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이건화,김동균,나현식,배준용,최준호,김양기,김기업,어수택,김동훈,황정화,구동억,Lee, Gun-Wha,Kim, Dong-Kyun,Na, Hyun-Sik,Bae, Jun-Yong,Choi, Jun-Ho,Kim, Yang-ki,Kim, Ki-up,Uh, Soo-taek,Kim, Dong-hoon,Hwang, Jung Hwa,Goo, Dong-Erk 대한결핵및호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.58 No.1
폐격리증 치료의 고식적인 방법에는 폐엽 절제술이 있고 덜 침습적인 방법으로는 기형혈관을 동맥색전술로 폐색시키는 방법이 있다. 최근 국내에서 폐격리증을 동맥색전술만으로 치료한 증례가 있으나 모두 소아에서 치료한 경우였다. 저자들은 17세 남자 환자에서 폐격리증을 젤폼과 코일을 이용한 동맥 색전술로 특별한 합병증 없이 치료 하였고 6개월 후 흉부전산화 단층촬영으로 추적 관찰 하였기에 문헌 보고하는 바이다. Pulmonary sequestration is a very rare congenital malformation in which a mass of pulmonary tissue is detached from the normal lung and receives its blood supply from a systemic artery. It may be clinically asymptomatic or it has a wide spectrum of various clinical manifestations. The clinical therapeutic approach is to resect the sequestered lobe to prevent frequent complication such as infection. The arterial embolization of feeding artery is a new technique and a less invasive treatment than conventional surgical removal. We have experienced a 17-year-old male with pulmonary sequestration whose complaints were pain in left lower chest. He was diagnosed by computed tomography and aortography and successfully treated with embolization of feeding artery. We report a case of pulmonary sequestration treated with arterial embolization instead of surgery.
Simplification Strategies Adopted by Chinese Adult and Child EFL Learners
이건화,강석근 원광대학교 인문학연구소 2017 열린정신 인문학연구 Vol.18 No.3
Due to the phonotactic constraints, Chinese EFL learners may be expected to have difficulty in producing English consonant clusters and word-final single consonants. This paper attempts to make a comparative study of the English word-initial and word-final consonant clusters/consonants produced by Chinese children and adult learners and derive their phonological patterns. This study focused on the three-consonant clusters (CCC), two-consonant clusters (CC) and word-final consonants (C) in 30 words produced by 16 children and 16 adults. The results showed that difficulty rank in adults’ and children’s acquisition of consonant clusters was CCC > CC > C. Adults adopted more simplification strategies than children in onset and coda consonants. Both adults and children favored insertion more than deletion. Children tended to apply epenthesis in the onset consonant clusters, while adults were inclined to adopt epenthesis in coda consonant clusters. Adults and children adopted more deletion in onset than in coda. We claim that the results can be explained by L1 transfer, developmental factors and Markedness theories.
캡슐 내시경으로 발견한 소장출혈을 동반한 Henoch-Schonlein 자반증 1예
이건화,천영국,김현정,이상호,조주영,심찬섭 대한소화기내시경학회 2004 Clinical Endoscopy Vol.28 No.6
Henoch-Schönlein 자반증은 성인의 70%에서 피부관련 증상이 처음 발현하고 20% 미만에서 장과 관절에 연관된 증상이 처음 발현된다. 23세 여자 환자가 제와부 복통으로 인근 의료원에서 충수 돌기염 진단하에 충수돌기 절제술을 받았다. 환자는 이후 약 10일간 복통 및 혈변이 지속되었으나 원인을 찾지 못하여 본원으로 전원되었다. 전원 후 검사 도중 양손과 발등에 자반이 발생한 것을 발견하였고 캡슐내시경으로 소장출혈을 확인하였다. 본 저자들은 혈변과 복통을 주소로 내원한 23세 여자환자에서 캡슐내시경을 통해 소장을 침범한 Henoch-Schönlein 자반증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. A 23 year-old female patient complained of recurrent abdominal cramps and underwent emergency appendectomy in a private clinic. Two weeks later, she complained of lower GI bleeding and was referred to our hospital. On admission, she had abdominal pain and arthralgia but no hematuria. On physical examination, she was hemodynamically stable but was pale. There was no specific finding in laboratory test, except slightly lower level of blood hemoglobin. EGD revealed no specific findings. Colonoscopy showed fresh blood in the colon with small ulcers and erosions in the ileocecal valve but no source of active bleeding. On third admission day, she developed palpable macular rash initially over her lower legs, ankles, wrist joints and later on anterior abdominal wall. Capsule endoscopy revealed several small and large ulcers and erosions in the entire small bowel with blood clots. She was diagnosed clinically as a case of Henoch-Schonlein purpura through her clinical history and skin lesions. She was administered prednisolone 40 mg/day for a period of one week. Her symptoms, G-I bleeding as well as the skin lesions responded well to steroid therapy and she remained asymptomatic afterwards.