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이상금 ( Sang Kum Lee ),정악승 ( Nak Seung Chung ),백인기 ( In Ki Paik ),고일향 ( Ill Hyang Ko ) 대한임상검사과학회 1983 대한임상검사과학회지(KJCLS) Vol.15 No.1
This is a case of 53 year old male with Diphyllobothrium latum infection, treated satisfactorily after application of a vermifuge, Niclosamide, and laxative, MgSo4. The patient had been eating raw fish of various kind off and on since long ago and many ova of Diphyllobothrium latum were found incidentally during his recent diabetic check up. Addition of this case is stressed that possibility of wide distribution of Diphyllobothrium latum and other parasite caused by raw fish eathing in Korea. Enlghtrnment with control of popular raw fish eathing habit among Korean is urged.
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백인기 인제대학교 1987 仁濟醫學 Vol.8 No.4
서울백병원 혈액은행의 최근 2∼3년 동안의 헌혈, 성분 제재 사용 현황, 전혈 사용 현황, 질환별 수혈 현황 및 1인 평균 수혈량 등을 통계 처리하여 혈액 사용의 현황을 제시하고자 하였다. The blood bank of Seoul Paik Hospital has the longest history as a blood bank of private hospital in Koera. We have served for Clinician during last 33 years. Total transfusion amount has increased slowly since the foundation of blood bank, but we have some problems still to solve in future steps. Author summarized the recent status about some fields of transfusion with recent 2 to 3 years data to compare with the status in other institutions in Korea. Blood component transfusion and blood donation have been remarkable increased during recent 2 to 3 years, especially since last autumn (1986). The reason might be activated cardiovascular surgery & active liver surgery since last autumn. Some data about transfusion were briefly summarized as follows : 1.The number of blood donation increased 2.7 times during 1987 compared with the number in 1985. 2.The ratio of blood component therapy increased 2.4 times during 1987 compared with the ratio in 1985. 3.Total transfusion amount (the number of whole blood used plus the number of blood components used) increased 2.4 times during 1987 compared with the amount in 1985. 4.Lots of transfusion was done in cardiovascular surgery compared with the one in other disease. 5.Average transfusion amount per 1 patient was 5.9 units. 6.The recipient of 1 unit transfusion still occupied 17.8% among the total recipients of transfusion. 7.Effective platelet transfusion is impossible without using apheresis. 8.Emergency fresh whole blood transfusion without any laboratory tests could make problems if we look forward AIDS.
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수혈 후 간염 발생을 예방하기 위한 검사법들에 관한 고찰 : C형 간염 중심으로 --
백인기 인제대학교 1992 仁濟醫學 Vol.13 No.1
수혈에 의해 발생되는 간염 중 대부분을 차지하고 있는 비A, 비B형 간염을 예방키 위해서 공혈자들에게 실시되고 있는 C형 간염 항체검사의 양성율은 0.49%로서 미국, 일본등 선진국에 비해 결코 높지 않았으며 항체 양성자의 75%는 ALT(SGPT)치가 전상범위 이내였다. Recently anti-HCV has become a routine serologic test for blood donors to prevent post-transfusion Non-A, Non-B hepatitis, but some author insisted that anti-HCV demonstrated an etiologic basis for only half of cases of transfusion associated Non-A, Non-B hepatitis. This study was designed to evaluate the prevalence of each hepatitis marker and understand the correlation between serologic markers for hepatitis B and anti-HCV because it might be helful to understand association of each markers for effective prevention of PTH. 1634 sera were collected from healthy blood donors in Sanggye and Seoul Paik Hospital and tested for HBsAg, anti-HCV, ALT and anti-HBc and results were summarized as follows. 1.Seroprevalence of anti-HCV among blood donors was 0.49% 2.The frequency of anti-HCV increased linearly with the increase of ALT value until 60IU/L (P < 0.05), but ALT values of all anti-HCV positive donors were lower than 60IU/L 3.HBsAg positive rate was 4.77% and ALT values were increased in 15.38% of HBsAg positive donors. 4.2.33% of donors had increased ALT values above 60IU/L irrespective of HBsAg or anti-HCV. 5.Seroprevalence of anti-HBc was 54.1% among donors and correlation between anti-HBc and anti-HCV was not considered. Above results revealed that the prevalence of anti-HCV was not higher than the one in western countries or Japan and HBsAg was the most prevalent hepatitis marker except anti-HBc still as expected. ALT couldn't become the important surrogate marker for HCV in our country, but it would be necessary to study the increased ALT cases without other hepatitis markers to prevent PTH effectively.
