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심영웅(Young Woong Shim),이창환(Chang Hwan Lee),박성민(Sung Min Park),김춘섭(Chun Sup Kim),주기중(Kee Joong Ju),송갑영(Kap Young Song),서기식(Kee Sik Suh),최환주(Hwan Ju Choi) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.6
Hepatoblastoma is a distinctive tumor of the liver composed predominantly of hepatocytes of varying degree of maturity and occurs mostly in children under the age of 4 years. Hepatoblastoma in the adult is a very rare clinlcal entity. There is no reported hepatoblastoma in the adult in the Korean literature. The usual course of this disease in adults is one of a relavively rapid downhill course and the prognosis is extremely poor. We report a case of hepatoblastoma in a pregnant woman with a review of the literature.
천종철(Jong Cheol Chun),권형각(Hyong Gak Kwon),주영만(Young Man Joo),송갑영(Kap Young Song),강진경(Jin Kyung Kang) 대한내과학회 1989 대한내과학회지 Vol.37 No.2
N/A Clinical observations were made on 24 cases of acute drug itoxication who were admitted to the Department of Internal Medicine, Pusan Adventist Hospital from January 1984 to December 1987 and the following results were obtained. 1) The total number of cases of acute drug intoxication was 274 which was 0.94% of the total patients of the emergency room. 2) The ratio of male to female was 1:1.8 The age incidence was highest in the 3rd decade age group (38.7%). 3) The incidence was highest in May and during the spring season. 4) The motive for intoxication was suicidal attempt in 87.3% and accidental poisoning in 21.8% of cases. 5) The most common drug of intoxication was sedatives (26.6%) and the others were rodenticides, pesticides, and miscellaneous unknown drugs in order. 6) Most cases complained of impairment of conscious- ness. Vomiting, abdominal pain and convulsion were frequently observed. Physical examination revealed increased pules, increased blood pressure, sweating, increased bronchial secretion and miosis of the pupil, Such symptoms and physical signs were more prominent in pesticide intoxication. 7) Leukocytosis was common in pesticide intoxication (54.0%). 8) The overall mortality rate of total cases was 4.7% and the mortality rate was highest in pesticide intoxication.
각종 간질환 및 수혈 경력 환자에서 C 형 간염 바이러스 항체의 발현 양상
박성민(Sung Min Park),주기중(Kee Joong Ju),이창환(Chang Hwan Lee),심영웅(Young Woong Shim),송갑영(Kap Young Song) 대한내과학회 1993 대한내과학회지 Vol.45 No.2
N/A Background: We studied the prevalence of Hepatitis C viruses in various liver diseases in Korea using recombinant viral antigen (C 100-3) to evaluate its etiological significance and routes of transmission. Methods: A total of 256 patients with chronic renal failure who experienced transfusion or hepatocellular disease were tested for serum HBsAg & Ab, HBcAb, Anti-HCV, AST, ALT and some were performed liver biosy for diagnostic purpose. The 46 cases of acute hepatitis, 78 cases of chronic hepatitis, 25 cases of liver cirrhosis, 30 cases of hepatocellular carcinoma, 15 cases of hemodyalysis patients, 62 cases of hepatitis B virus carrier were studied. Results: 1) There were 1.2% Anti-HCV positive patients among 256 cases. Among them there were 32.0% of liver cirrhosis, 16.7% of hepatocellular carcinoma, 20.0% of hemodialysis patients, 8.7% of acute hepatitis, 11.5% of chronic hepatitis, 4.8% of hepatitis B virus carrier (Table 1). 2) Among 184 cases of HBsAg positive patient, 20 cases (10.9%) were Anti-HCV positive and among 72 cases of HBsAg negative patients, 12 cases (16.7%) were Anti-HCV positive (Table 2, 3). 3) Among 32 cases of Anti-HCV positive patients, 20 cases (62.5%) were HBsAg positive and 12 cases were negative (Table 4). 4) Among Anti-HCV positive and HBsAg negative patients, the higher positive response of Anti-HCV were noted in patients with HBcAb positive and increased AST and ALT (Table 5). 5) Among Anti-HCV positive patients, the 65.4% were related to transfusion or acupuncture (Table 6). Conclusion: This study shows that further research for the development of more sensitive and specific diagnostic method for hepatitis C and thorough follow up study for its routes of transmission are needed.
