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이준상,김재하,김재헌,김승영,황순철,강종식,전건웅,신윤원 대한신장학회 1989 Kidney Research and Clinical Practice Vol.8 No.1
The adult polycystic kidney disease (APCKD) is inherited by autosomal dominant trait and is uncommon. We analysed the clinical characteristics of 11 patients with the APCKD retro-spectively among 31 patients with the cystic disease of the kidney among 338 hosptalized patients with the renal disease in the same period to develop the profile of Korean APCKD. They were diagnosed by clinical manifestations, laboratory data, intravenous pyelogram, ultrasonogram of the kidney, and abdominal CT scanning. The results were below; 1) We found the patient with APCKD after 4th dec-ade, and the frequency was 3.3% of all hospitalized patients with the adult cystic renal disease, and the frequency of dinical manifestations were palpable flank mass (63.6%), flank pain (54.5%), anemia (54.5%), hypertension (45.5%), hematuria (18.2%), and peripheral ede- ma (9.I%). 2) 4 cases(36.4%), of the extrarenal organ involvement were observed in the liver and 3 cases of them had abnormal hepatic functions(increased levels of SGOT and SGPT). 3) Among the initial clinical manifestations we observed abnormal urinalysis in 10 cases(90.9%) and decreased renal functions in 7 cases(63.7%) and 5 cases of these patients with decreased renal functions were already in end-stage renal disease at admission and accounted for 1.5% of all cases of the hospitalized patients with the kidney disease and 6.4% of the end- stage renal failure. Hemodialysis, peritoneal dialysis, or renal transplantation was done for 4 cases of these patients. 4) Complications were anemia, hypertension, endstage renal failure, and etc. Finally we think that prospective studies of APCKD should be done for assessment of APCKD by research of pedigree and family history and by follow-up checks of the renal function of APCKD.
김재하,이준상,강종식,황순철,최호정,백옥지,전건웅,신윤원,오용식 대한내과학회 1988 대한내과학회지 Vol.35 No.2
A 32-year-old sailor was studied who had a history of sexual intercourse with multiple heterosexual partners in foreign countries including Africa. We suspected that he had been infected by the Human Immunodeficiency Virus 2 years prior to our study. His wife tested positive and his two children tested negative for the Human T-cell Lymphotropic Virus type III antibody. We experienced the first Korean patient who was classified by the Center for Disease Control as having AIDS stage IV, and had candidal esophagitis, Kaposi`s sarcoma and bilateral retinitis but no generalized lymphadenopathy. We report this case with a review of the literature.
이준상(Joon Sang Lee),강종식(Jong Sik Kang),신윤원(Youn Won Shin),문중갑(Joong Kab Moon),이형룡(Heung Ryeong Lee),백옥지(Ok Ji Paik) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.4
A 68-year-old womam, adrnitted with hemoperitoneum due to leiomyoma rupture of the ileum, required emergency operation. After a successful resection for the tumor, the patient was discharged with normal blood values and she has remained we]l. We should consider small bowel tumors in the evidence of chronic or repeated bouts of acute intestinal bleeding in the face of negative conventional X-rays and freedom from symtoms except those due to bleeding. The rarity of this case is emphasized and the literature reviewed.