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백인기 인제대학교 1998 仁濟醫學 Vol.19 No.2
저자는 지난 2년동안 진단되었던 32예의 말라리아 환자들의 병록을 후향적으로 조사하여 다음과 같은 결론을 얻었다. 한국 토착형 말라리아 환자는 20대초반 남성에 빈발하며 그들의 70%는 과거 1년 이내에 전방 군부대로 부터 전역한 과거력이 있었다. 전환자에서 고열이 있었으나 그중 ⅓ 에서만 주기적인 발열 양상을 보였으며 검사 소견상 혈소판 감소, 경도의 빈혈, 백혈구 감소 및 좌방이동, 비전형 림프구 출현 및 ESR 상승 등의 혈액학적 이상 소견과 혈청 lactate dehydrogenase치의 상승 등이 있었으며 이 경우 말초혈액 도말검사로 조기에 말라리아를 진단할 수 있다. Objectives: Vivax malaria cases are increasing rapidly since 1993 in Korea. In this study, I summarized laboratory findings, clinical manifestations and past medical history of patients to help early diagnosis of malaria. Methods: Medical records of patients confirmed as malaria by peripheral blood smear in Sanggye Paik Hospital from June, 1997 to October, 1998 were reviewed retrospectively. Results: 1) Thirty cases of malaria were diagnosed as vivax malaria and two as falciparum malaria. All vivax malaria was indigenous in Korea and most cases were occurred from June to October. 2) The most common age group was in the twenties and about 70% of them had finished the military service near Demilitarized Zone (DMZ) within 1 year before the onset. 3) All 32 patients had fever, but cyclic pattern was shown only in 10 patients of vivax malaria. 4) Hematologic abnormalities were the most common laboratory findings, such as thrombocytopenia, mild anemia and leukopenia, but monocytosis, shift to the left of leukocyte, appearance of atypical lymphocyte and increased ESR were noticed in this study. 5) Increased lactate dehydrogenase, transaminase and total bilirulin in serum were also observed. Conclusion: All Korean patients with malaria had fever, but fever was cyclic only in one third of cases. Relatively common laboratory findings were thrombocytopenia, increased ESR, elevated lactate dehydrogenase in serum and appearance of atypical lymphocyte in blood in orders. Above findings would be helpful for early diagnosis of malaria.
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백인기 인제대학교 1988 仁濟醫學 Vol.9 No.3
1,231건의 무작위 검체에서 적혈구 불규칙항체 선별 및 동정검사를 실시하여 그 중 8건(0.65%)에서 항체가 검출되었다. 8건 중 4건(0.32%)이 임상적으로 의의가 있는 온난항체였고 7건에서 임신 및 수혈의 과거력을 확인할 수 있었다. Antibody screen and identification tests were performed in 1231 random blood samples in blood bank of Seoul Paik Hospital and following results were obtained 1.Irregular antibodies were detected in 8 cases(0.65%) out of 1231 blood samples. 4 cases were warm reacting antibodies and the other 4 cases were cold reacting antibodies. 2.Specificities of irregular antibodies were anti-e+K 1, anti-I 1, ants-N+H 1, anti-JKb+e 1, anti-Lea 2, anti-c+E 1, anti-D 1 respectively. 3.Cold antibodies were detected by saline technique at room temperature and warm antibodies were detected by albumin or antiglobulin technique at 37℃. 4.Past medical history of pregnancy or transfusion was identified in 7 cases. 5.Indirect antiglobulin tests were positive in all cases(8), but direct antiglobulin tests were positive in 6 cases. 6.In conclusion prevalence of irregular antibodies in Korean is low compared with American or European, but antibody screen test should be performed in patients who have past medical history of transfusion or pregnancy.
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