http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 임창인(Chang In Yim) (검색결과 4 건)
- 무료
- 기관 내 무료
- 유료
-
임창인(Chang In Yim),나용호(Yong Ho Nah) 대한내과학회 1991 대한내과학회지 Vol.41 No.5
N/A Twenty-three patient with chronic constipation under- went studies of total and segmental colonic transit of radio-opaque markers to determine the utility of this test in chronic constipation for further diagnostic and therapeutic plans. The subjects ingested 1 radio-opaque marker at 9:00 AM on each of 3 consecutive days while they were fully ambulatory, A plain abdomen was obtained on the 4th day. Repeated plain abdomen was obtained on the 7th day if the markers did not pass on the 4th day. The abdomen was divided into 3/areas of interest using bony landmarks: the right colon, the left colon and the rectosigmoid area. The markers are counted in each site on X-rays taken on the 4th day; these markers were multiplied by 1.2 The result were as follows: 1) Colonic transit studies showed 3 different groups: colonic inertia (n=9), outlet obstruction (n=6), and normal transit (n=8), 2) The mean trasit time in the total colon was 28.47± (24.27hr) (mean±SD) in chronic constipation and 10.57+12.80hr in the normal controls (p<0.01). 3) The mean transit time in the right colon was 8.04±9.72 hr in chronic constipation and 3.87±7.23 hr in the normal controls (p<0.01). Corresponding values in the left colon were 10.64±13.23hr and 3.31±5.01 hr (p<0.01) and, in the rectosigmiod, 9.91±14.54 hr and 3.27±5.56hr, respectively (p<0.01). 4) Colonic transit was delayed in chronic constipation about 3 times more than in the normal controls (p<0.01). 5) Colonic transit was delayed predominantly in the left colon. In summary a colonic transit study using radiopaque markers is a simple and useful test in the evaluation of chronic canstipation.
-
위장관 ( 胃腸管 ) : 일차성 Achalasia 환자에서 식도 풍선확장술의 치료 효과
나용호(Yong Ho Nah),김안명(An Myoung Kim),임창인(Chang In Yim),김동웅(Dong Woung Kim),이건화(Keon Hwa Lee),김진오(Jin O Kim),김창일(Chang Il Kim) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
N/A Pneumatic diletation. an eifective nonsurgical therapy for achalasia, has been in use for many years. To eva!luate therapeutic effect of pneumatic balloon dilation, 26 patients with achalasia had pneumatie dilatinn using the Rigifiex Achalasia Dilator. Comparison of pre-and postoperative clinical, radiolugical, and manometric recorcling of these subjects were done. The luminal diameter at esophmgopaetric junction increased from a mean of 3.4 mm to 9.6 mm and the luminal diameter at esophageal body decreased from a mean of 69 mm to 42.4 mm following pneumatic dilation. The LES and esophageal body preasure decreased from a mean of 70.8 mmHg and 8.0 mmHg ta 19.2 mmHg and 3.9 giimHg respeetively. Twenty-two patients (84%) improved symptomatically within one week following pneumatic clilation. In the nine patients (30%), the reappearance of peristalsis after wet swallow was observed. One delayed perferation occurred, Two upper Gl bleeding and one pathologic reflux wete noted, but resolved v'ith cotsse ative treatment. We conclude that pneumatic dilation in good hand is an attractive treatment option in achalasia because it is simple, relative safe and successful.
-
김진오,김창근,임창인,김학철 대한내과학회 1991 대한내과학회지 Vol.41 No.6
In the past, hepatic infarcts were rarely diagnosed before autopsy, and mast of them were fatal, but recently hepatic infarction were earier diagnsised due to developed equitments such as ultrasonogram, CT scan and angiogram. We experienced a case of hepatic infarction associated with shock and review of hpatic infarction. A-21-year-old male was admitted to the hospital because of abdominal pain and vomiting for 3 days previously. Massive hepatic infartion developed with clinically characterized epigastric and right upper quadrant pain, fever, jaundice, ileus; and biochemically by moderate leukocytosis and markedly elevated transaminase, alkaline phosphatase, total bilirubin levels, prologation of prothrombin time and activating partial prothombin time. The diagnosis was made in vivo by abdominal computed tomography (CT), sulfer colloid liver spleen scan. Angiography revealed irregular ill defined lesion and hypovascularity on inferior segment of the right lobe but intact main hepatic artery. Needle aspiration of the liver might be confirm the diagnosis. His symptoms and laboratory finding were significantly improved 1-2 weeks after treatment with intravenous fluid, vitamine-K, fresh frozen plasma, platelet transfusion, albumin, broad spectrume antibiotics. He is well being with favorable state for 3 months since discharge and follow up 5 months abdominal CT for previus hepatic infaction was almost normalized.
-
나용호,김동웅,임창인,김안명,이건화,김창일,김진오 대한내과학회 1992 대한내과학회지 Vol.42 No.2
Percutaneous endoscopic gastrostomy (PEG) was introduced into clinical practice in 1980 and has become a preferred method of feeding gastrostomy tube placement. Since our first description 1986 in Korea, PEG has supplanted its surgical counterpart in many Korean institutions. During the periods from January 1986 to December 1990, we have managed 102 patients with a PEG. This study reviewed our experience with PEG with respect to the incidence of PEG-related problems and the efficacy of the procedure. 1) Mean age of patients were 43 years(range 15∼78), Primary diagnosis in 102 patients undergoing PEG was head trauma; 63, stoke; 20, CO poisoning; 4, brain tumor; 2, esophageal cancer; 5, cardiac cancer; 6, esophageal poerforation; 1, esophagobronchial fistula; 1. 2) PEG was succesful in 95 patients (93%) and mean operation time was 15 minutes (range 9∼42). Seven patients failed to have a gastrostomy placed for technical reasons including; previous gastrectomy; 2, no transillumination; 2, broken silk suture during procedure; 2, large ventral hernia; 1. 3) The PEG tubes remained well in 88 patients with functioning over 3 months and the longest functioning of PEG tube was 27 months to date. 4) Weight gain was noted in 66 of 88 patients (75%) and mean weight gain was 38%. 5) The incidence of PEG-related complications was 18% and three postoperative death occurred which were related to the patients underlying disease. This author's experience with these 102 patients has led to the conclusion that PEG is safe, easy to perform, and effective means of establishing access for enteral feeding.Key Words: Percutaneous endoscopic gastrostomy, enteral feeding.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
