ination at least once or twice yearly and continusely positive result of clonorcbis sinensis eggs obtained, nevertliless, observed negative finding of clonorchis sinensis eggs on fecal examination nerformed 3 times between 16th Apr. 70 and 19th Jan. 71. Therefore, sve obtained the fact in this case that clonorchis sinensis has survived the last 13 years in the final host.

      • SCOPUSKCI등재

        간경변증의 (肝硬變症) 임상적 (臨床的) 관찰

        고광도 ( Kwang Do Koh ),박충래 ( Choong Rae Park ) 대한소화기학회 1971 대한소화기학회지 Vol.3 No.2

        N/A This report was performed on basis of 102 cirrhotic patients who were admitted to department of gastroenterology in Woo Suk University Hospital during the period from April 1968 to March 1971. Cirrhosis has been made one of major medical problem, because of its increasing incidence ar.d mortality, and difficulty of early diagnosis and treatment. An analysis has been made of incidence, etiology, clinical and la'noratory findings on the diseas . The cases were selected by careful history, clinical and laboratory features, liver biopsy and liver scintigram. The results in this study were as follosvs: Sex incidence; Man:Woman=4, 1: 1 Age incidence; Predominant incidence age range 41 to 50 years, and average age vas 48. 8 years. 2, The possible etiological factors in the liver cirrhosis have been investigated with regard to careful past history; the important etiology were that nutritional deficienay in 55 per cent, alcoh- olism in 47 per cent, past history of hepatitis in l6 per cent, unknown cases in 34 per cent. It has been thought that these factors may play roles in combination with other in inducing cirrhasis of the liver. 3, The initial symptoms of the liver cirrhosis ivere predominantly anorexea and indigestion, and fatiguability. The majority durations include one to 5 years interval from onset to admission, ar d ch!ef complaints on admission were abdominal fullness, anorexia and indigestion, jaundice and abdominal pain. 4, The major symptoms of the liver cirrhosis on admission were fatiguability (77. 2%), indigestion (67. 3%), anorexia (63. 4%), abdominal pain (51. 5%), weight loss (27.7%), headach and dizziness (26. 7%), bleeding (26. 7%), and fever (25, 7%), Physical findings vere as follows; ascites (56. 9%), palpable liver (52, 9%), edema (35. 5%), angioma spider (34, 5%), jaundice (32. 3%), hypotension (28. 4%), csopl;ageal variccs (25.9,%), palpable spleen (18.6%), superficial venous dilatation (11.8%). Liver palm (6.9%), gynccan.astia (4. 9%), and lose of axillary hair (2. 9%), and the sites of angior:a spider were in upper chest (71.4%) and neck (60%). 5. The blood findings were revealed as follows: the decreased number of R.B.C. was found in 42. 0% Hemoglobin in 65. 3%, Hematccrite in 56.4% of cases. The anemias were macrocytic(40. 7%) and norchromic(69. 1%) ones. Lukoperia were observed in 26. 7go of cases. Erythrocyte sedimentation rates were prolonged in most of the cases. 6. Urinalysis were revealed proteinuria (28. 9%), glyccsuria (20. 6%), urobilincgenuria (27. 8%),. And bilirubinuria (25. 8Fo). 7. Stool examination were revealed Ascaria (40. 0%), Trichocephalus Trich. (80. 0%), Trichostrongylus orient. (31. 3%), Clonorchis sinensis (6. 7,%) and hook worm (8. 5%), and occult blood were- positive in 83.8% of cases. 8. Serum total bilirubin were increased in 62. 6% of cases and serum direct bilirubin were increased in 43 .3% of cases. 9, Serum total protein were decreased in 26, 8 alb m' in were increased in 45. 3,, globulin were decreased in 72. 9g and A/G'ratio were reversed 58. 8io of cases. 10. C.C.F. were I ncreased above p in 48. 9p of cases at 24 h d T.T. 'Z. were inreased above 6 u. in 83. 7py of cas:s. 11. Alkaline h oshosphatas- were increased in 72. 4 ' S.G.O. T. ' in 85. 6z', and S.G'P. T. In 45. 4,o. 12. Serum total cholesterol were increased ratio were decreased in 41. 9io of cases. In 24. 4 4. 4 of cases and serum cholesterol ester form 13 Prothrombin t'ime were prolonged in 52. Lp f d serum iron avere decreased in 24. Lpy of cases. In specific gravity of ascites transudate were 8' ' ex d t ' 1 p o in nature and protein cvntents of ascites were less than 2. 0 gm. Pa in 80zg of cases. 15, Hyperglyc mia were obs:rved in 24. 8% of cases and hypoglycemia in 18. 8,- of cases lb In s rum electrolytes, sodium were decreased in 54. 2g, chloride were slightly increas d in 18. S ,o, calcium were decreased in 96. 3 and potassium were decreased in 25, 4, of cases. Yi. P.i3. Ivere increas-d i

      • 肝硬變症에 있어서 免疫 Globulin과 肝機能 및 肝生檢像에 關한 硏究

        朴忠來,高侊道 고려대학교 의과대학 1976 고려대 의대 잡지 Vol.13 No.3

        The serum immunoglobulin (IgG, IgA, and IgM) values were measured on 35 cases of postnecrotic or cryptogenic liver cirrhosis admitted to the department of gastroenterology, Korea University, Medical College and at the same time routine liver function tests with histologic findings by liver biopsy were reviewed. The correlations between the patterns of immunoglobulins and liver function tests, and between immunoglobulins and histologic findings were studied. The results are as follows. 1. In liver cirrhosis, IgG value is 1,971±359㎎./㎗., IgA 386±108㎎./㎗. and IgM 160±52㎎./㎗., and these values are markedly increased above normal range. 2. Serum electrophoretic gamma-globulin (immunoglobulin) has a good correlation with serum colloidal reaction of the kinds of liver function tests. Among them the statistically significant good correlations were found between IgG and gamma-globulin quantify, and between IgG and zinc sulfate test respectively. 3. The correlations between serum immunoglobulin values and the histologic findings by liver biopsy showed the increase of IgG were in parallel with cell infiltration and fibrosis in portal area. IgM had a tendency of paralleling with fibrosis of portal area.

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