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정규원(Kyu Won Chung),정환국(Whan Kook Chung),정인식(In Sik Chung),이완국(Wan Kook Lee),최재철(Jae Chul Choi),문한림(Han Lim Moon),이창돈(Chang Don Lee),최규용(Kyu Yong Choi),이안기(An Kee Lee) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.2
We report a case with mesenteric metastasis of hepatocellular carcinoma after hepatic resection. A 54-years-old female was received the right hepatic segmentectomy due to hepatocellular carcinoma without evidence of metastasis. Exploratory laparotomy confirmed the mesenteric metastasis of primary hepatocellular carcinoma six months after the operation and we reviewed the literature.
정규원(Kyu Won Chung),정환국(Whan Kook Chung),선희식(Hee Sik Sun),정인식(In Sik Chung),이흥현(Heung Hyun Lee),이만영(Man Young Lee),김용수(Yong Soo Kim),김춘추(Chun Choo Kim),김병기(Byung Kee Kim) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.2
Aplastic anemia is rare, severe complication of viral hepatitis. Over 200 cases have been reported in the literature, but only recently the virological studies have been carefully implicated. There have been reports of fatal aplastic anemia associated with type-A virus, type-B virus and non-A, non-B hepatitis. We report a 35-year-old man, who found to have severe aplastic anemia associated with fulminant hepatitis: Virological studies suggested that it was probably non-A, non-B hepatitis.
정규원(Kyu Won Chung),정환국(Whan Kook Chung),선희식(Hee Sik Sun),정인식(In Sik Chung),양진모(Jin Mo Yang),심상인(Sang In Shim),최명규(Myung Gyu Choi),양시영(Si Young Yang),김종률(Jong Yul Kim),이교영(Kyo Young Lee) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
Primary biliary cirrhosis (PBC) is a chronic inflammatory disease of unknown cause that is characterized by the destruction of small intrahepatic bile ducts. It is rare disease in Asia, especially in Korea. We report here a case of a 64-year old female with primary biliary cirrhosis and Sjogren s syndrome who has suffered from generalized pruritis and intermittent dry eye since 6 years ago, and sudden hematemesis. She was treated with endoscopic sclerotherapy, cholestyamine and ursodeoxy- cholic acid. We report the second case of primary biliary cirrhosis withe Sjogren's syndrome in Korea.
면역성혈소판감소성자반증이 동반된 기왕제왕절개술 임신부에서 성공적인 질식 분만 1 예
이흥순(Heung Sun Lee),이영심(Young Sim Lee),정인배(In Bai Chung),장정호(Chung Ho Chang),황명증(Myung Jung Hwang),이영진(Young Jin Lee),어영(Young Uh) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.8
Thrombocytopenia is hematologic disorder commonly occurs during pregnancy (5%) with different severity. It doesn`t cause severe problem during pregnancy and after the delivery if it is not below certain level which will cause spontaneous bleeding. But in this case, patient was previous cesarean section status and platelet number didn`t arise more than 20,000/μl even after transfusion which will cause spontaneous bleeding. Vaginal delivery was done because transverse cesarean section was considered relatively safe although there was the risk of rupture of uterus, and was successful-both mother and baby is in good health condition. Here now we report this case because vaginal delivery of Immunologic thrombocytopenic purpuric woman with prior history of cesarean section has not reported.
간흡충증을 동반한 Dubin - Johnson 증후군 에서의 간내 색소과립의 전자현미경적 관찰
정규원(Kyu Won Chung),정환국(Whan Kook Chung),선희식(Hee Sik Sun),김부성(Boo Sung Kim),정인식(In Sik Chung),이완국(Wan Kook Lee),현영(Young Hyun),이안기(Ahn Kie Lee) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.2
Light and electron microscopic observation were conducted in a liver biopsy specimen from a patient with the Dubin-Johnson syndrome and clonorchiasis. Hepatic pigment was found in the hepatocytes and Kupffer cells by light microscopy. By electron microscopy, the pigment consisted with dense body which composed of amorphous aggregates of eosinophilic dense materials and covered by single membrane. This finding suggests that hepatic pigment may be accumulated by hopatic lysosomal dysfunction as the postulated pathogenesis of this Dicorder.
