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RISS 인기검색어
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- 저자 : 우재순(Jae Soon Woo) (검색결과 4 건)
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우재순(Jae Soon Woo),정재복(Jae Bock Chung),송시영(Si Young Song),강진경(Jin Kyung Kang),박인서(In Suh Park) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.2
N/A Although congenital choledochal cyst is a relatively rare developmental anomaly, several re- cent articles have drawn attention to the seemingly increased incidence of rnalignant tumors complicating it. During the period from Mar. 1973 to Mar. 1993, we encountered 5 cases (7.7%) of choledochal cyst with malignant tumors of biliary tract among 65 cases of choledochal cyst. The00 frequency of the associated cancers were in order of GB cancer (3 cases) and extrahepatic bile duct cancer(2 cases) in the cyst. In particular, a close etiologic relationship was suggested between those with associated anomalous pancreaticobiliary ductal union and the gallbladder carcinoma. For this reason, as well as the prevention of later development of cancer in the wall of the cyst, wide excision include cyst combined with reconstructive opera- tion and cholecystectomy is recommended as the treatment of choice for the choledochal cyst. (Korean J Gastroenterol 1994; 26: 316-320)
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신용운(Yong Woon shin),정원재(Won Jae Chung),김영범(Young Bum Kim),김치열(Chi Youl Kim),주영채(Young Chae Joo),우재순(Jae Soon Woo),김응진(Eung Jin Kim) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
Primary malignant melanoma of the esophagus is a rare lesion accounting for only 0.1% of primary esophageal malignant neoplasms and almost invariably neoplasms of adulthood. To be interpreted as primary, a mucosal melanoma should ideally have overlying or lateral junctional change, approximately half of all patients had clinically, surgically or pathologically detected metastasis at the time of diagnosis and very poor prognosis. A 28 years-old-female was admitted because of dysphagia and odynophagia for 6 months. Confirm diagnosis of primary malignant melanoma of the esophagus was made by endoscopic biopsy. The case presented here is of interest because it is the first case in the Korea.
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관상동맥 경련이 의심되는 한국인에서 0.4㎎ Ergonovine Maleate 단일괴 사용법에 의한 유발 검사
고광곤,윤진,이기형,우재순,김치열,김영범,조철호,조상균,김삼수 대한내과학회 1992 대한내과학회지 Vol.42 No.2
관상동맥 경련은 허혈성 심질환의 다양한 임상상에 역할을 한다. 관상동맥조영검사가 경련을 진단 내리는데 유일한 직접적인 검사 방법이다. 경련을 유발시키기 위해서 여러 검사 방법들이 사용되었지만, ergometrine이 경련을 유발시키는데 가장 효과적 약물이라고 발표되었다. 여러 사람들이 다양한 용량과 다양한 방법으로 ergonovine을 사용해왔다. 하지만 ergonovine의 dose-response curve는 누적용량(0.1+0.2+0.3+0.4㎎)이 0.4㎎의 단일 용량과 똑같은 효과를 보였고, 용량 중강 방법이 시간 소비적이am로 0.4㎎ ergometrine 단일괴를 사용하여 검사한 결과, 위험성이 용량 중강 방법과 차이가 없다고 발표되었다. 방법 : 비전형적 흉통을 주소로 하는 6명과 급성 심근경색증 1명 모두 7명을 A군, 임상적으로 이형협심증이 강력히 의심되는 환자 6명을 B군으로 나누어 13명 환자들에게 단일괴 0.4㎎ ergonovine을 정주하여 검사하였다. 결과 : A군 환자들에게 관상동백조영검사상 30% 이하의 미만성 혈관수축을 관찰하였고, 흉통이나 심전도 변화는 없었다. B군 환자들에게 관상동맥조영검사상 2명에서 우측 관상동맥이 각각 100%, 95% 협착, 1명에서 좌전하행지 완전 협착, 1명에서 좌측 회선지 완전 협착, 2명에서 50에서 75%에 이르는 미만성 삼혈관상동맥 협착 소견을 관찰하였다. 6명 모두 전형적 협심증을 호소하였고, 6명중 2명에서 ST-T분절 변화 소견을 보였다. 저자들은 이형협심증이 의심되는 한국인에서 단일괴 0.4㎎ ergonovine 검사 방법을 치명적인 부정맥이나 심경색증, 사망 등의 합병증 없이 좋은 결과를 얻고 시행하였다. 결론 : 0.4㎎ 단일괴 ergonovine 유발 검사는 관상동맥 환자들은 진단내리는 데 예민하고 특이적이고 임상적으로 유용한 방법이며, 대상과 금기 사항을 잘 가기고 주의사항을 잘 알고 이행하며, 한국인에서도 안전하고 정확하게 시행될 수 있는 방법이라고 생각된다. Background. Many tests have been proposed for the provocation of coronary arterial spasm. But, ergonovine maleate has been known to be most effective for the provocation. Although ergonovine testing is usually safe, a number of complications have been described. Therefore, several investigators recommend the use of incremental doses starting with an intravenous injecion of 0.05~0.1㎎ followed by small incremdents of 0.1~0.15㎎ at 2~5 min intervals up to a maximum of 0.4㎎. By a dose-response curre of ergonovine, the cumulative doses (0.1+0.2+0.3+0.4㎎) have the same effects that a single dose of 0.4㎎ Methods. Because the technique with incremental doses is time-consuming, we performed using a single bolus of 0.4㎎ ergonovine intravenously without any increments in 13 patients who were divided clinically into 2 groups: group A: 7 patients with atypical chest pain (6) and acute myocardial infarction (1). group B: 6 patients with strongly suspected variant angina. Results. In group A patients coronary angiography demonstrated less than 30% diffuse vasoconstriction not accompanied by chest pain or electrocardiographic changes. In group B patients coronary angiography demonstrated right coronary artery 100%, 95% stenosis in 2 patient, total occlusion of left circumflex coronary artery in 1 patients and more than 50% to 75% stenosis of diffuse three vessel coronary in 2 patients. All six patients complained of typical angina and 2 of 6 patients showed ST-T segment changes. We performed using a single bolus of 0.4㎎ ergonovine to provoke coronary arterial spasm in Korean patients without major arrhythmia, myocardial infarction or sudden death. Conclusion. Provocative testing with a single bolus of 0.4㎎ ergonovine maleate in Korean is safe, time-saving and radiation exposure-reducing if precautions and contraindications are used.
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Klinefelter 증후군 환자에서 알도스테론분비선종 제거후 발생한 저레닌성 저알도스테론증 1 예
정영숙,신용운,정민화,김기수,우재순 대한내과학회 1990 대한내과학회지 Vol.39 No.6
Hyporeninemic hypoaldosteronism lasting from weeks to months may occur after the removal of an adrenal gland containing an aldosterone producing adenoma (APA). Prolonged suppression of the reninangiotensin system follows prior inappropriately elevated concentrations of aldosterone in plasma. This can be prevented by the preoperative administration of large doses of spironolactone. We report a 29-year-old patient with Klinefelters syndrome and APA, who developed hyperkalemia several days after left adrenalectomy including APA. Plasma renin and aldosterone levels did not increase normally in response to volume contraction and 4 hours` ambulation. He was well treated with small dose of fludrocortisone acetate and recovered from hyporeninemic hypoaldosteronism within 2 weeks.
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