주기중(Kee Joong Ju),서대홍(Dae Hong Suh),김춘섭(Chun Sup Kim),이창환(Chang Hwan Lee),심영웅(Young Woong Shim),송갑영(Kap Young Song) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.6
N/A Diagnostic imaging procedures of the pancreas have been revolutionized in recent years by the introduction of sonography and computed tomography. We compared the previous litera- tures of actue pancreatitis which did not use ultrasonography and computed tomography with the cases which use the imaging technigque as a diagnostic tool and for the early detection of complications. A clinical observation was made on the 175 cases of the acute pancreatitis con- firmed and treated at the Pusan Adventist Hospital as in patients during the 6 years period from March, 1988 to December, 1993. The possible etiologic factors of the disease seen in de- scending order were unknown origin(44.6% ), alcohol(26.9% ), biliary tract disease(9.7% ), overeating(6.9%) and peptic ulcer(6.3/o). The patients complained of upper abdominal pain, nausea, vorniting, fever with chills in order. The most commonly observed physical sign was tenderness in the upper abdomen. In the radiologic studies, we observed pancreatic enlarge- ment(83.6%), phlegmon formation(18.2%) and pseudocyst(9.1%) by the ultrasonic examina- tion and enlargement of pancreas(100%), obliteration of fat plane(76.5%), extrapancreatic phlegmonous mass(29.4% ), ascites(20.7% ) and pseudocyst(14.7% ) using the computed to- mography. The cornplications were phlegmon formation, ascites, pseudocyst, shock, atelectasis, septicemia and acute renal failure. The mortality rate during the hospitalization was in 1.7% and the main causes of death were due to septicemia and renal failure. In conclusion, we observed the frequency of complications of acute pancreatitis were higher than the previous studies because of using the advanced diagnostic imaging tools. (Korean J Gastroenterol 1994; 26: 995--1001)
이재동,송갑영,강창일,정정명,최하진 인제대학교 1981 仁濟醫學 Vol.2 No.2
개원 이래 1년 1개월간 본원에 내원하였던 급성 약물 중독 환자 240례를 임상적으로 관찰하였다. We did clinical evaluation with the 240 acute drug intoxication cases which occurred from June 1979. to Jull 1980 (13 months) in Busan with her surrounding rural area and following results were obtained. 1) Acute drug intoxication was 3.4% of total emergency visits and incidence leas highest in July, Summer season and 3rd. decade age group. 2) The motive of intoxication was suicidal attempt 78.3%, and the remainder was accidental poisoning. Male to Female ratio was 1: 1.2. The order of causative agent frequency was pesticides which was predominantly in rural area, various kinds of drugs, hyponotics & rodenticides which was predominantly in inner city area. 3) Overall fatality rate was 9.6%, most of them was pesticidal case and 77. 1% close was completely recovered.
최환주,심영웅,서대홍,김춘섭,송갑영,임홍섭,김충기,이겸철 대한내과학회 1997 대한내과학회지 Vol.53 No.2
Hepatoma is one of the most common malignant disease among cancers that occur in Korea. Recently, according ta developing imaging diagnostic technology and non surgical treatment the hepatoma is easily detected in early diagnosis and appropriate treatment. From this point of view, the histologic pattern of hepatoma is markedly important. This is the first reported case of sclerosing hepatocellular carcinoma, which is characterized by intense fibrosis, in which the tubular neoplastic structures are embedded. The incidence of sclerosing hepatocellular carcinoma is very rare. Therefore the rare histologic pattern of hepatoma might be introduced by many studies and reports. We recently experienced a case of sclerosing hepatocellular carcinoma.