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대동맥(大動脈) 축착증(縮窄症)의 임상적(臨床的) 고찰(考察)
이정호,유회성,유수웅,이학중,Lee, Jung Ho,Yu, Hoe Sung,Yoo, Soo Woong,Lee, Hak Choong 대한흉부심장혈관외과학회 1976 Journal of Chest Surgery (J Chest Surg) Vol.9 No.2
Coarctation of the aorta is an important congenital cardiovascular defect,. which occurs in a significant number of persons. The basic anatomic defect is a localized deformity of the media, manifested by two types of strictures in the aorta: "true" coarctation and tubular hypoplasia. The zone of coarctation is characteristically located distal to the origin of left subclavian artery at or just beyond the insertion of the ligamentum arteriosum. It shortens life if untreated, but it can be corrected to render the patient functionally normal. Here we have a 2-year operative experiences with 3 cases of the aortic coarctation, two of hypoplastic type and one of postductal type, at age of 17 to 19 year old Korean, operated in 1965 and l968 at the National Medical Center. The purposes of this report are to describe the immediate and late effect of surgery, histopathologic bases and the rarity of this lesions in Korea.
조은경(Eun Kyung Cho),최은수(Eun Soo Choi),박현진(Hyun Jin Park),김용태(Yong Tae Kim),김용준(Yong Joon Kim),이상민(Sang Min Lee),이홍순(Hong Soon Lee),김병열(Byung Yul Kim),유수웅(Soo Woong Yoo),이학중(Hak Choong Lee) 대한내과학회 1993 대한내과학회지 Vol.45 No.3
N/A Background: Since initial treatment for complete heart block with external transvenous pacemaker by Zoll in 1952, the frequency of the use for cardic pacing has increased considerably and the indications for long term pacing have greatly extended according to the development of smaller and multiprogrammable pacemakers. Complications related to cardic pacemaker have also been diversified. Method: To examine complications related to them, we studied 59 implantations of permanent pacemaker from January 1986 to October 1992 at National Medical Center. Results: 1n this study we experienced 16 cases (27.1%) of complications for cardiac pacing in 59 implantations of permenent pacemaker. They included two cases (12.5%) of pacing failure, two cases (12.5%) of undersensing of wide QRS wave, one ease (6.3%) of undersensing of APC, one case (6.3%) of dislodgement, three cases (18.8%) of oversensing, two cases (12.5%) of pacemaker induced CHF, three cases (18.8%) of competition and two cases (12.5%) of wound infection. Conclusion: With more frequent use of permanent pacemaker, it is thought that the development of ideal pacemaker is required.
1998년 1월부터 9월사이에 발생한 Malaria 의 임상적 고찰
김용훈(Yong Hoon Kim),곽현진(Hyun Jin Kwak),정홍배(Hong Bae Jeong),안명수(Myoung Soo Ahn),남홍우(Hong Woo Nam),이홍순(Hong Soon Lee),유수웅(Soo Wong Yoo),정예경(Ye Kyeong Jeong),이성은(Seong Eun Lee) 대한내과학회 1999 대한내과학회지 Vol.56 No.4
N/A Objective : Annually, the prevalence of indigenous and imported malarial infections is steadily increasing since 1993 in Korea. In order to understand the current characteristics of malarial infections and to prevent, the present research reviewed twenty-seven cases between January and September 1998. Method : In this study, all the twenty-seven (twenty- six patients) cases were obtained from admitted patients between January and September 1998. We had performed routine blood chemical studies, peripheral blood thin and thick smear, physical examination and abdominal sonography. Any patient with a previous history of a narcotic drug injection or had blood transfusion was excluded. Results : Twenty cases (74.1%) were indigenous and seven (25.9%) were imported malaria. Yeonchon-Gun (nine cases) was the most prevalent area in the indigenous cases; Cambodia (three cases) were the most one in the imported cases. Peripheral blood thin smear revealed Plasmodium vivax in all (100%) indigenous malaria, while four cases (57.1%) were P. vivax and one (14.3%) was P. falciparum and two (28.6%) were mixed infections with P. vivax and P. falciparum in the imported cases. In a 3-month period between July and September, peak prevalence (80.4%) was observed. The negative conversion of peripheral blood smear was achieved much earlier in the indigenous (3.9±1.4day) than in the imported (5.7±1.9day) after the treatment but, was not statistically signifcant. Conclusion : Plasmodium ovale was the only unique causative species in the indigenous malaria. Also Yeonchon-Gun and Cheolwon-Gun had been the most important endemic areas as previous reports. One relapse case had been occurred in the imported malaria. On the basis of our data, more efforts for control of malaria should be necessary for eradication and prevention of indigenous and imported malarial infections in Korea.
성인병 검진을 위해 내원한 60세 이상 노인에게서 연령증가에 따른 질환의 분포
김용훈(Yong Hoon Kim),곽현진(Hyun Jin Kwak),정홍배(Hong Bae Jeong),안명수(Myoung Soo Ahn),염주협(Ju Hyup Yum),조대경(Dae Kyoung Cho),남홍우(Hong Woo Nam),이홍순(Hong Soon Lee),유수웅(Soo Wong Yoo) 대한내과학회 1999 대한내과학회지 Vol.56 No.2
N/A With increasing life expectance and improvement of the overall health of the elderly, the understanding of geriatric disease becomes an important aspect of medical services. In the elderly, the frequencies of hypertension, DM, & anemia are increased according to aging and renal function is decreased progressively. As screening test for cervical cancer Papanicolaou smear is recommended due to its cost-effective benefits in females. In age-adjusted elderly male and female study populations, authors investigated the alterations of the above diseases, hypercholesterolemia, liver disease, obesity, & proteinuria distributions. Methods : This study included 1,181 aged 40 years (600 males, 581 females) visitors between January 1, 1997 and December 31, 1997 in National Medical Center, Seoul, South Korea. Authors divided these populations into two large groups such as group A and B. Group A was composed of 40-59 years, group B 60 years and older. Group A and B were subdivided into 4 subgroups each other, such as A-1, A-2, A-3 and A-4, B-1, B-2, B-3 and B-4 by means of age-adjusted dividing scale. We used our inclusion criteria to define each disease. Results : Hypertension was the most common disease in males of group B, but obesity was in females. The age-adjusted frequencies of hypertension, anemia, obesity & proteinuria were increased according to aging in the elderly aged 60 years and older. Though hypercholesterolemia revealed non-specific distribution in each group, increased frequency was observed in females compared to males in group B. With increasing their age, abnormal findings of Papanicolaou smear were found in females of group B. Conclusions : As the frequencies of hypertension, anemia, obestiy, proteinuria & abnormal findings of Papanicolaou smear were increased in the elderly aged 60 years and older as increasing their age. Much more attentions and follow up plans for these disease should be needed in the elderly.