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RISS 인기검색어
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- 저자 : 이승락(Seung Rak Lee) (검색결과 5 건)
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이승락(Seung Rak Lee),박찬흔(Chan Heun Park),박철재(Chul Jae Park),배수동(Soo Tong Pai),강구(Gu Kang) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
Solitary rectal ulcer syndrome shows characteristic features that the obliteration of the lamina propia of the mucous membrane m the ulcerative region by the fibroblasts and muscle fibers, which is derived from the muscularis mucosa. The etialogy is unknown but the role of the physical trauma is often mentioned in the literature, We have experienced three cases of the solitary rectal ulcer syndrome during the period from June, 1988 to May, 1990, Other symptoms were massive anal bleeditg in one patient and psyehiatric problems in two patients. The transanal repair was performed in two patients and one refused the operation.
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이승락(Seung Rak Lee),배수동(Soo Tong Pai),김주섭(Joo Seop Kim),천재동(Jae Dong Cheon) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.1
N/A We experienced twenty-one patients of esophageal cancer from march 1987 to october 1992. The age ranged from 27 to 74 years old and male patients were twenty. The most common symptom was dysphagia (90.0%) and the most frequent site was midesophagus (52.4%). 15 patients were managed with curative resection and 6 patients with feeding jejunastomy or gastrostomy. The histologic types were squamous cell carcinoma in 20 patients and adenocsarcinoma in one patient. Among 15 patients with curative resection, stage I was found only in 1 patiient, stage II in 7 patients and stage III in 7 patients. Postoperative complications occurred in 7 patients (33. 3%). Among them, passage diturbance developed in 3 patients, and pleural effusion and pneumonia in 3 patients. 12 patients expirecl during follow-up period. Mean survival was 7.6 months in 12 expired patiennt, 14.3 months in curative resection group and 2.2 months in nonresected group. One year survival rate was 53.5% in resected group but 0% in nonresected group.
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이석구 ( Suk Koo Lee ),이승락 ( Seung Rak Lee ),배수동 ( Soo Tong Pai ) 대한외상학회 1990 大韓外傷學會誌 Vol.3 No.1
Trauma is the leading cause of death in children. Thirty-three children were treated for abdominal trauma from αtober 1986 to September 1990 in Kangdong Sacred Heart Hospital. The majority of patients (75.8%) was between four and nine years old. There were 25 males and eight females. The most common causes of injury were pedestrian traffic accidents(57.6%) foil wed by falls(24.2%). Seventeen of 22 children, transfered directly from injured site were evaluated at our emergency room within 1 hour of their injuries. If a pat ient was hemodynamically stable after initial resuscitation, ultrasonography and computed tomography were effective tools in the diagnosis and evaluation of the abdominal trauma in children. Serum transaminases were reliable valu~s for liver injuries. The most frequently injured abdominal organ was a liver followed by a spleen. Thirteen(39.4%) were treated nono야ratively without complications. Nineteen childre (57.6%) were transfused during initi허 resuscitation or after resuscitation because of decreasing blood counts. Overall mortality was 12.1%. The causes of death were lethal head injuries in three cases and severe hepatic vein and Ive injury in one case. Mortality was related to the number of organ systerns injured, presence of head injury and injury severity score (ISS) more than 30. We consider that nonoperative treatment appears to be a safe and satisfactory approach to the carefully selected pediatric patients with abdominal trauma, who are hemodynamically stable. I t is our opinion that there preferably should be a standard procedure in dealing with injured patients in order to avoid confusion in the evaluation and treatment of the patient with severe trauma in children
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배수동,김주섭,이승락,정대윤 대한소화기학회 1992 대한소화기학회지 Vol.24 No.1
An experince of 180 cases of hepatobiliary operation with intraoperative bile culture were evaluated retrospectively from Oct. 1986 to Dec. 1990. The rate of positive culture was 75%. The results were as follows: E. coli was 51%, Klebsiella species were 16% and 85% of the positive cultures were gram-negative group. The incidence of the positive cultures increased with age of the patients. CBD obstruction, hyperbilirubinemia and acute cholecystitis also increased the incidence of positive culture. Postoperative wound infection was 4.4%. Preoperative positive blood cultrue were obtained in eight patients in this series. Five of these had positive blood culture and these microorganisms were identical to that of bile culture.
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