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21 - Hydroxylase 결핍 선천성 부신 증식증 가계에서 ACTH Stimulation Test
최철준(Cheul Joon Choi),주영실(Young Sil Ju),이기영(Gi Young Yi),김성운(Sung Woon Kim),양인명(In Myung Yang),김진우(Jin Woo Kim),김영설(Young Seoul Kim),최영길(Young Kil Choi),오보훈(Bo Hoon Oh) 대한내과학회 1987 대한내과학회지 Vol.33 No.2
N/A CAH (congenital adrenal hyperplasia) due to 21-hydroxylase (2l-OH) deficiency is a autosomal recessive disorder in which affected homozygotes present with virilization, hirsutism and short stature. For the detection of heterozygote carrier, we measured 17-hydroxy progesterone (17-OHP), progesterone, cortisol and aldosterone after ACTH stimulation to the patient, her family members and controls. The following results were obtained. 1) ACTH stimulation test was a goad test for the confirm diagnosis of homozygotes and the detection of heterozygote carriers in 21-OH deficiency CAH. 2) The patient and two siblings were homozygotes. The mother and one sibling were heterozygotes, and her father was suggested to be a heterozygote without biochemical expression. 3) 21-hydroxylase deficiency of zona glomerulosa was Not deficient in all homozygotes.
승모판탈출증에서 Doppler 심초음파를 이용한 승모판폐쇄 부전증의 빈도와 중증도에 대한 관찰
이문호(Moon Ho Lee),배종화(Jong Hoa Bae),송정상(Jung Sang Song),김명식(Myung Shick Kim),김권삼(Kwon Sam Kim),조정휘(Chung Whee Choue),이기영(Gi Young Yi) 대한내과학회 1987 대한내과학회지 Vol.33 No.3
N/A Mitral valve prolapse is increasingly recognized as a common cause of severe pure mitral regurgitation. Overall prevalence and severity of mitral regurgitiation in mitral valve prolapse syndrome is not sitll unknown, Doppler Echocardiography is reliable and sensitive method in detecting mitral regurgitation and quantifying its severity. We investigated the prevalence and the severity of mitral regurgitation in patients with mitral prolapse syndrome by using Doppler Echocardiography. The following results are obtained; 1) The incidence of mitral regurgitation in patients with mitral valve prolapse as assessed by Doopler Echocardiography was high (95%), the rate of symptomatic patient was 70% and systolic murmur was audible only in 35% of patients. 2) Significant mitral regurgitation was not uncommon (28%) in patient with mitral valve prolapse. 3) Left atrial and left ventricular size were significantly larger in patients with moderate or severe regurgitation (3.6±0.4 cm, 5.9±0.3 cm) as compared with patients with mild or no regurgitation (3.1±0.5 cm, 4.8±0.4 cm). 4) Even at young age (at the age of 14-44) significant mitral regurgitation may occur in patients with mitral valve proapse (12 patients).