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이수봉 ( Soo Bong Lee ) 택민국학연구원 2009 국학연구론총 Vol.0 No.4
<琴浦奇遇錄>은 사람마다 그의 運福이 觀相과 音聲에서 나타난다는 것이다. 즉 사람은 運福을 타고났다는 運命論을 통하여 一夫多妻制를 合理化시킨 작품이다. 靑松에 사는 趙百恒이라는 몰락한 兩班이 아내의 針線으로 살아가는 무능한 書生이었다. 아내마저 잃고 실의에 빠져 있을때 門中의 주선으로 別監자리를 얻어 생활하다가 그마저 잃고 말았다. 어느 날 非夢似夢間에 곧 別監자리를 잃을 것이니 “東萊로 내려가라.”라는 그 때의 생각이 떠올라 釜山浦東萊에 갔다. 비를 피해 들어간 집에서 35세의 寡婦를 만난다. 그녀의 財物을 싣고 고향으로 가는 중 그녀가 背信한다. 趙郞은 琴湖江에서 大聲痛哭했다. 뜻밖에도 京華의 大家집 과부 딸이 大丈夫의 음성을 듣고 配匹이 될 것을 간청 받았다. 京華女는 東萊女를 찾아갔더니 趙百恒의 觀相을 보아 내 財物로는 그 사람의 運福을 도저히 채울 수가 없기 때문에 破約했다고 하면서 京華女의 財物이 합쳐지면, “그 사람의 運福을 다할 수 있다.”라고하면서, 일단 내가 “約束을 어겼으니” 자신은 副室이 되고, 京華女는 本室이 되기로 의논되었다. 그날로 趙百恒은 차례로 그女와 同寢하고, 고향인 靑松德洞으로 돌아와 잘 살았다고 전해지는 이야기이다. 東萊女는 觀相을, 京華女는 音聲을 知感하여 受動的인 남성을 적극적으로 作配하는 이색적인 作品構圖라 하겠다. This story proposed that the man should be destined to be borne with his physiognomy and his natural phone, which rationalized the system of polygyny in the pretext of fatalism. Once there lived a very poor scholar, Jo Baeg Han in Cheongsong who could narrowly live on his wife``s small income of the needlework. Unfortunately, his wife died. When he was in the sorrowful state, a family introduced him a small income post called Beolgam, but this work was lost. He left his village and went to Donglae, Pusan by the order of his dream. In a rainy day, he went into a widow``s house to avoid rain. Mr. Cho was fallen in love with the widow who was 35 years old. But again both were separated, and the widow left Donglae and carried his property to her hometown. Mr. Cho was crying at the Geomho riverside. A daughter of the rich widow, Gyeonghwa asked to marry him because she sympathized his miserable state. But things did not go well. The girl, Geongwha visited her friend, Dongrae and said to her that all my property could not satisfy his wealthy physiognomy, so if you could add your wealth to mine, then we could marry Mr. Cho together. At last, Gyeongwa became the second wife and Dongrae became the first wife. Cho baeghwan came back to his hometown with two wives and large property and lived a happy life. This story consists of two scenes of choice, Dongrae``s choice of his physiognomy and Geongwha``s choice of his phone, and two wives made his character optimistic and positive to lived well.
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균혈증 및 패혈증의 임상 양상 및 예후 인자에 대한 고찰
이수봉(Soo Bong Lee),이우철(Woo Chul Lee),정현철(Hyun Chul Jung),송상헌(Sang Heun Song),이동원(Dong Won Lee),김용범(Yong Bum Kim),정주섭(Joo Seop Chung),곽임수(Ihm Soo Kwak),조군제(Goon Jae Cho),나하연(Ha Youn Rha),장철훈(Chul Hun Ch 대한내과학회 1999 대한내과학회지 Vol.56 No.3
N/A Objectives : In spite of the improvement in therapeutic strategy, the mortality rate from sepsis is still high. The purpose of this study was to examine the clinical characteristics and prognostic factors of sepsis to get help in treatment and estimation of prognosis of sepsis. Methods : We analyzed the clinical and bacteriologic data of 313 admitted patients with bacteremia at Pusan National University Hospital from Jan., 1996 to Dec., 1997 retrospectively and all patients were categorized into 4 groups (bacteremia, sepsis, severe sepsis, septic shock) by the definition from American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference, 1992. Results : 1) Male to female ratio was 1.22 : 1 and mean age was 52 years. 2) The overall mortality rate was 32.3% and the mortality rates of bacteremia, sepsis, severe sepsis and septic shock were 14.9%, 22.8%, 52.0%, and 95.2%, respectively. 3) Underlying diseases predisposing to bacteremia were diabetes mellitus(14.4%), solid cancer (13.1%), hematologic malignancy(10.2%) and liver cirrhosis(9.9%), but the most common was no underlying disease. 