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정상인 20 대 남자에서 Holter 심전도를 이용한 부정맥에 관한 연구
윤봉영(Bong Young Yoon),이정미(Jung Mee Lee),김영조(Young Jo Kim),심봉섭(Bong Sup Shim),이현우(Hyun Woo Lee) 대한내과학회 1991 대한내과학회지 Vol.41 No.4
N/A A 24-hour Holter EK(i was monitored, during ordinary activities, on 51 medical students and interns without heart or other systemic diseases in order to compare the difference of arrythmia between waking and sleeping hours. During waking hours, the mean, maximal and minimal heart rates were 85.8±7.2/min, 144.9±14.2/min, and 52.0±5.9/min, respectively; during sleeping hours, they were 65.2±9.6/min, 128.5±11.6/min, and 47.1±7.3/min. During sleep the mean heart rate was found to be significantly slow. Sinus arrythmia was noted in all subjects without a difference in sleeping and waking periods, and no sinus pause (more than 2.0 seconds) was noted. Twenty subjects (39.2%) showed supraventricular premature beat. Arrythmia was noted in 15 subjects (75%) during waking, 2subjects (10%) during sleeping, and 3subjects (15%) during both waking and sleeping hours. Ventricular premature beat was noted in 13subjects (25.5%), and this arrythmia was noted in 12subjects (92.3%) during waking and 1 subject (7.7%) during sleeping hours. No case developed VPB`s during the sleeping period alone. Atrioventricular conduction defect was noted in 5subjects (9.8%), and all were noted during the sleeping period. Among them Morbitz type I (Wenckebach block) A-V block was noted in 4subjects (80%) and first-degree A-V block in 1 subject (20%).
이헌주(Heon Ju Lee),이현우(Hyun Woo Lee),윤봉영(Bong Young Yoon),김종명(Jong Myung Kim),김정회(Jung Hee Kim),곽철승(Chul Sung Kwak) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.2
N/A Evaulation of serum bile acids has been used for prediction of abnormal serum liver profile in the world. But recently many reported that bile acids in a random sample of urine (URNBA), corrected for urine flow with creatinine, have high diagnostic value when compared with serum bile acid and routine serum liver tests. We analyzed URNBA as a predictor of liver abnormality in 27 subjects of various liver disease and 8 normal subjects and compared with the results of serum bile acids and routine serum liver profile. In the patients, the rates of abnormal elevation of URNBA and serum bile acid were 85.2% (23/27) and 74.1% (20/27), respectively. URNBA/creatinine in the random sample of urine revelaed the highest reliability that reflects the presence of liver disease. So we think that urine can be used to predict liver diasese with an accurary that equals or exceeds the serum bile acid and the routine liver tests.
상행 대동맥 동맥류를 동반한 Marfan씨증후군 환자에서 생긴 대동맥 박리(Aortic Dissection) 1례
윤봉영,양창헌,김영조,심봉섭,이현우,류한영,정태은,박이태,한승세 영남대학교 의과대학 1989 Yeungnam University Journal of Medicine Vol.6 No.1
본원에서는 Marfan씨증후군과 대동맥류, 대동맥판 역류로 진단받은 환자가 1년후 흉통을 주소로 내원하여 대동맥 박리로 이행한 것으로 밝혀져 응급수술을 성공적으로 치룬 1례를 경험하였기에 보고하는 바이다. The Marfans syndrome is a generalized connective tissue disease involving eye, musculoskeletal system, cardiovascular system, and inherited autosomal dominant with various expression type. The cardiovascular complications such as aortic aneurysm, aortic dissection, aortic regurgitation, mitral regurgitation and aortic dissection which usually occurs in previously normal sized aorta are poor prognostic factors. However, the aortic dissection which developed in patient with Marfan syndrome and aortic aneurysm was rare. We experienced one case of dissecting aneurysm in patient diagnosed as previous aortic aneurysm, aortic regurgitation, and Marfan syndrome, receiving successful operation.
윤봉영,안재희,이관호,정재천,이현우,박이태,한승세,황미수,남혜주,이태숙 대한내과학회 1990 대한내과학회지 Vol.38 No.3
Thymolipoma is a rare benign tumor composed of thymic tissue and mature adipose elements and constitutes 2~9% of all thymic tumors. Most cases of thymolipoma is asymptomatic and are detected on routine chest X-rays. It is often misread as cardiac disease. The diagnosis is very difficult without operation. With the introduction of CT for the diagnosis of mediastinal disease recently, pathologic diagnosis could be expected preoperatively. A case of thymolipoma was treated at Yeung-Nam University Hospital. Its pathologic diagnosis was expected preoperatively with chest X-ray and chest CT, and confirmed postoperatively.