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윤설영 ( Yun Seol Yeong ),이은주 ( Lee Eun Ju ),허정훈 ( Heo Jeong Hun ),손영기 ( Son Yeong Gi ),한경근 ( Han Gyeong Geun ),안원석 ( An Won Seog ),김성은 ( Kim Seong Eun ),김기현 ( Kim Gi Hyeon ) 대한내과학회 2004 대한내과학회지 Vol.66 No.2
목적 : 특발성 막성신병증은 신증후군을 주 증상으로 하는 질환으로 자연관해에서부터 만성신부전증으로 진행하는 다양한 임상상을 나타낸다고 알려져 있다. 본 질환의 다양한 임상경과에 관하여 분석함과 아울러 신증후군의 치료법으로 사용하고 있는 steroid 단독요법과 chlo-rambucil 병합요법의 효과를 평가하고자 하였다. 방법 : 1990년 3월부터 2003년 8월까지 동아대학교병원 내과에서 진료 받고 신생검으로 진단된 특발성 막성신병증 환자 중 2년 Background : Idiopathic membranous nephropathy (IMN) causes variable clinical courses, such as from asymptomatic urinary abnormalities, nephrotic syndrome to end-stage renal failure. We evaluated clinical findings and effects of steroid and steroid with c
단순 적출술로 완치된 식도·위 경계부의 평활근종 1 예
최성호,김완수,박진홍,권태헌,윤설영,정미혜 대한소화기학회 1999 대한소화기학회지 Vol.33 No.1
Although an esophageal leiomyoma is one of the most common benign tumors of the esophagus, i is still rare. It occurs more often in men than in women, by a ratio of 1.9 to 1. About 97 percent of the esophageal leiomyoma may occur as intramural type and only 1% of the tumor may be polypoid type. Over 50% of the patients with a leiomyoma of the esophagus are asymptomatic, but dysphagia and vague pain are the most frequent symptoms. Differential diagnosis is often difficult because an esophageal leiomyoma may mimic mediastinal neoplasms, cysts, aortic aneurysms, and esophageal diverticulum. Operative management by transthoracic enucleation is the procedure of choice, although resection of the esophagus may be required in few cases. Its result is excellent and postoperative morbidity is low. We experienced a case of a 24-year-old man with esophagea leiomyoma in the esophagogastric junction. The patient complained of substernal discomfort and dysphagia for about a year. The upper gastrointestinal endoscopy disclosed an elongated, submucosa mass lesion with central ulceration, ranging from the distal esophagus to the cardia of the stomach The size was 7×4×2 cm. The mass was removed by the transabdominal enucleation. The diagnosis of leiomyoma was confirmed with histopathologic finding. (Kor J Gastroenterol 1999;33:124 - 128)