http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
이동후(Dong Hoo Lee),박경남(Kyung Nam Park),이종철(Jong Chul Lee),안정경(Jung Kyung Ahn),노임환(Im Hwan Roe),김태화(Tae Wha Kim),박성수(Sung Soo Park),기춘석(Choon Suck Kee),이정희(Jung Hee Lee) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1
Pleural effusion is reported to occur in 7 to 17% of patients with pancreatitis. The effusion occurs more frequently on the left side than on the right and rarely bilateral. The effusion is often hemorrhagic and recurrent so that there are some difficulties in differentiating with malignant pleural effusion occasionally. Presented here, a 68-year old man who suffered from pleuritic chest pain and progressive dyspnea was diagnosed as chronic alcohol-related pancreatitis with bilateral pleural effusion and was successfully treated with non-operative management including the correction of hypoalbuminemia.
노임환(Im Hwan Roe),고윤석(Youn Suck Koh),안정경(Jung Kyung Ahn),박찬현(Chan Hyun Park),강종명(Chong Myung Kang),박한철(Han Chul Park),곽진영(Jin Young Kwag),원치규(Chi Kyu Won) 대한내과학회 1988 대한내과학회지 Vol.35 No.2
N/A We have performed 96 renal transplantations in Hanyang University Hospital since Apri11978. We have analyzed the complications and outcome of these patients in connection with the tissue types and other factors. The results are as follows; 1) The mean age of recipients was 34.4 years. They were most commonly in the 3rd and 4th decades. The male to female ratio was 4.3:l. 2) Among 96 patients, 74 patients received kidneys from living related donors, while 11 patients received donations from living unrelated donors. Eleven cases were cadaver transplantations. Of living related donors, mothers donated in 35 cases (36.5%) and siblings donated in 21 cases (21.9%). All of the cadaver donors were men. 3) HLA typing and cross matching were performed in 56 cases. The grade of the match was defined by the number of shared antigens between donor and recipient. Twenty-seven patients were matched for two antigens. Twelve patients were matched for one antigen, while 12 patients were matched for 3 antigens. Six patients were HLA identical. A mixed lymphoeyte culture was done in 55 patients of there. 33 patients were low responders, who showed less than 55% relative response, 6 patients were high responders (over 100% response), and 16 patients belonged to intermediate group. 4) The recovery rate from acute rejection was 56.5% in living related transplantation patients (sibling; 57.8%, parent and child; 55.1%). In living unrelated transplantation patients, the recovery rate was 50.0%, and it was 42.8% in cadaver transplantation patients. The recovery rate of acute rejection was varied among the different HLA match grades; 62.5% for the group with one antigen matched, 67.0% for two antigens matched, and 100% for four antigens matched. Of low MLC responders, 72% recovered from acute rejection; the higher the relative response, the lower the recovery rates. 5) The Seventy-two of 96 cases were complicated by infertion, mainly pneumonia, fungal infection. The sixty nine of 96 cases were complicated by nonifectious causes, suchas acute tubular necrosis, avascular necrosis of bone, cataract, glaucoma, peptic ulcer and diabetes. 6) The overall mortality rate was 26.0%. During the period of 1978 through 1982, mortality was higher (80%) than that of the period of 1983 through 1987 (20%). The major cause of death before 1982 was infection, The major cause of death after 1983 were hepatic failure and pneumonia. 7) Patients with hepatitis B antigenmia did poorly. Four patients died of hepatic failure, and two patients lost graft. One patient became cirrhotic, 8) The overall patient survival rate was 84.8% at one year and 72.4% at 5 years. The graft survival rate was 81.3% at 1 year and 48.8% at 5 years resply. 8-1) The patient and graft survival rate for living related transplantation patients was 87.0%/82.6% at 1 year and 76.0%/46.7% at 5 years respoectively. The outcome was much better for transplantation between siblings than for parent-child combinations. 8-2) The patient and graft survival rate at 2 years according to HLA match was as follows; 88.9%/81.5% for the group with 2 antigens matched, 88.3%/75.0% for 3 antigens matched, and 100%/83.3% for 4 antigens matched. 8-3) The patient and graft survival rate at 2 years according to MLC was as follows; 96.7%/84.9% in low responders, 93.7%/74.0% in intermediate responders and 31.8%/31.8% in high responders, 8-4) The patient and graft survival rate was compared in patients using different immunosuppressives. Patients with imuran showed 87.0%/85.6% at 6 months and 85.5%/79.8% at 1 year respectively. Patients with cyclosporine showed 91.7%/91.7% at 6 months and 91.7% /86.6% at 1 year. 8-5) Regarding the effect of DST, patients who had not received a transfusion showed a patient and graft survival rate of 77.9%/68.0% at 2 years. Transfused patients did much better, showing survival rate of 96.5 %/84.0% at 2 years. Thus we conclude that MLC and DST greatly influence the survival rate after renal transplantat
원발성 간암환자에서 간동맥 색전술의 치료효과 - 2. 중간 추적 생존율 -
고윤석(Youn Suck Koh),노임환(Im Hwan Roe),안정경(Jung Kyung Ahn),함준수(Joon Soo Hanm),이민호(Min Ho Lee),기춘석(Choon Suhk Kee),박경남(Kyung Nam Park),이은희(Eun Hee Lee),서흥석(Heung Suk Seo) 대한내과학회 1988 대한내과학회지 Vol.35 No.3
N/A Currently, primary hepatocellular carcinoma (HCC) is the second most common cause of cancer death in men in Korea. Generally, the tumor is unresectable due to underlying liver cirrhosis. As a palliative therapy of HCC, transcatheter arterial embolization (TAE) was performed in 53 patients (57 times) from April 19S5 until December 1986 at Hanyang University hospital, of which the conditions of only 35 patients could be followed after TAE therapy. We have analyzed the effectiveness of TAE therapy on these 35 patients. The results were as follows: In patient who didn't have tumor thrombosis in the first or second portal branches, the mean 8 months survival was 58.2%, while in patients with tumor thrombosis, it was 8.3%. The ratio of the tumor size to the liver measured by a planimeter in hepatic angiography was found to be meaningful in the prognosis; In patients with a ratio below 20%, the 6 months survival rate was 66.7%, and in patients with a ratio of 20% or more, it wis 43.4%, The results suggest that TAE is more beneficial in unresectable HCC which doesn't have tumor thrombosis in the first or second portal branches, and which has a ratio of tumor size to liver below 20% as measured by angiography.
김경수,이창우,김성윤,이중달,김목현,김태화,안정경,이정균 대한내과학회 1988 대한내과학회지 Vol.34 No.2
We describe a patient presented with livedo reticularis, episodic fits, recurrent orogenital ulcer and who was found to have metastatic emboli to the skin from left atrial myxoma. The myxomatous emboli in peripheral arterioles of the biopsied skin were demonstrated. Two demensional echocardiography further established the presence of left atrial myxoma. Our case illustrates the fact that myxomatous emboli to the skin may cause livedo reticularis.