Helicobacter pylori 제균요법 적용의 실태 분석: 단일 기관 연구
정우철 ( Woo Chul Chung ),이강문 ( Kang Moon Lee ),백창렬 ( Chang Nyol Paik ),이정록 ( Jeong Rok Lee ),정성훈 ( Sung Hoon Jung ),김진동 ( Jin Dong Kim ),한석원 ( Sok Won Han ),정인식 ( In Sik Chung ) 대한소화기학회 2009 대한소화기학회지 Vol.53 No.4
목적: 현재 H. pylori 제균치료는 소화성 궤양 환자에서만 인정을 받고, 위암이나 위염 환자를 대상으로 적용 범위를 확대 적용하는 것에는 아직 논란의 여지가 있다. 최근 들어 표준 삼제요법의 제균율이 점차 감소하는 경향을 보이며, 이는 항생제 내성의 증가 및 환자의 순응도 감소와 가장 큰 연관이 있으나, 다른 여러 요인들도 제균율에 영향을 미치는 것으로 알려져 있다. 저자들은 진료과에 따른 제균율의 차이가 있는지 알아보기 위해 진료과별 제균치료 현황과 제균율, 그리고 내시경적인 궤양에 대한 적용 빈도를 조사하였다. 대상 및 방법: 2003년 1월부터 2007년 6월까지 가톨릭대학교 성빈센트병원에서 H. pylori 제균요법을 시행했던 환자를 대상으로 소화기내과, 일반내과, 가정의학과별로 제균율의 차이를 후향 조사하였다. 대상 환자는 2,050명으로 의료영상 저장 전송 체계(PACS)를 이용하여 3명의 내시경전문의가 각각의 내시경 소견을 다시 판독하여 내시경적인 미란과 궤양을 구분하였다. 결과: 일차 삼제요법에 대한 제균율은 82.5%였고, 이차 사제요법에 대한 제균율은 71.2%였다. 일차 진료를 담당하는 가정의학과와 내과 일반에서 소화기내과에 비해 내시경적인 미란에 대해 제균요법을 시행하는 빈도가 의미 있게 높았고, 전체 제균율과 내시경적인 궤양에 대한 제균율은 유의하게 낮았다. 결론: 일차 진료과에서 적용한 H. pylori 제균요법은 미란 등 부적절한 제균대상이 많았다. 전체적인 제균율이나 내시경적인 궤양에 대한 제균율은 소화기내과가 일차 진료과에 비해 의미 있게 높았고, 이것은 여러 가지 복합적인 요인이 작용하고 있을 것이며, 그 중에서도 복약에 대한 환자의 순응도가 중요한 역할을 할 것으로 본다. Background/Aims: Eradication rates of Helicobacter pylori (H. pylori) tend to decrease over the last few years. Apart from the antibiotic resistance and patient`s compliance, various factors have an influence on the efficacy of eradication therapy. We analyzed the inter-departmental differences in the eradication therapy for H. pylori infection. Methods: Between January 2003 and June 2007, total 3,072 eradication regimens were prescribed to patients. Eradication rates according to departments-gastroenterology (GE), general internal medicine (IM) and family medicine (FM)-were analyzed retrospectively. Results: The overall eradication rate of first-line triple therapy was 82.5% and second-line quadruple therapy was 71.2%. In the department of IM and FM, the eradication therapy was applied more frequently to the patients with erosion only, not ulcer. Overall eradication rates according to the departments were 87.0% in GE, 81.1% in IM and 77.2% in FM (p=0.02 GE vs. IM and p<0.01 GE vs. FM, respectively). Eradication rate in patients with peptic ulcer was also significantly higher in GE compared with IM or FM. Conclusions: In primary clinic (IM and FM), the eradication therapy was frequently applied to erosion. The eradication rates of H. pylori in GE department were significantly higher than those of IM or FM. Inter-departmental differences of the eradication rate might be caused by patients` compliance to prescribed medication. (Korean J Gastroenterol 2009;53:221-227)