4) Among the total 80 species of isolated microorganisms, gram-positive organisms were responsible in 169 cases, gram-negative organisms in 218 cases. E. coli was isolated most frequently, followed by S. aureus, S. epidermidis, K. pneumoniae, Enterococcus spp., Enterobacter spp., Str. viridans group, CNS, P. aeruginosa and S. typhi. 5) Although the source of bacteremia could not be identified in 28.8% of the patients, the others had the primary site of infections ; skin(17.9%), gastrointestinal tract(16.9%), respiratory tract(12.5%), urinary tract(9.9%) and biliary tract(7.3%). 6) The mortality rate in patients with gram-positive bacteremia was 39.4%, with gram-negative bacteremia was 20.9% and with polymicrobial bacteremia was 33.3%. MRSA sepsis showed the highest mortality rate(58.8%), followed by Enterococcus spp.(50.0%), K. pneumoniae (35.0%), P. aeruginosa(27.3%) and E. coli(18.8%). 7) There was significant relation between etiologic organisms of bacteremia and the primary site of infections. 8) Using logistic regression analysis, mortality was predicted by disseminated intravascular coagulation, severity of sepsis and severity of underlying diseases. Conclusion : Sepsis occurred in 16 patients among 1,000 adult admitted patients and overall mortality rate was 32.3%, still high. The mortality rate had positive correlation with the severity of sepsis. Among 16 evaluated risk factors of mortality, mortality was predicted by disseminated intravascular coagulation, severity of sepsis and severity of underlying disease.
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이수현(Soo Hyun Lee),신규호(Kyoo-Ho Shin),양우익(Woo-Ick Yang),서진석(Jin-Suck Suh),한수봉(Soo Bong Hahn) 대한정형외과학회 2004 대한정형외과학회지 Vol.39 No.2
목적: 사지에 발생한 혈관종의 치료로 절제술, 경피적 경화술, 방사선 조사 등이 시행되어 왔으나 결과에 대한 보고는 매우 드물어 혈관종을 수술적으로 치료한 결과를 분석하여 보고하고자 한다. 대상 및 방법: 1994년 1월부터 2001년 9월까지 혈관종으로 진단 받고 최소 1년 이상 추시가 가능하였던 80예를 대상으로 하였다. 남자가 31예, 여자가 49예였고 평균 연령은 22.1세였다. 수술적 절제술이 61예, 경피적 경화술은 9예에서 시행되었으며, 10예는 경피적 경화술과 수술이 시행되었다. 결과: 수술적 치료를 받은 71예 중, 통증이 주증상인 경우는 54예였고 이 중 49예에서 수술 후 통증이 완전히 소실되었으며 나머지 5예에서도 50% 이상 감소되었다. 크기는 평균6×4cm이었으며 5cm이상이 49예이었다. 재발은4예(5.6%)에서 발생하였고 이중 3예는 경피적 경화술과 절제술, 1예는 절제술이 시행되었다. 수술적 치료가 필요한 합병증은 2예(2%)에서 발생하였다. 해부학적 진단으로는 해면상 혈관종이 51예(71.8%)로 가장 많았다. 경피적 경화술을 시행 받은 19예에서 평균 50%정도의 통증감소가 있었으며 경피적 경화술 또는 절제술 등의 다음 시술까지의 기간은 평균 1.5년이었다. 결론: 혈관종의 치료에서 수술적 절제술은 통증의 감소 및 종괴의 제거를 위한 이상적인 방법으로 사료된다. Purpose: Hemangioma of the extremity is a painful soft tissue tumor. Many treatment modalities (surgical excision, sclerotherapy, radiation, etc) have been used, but results have rarely been reported. This study addressed the efficacy of surgical excision on hemangioma of the extremities. Materials and Methods: Eighty cases were analysed, all diagnosed as hemangioma between January 1994 and September 2001, and were followed up for at least 1 year. The male to female ratio was 31:49, and the mean age 22.1 years. Sixty-one of the cases received surgical treatment, nine cases sclerotherapy, and the other ten cases received both. Results: The main complaint of 54 of the 71 people who received surgery, was pain. After surgery, 49 were completely relieved of pain, and the reminder showed more than 50% pain relief. The mean size of the mass was 6×4cm, and in 49 cases, it was larger than 5cm. Hemangioma recurred in 4 patients (5.6%), 3 of the 4 received sclerotherapy and surgical treatment, only one received excision. Complications requiring surgical treatment occurred in only 2 patients (2%). The most common type was cavernous hemangioma which occurred in 51 cases (71.8%). Nineteen patients who received sclerotherapy showed reduced pain to about 50% average. Retreatment was required after a 1.5 years interval. Conclusion: Surgical excision is a reliable treatment for pain relief and for removing symptomatic hemangioma.
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