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주기중(Kee Joong Ju),서대홍(Dae Hong Suh),김춘섭(Chun Sup Kim),이창환(Chang Hwan Lee),심영웅(Young Woong Shim),송갑영(Kap Young Song) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.6
N/A Diagnostic imaging procedures of the pancreas have been revolutionized in recent years by the introduction of sonography and computed tomography. We compared the previous litera- tures of actue pancreatitis which did not use ultrasonography and computed tomography with the cases which use the imaging technigque as a diagnostic tool and for the early detection of complications. A clinical observation was made on the 175 cases of the acute pancreatitis con- firmed and treated at the Pusan Adventist Hospital as in patients during the 6 years period from March, 1988 to December, 1993. The possible etiologic factors of the disease seen in de- scending order were unknown origin(44.6% ), alcohol(26.9% ), biliary tract disease(9.7% ), overeating(6.9%) and peptic ulcer(6.3/o). The patients complained of upper abdominal pain, nausea, vorniting, fever with chills in order. The most commonly observed physical sign was tenderness in the upper abdomen. In the radiologic studies, we observed pancreatic enlarge- ment(83.6%), phlegmon formation(18.2%) and pseudocyst(9.1%) by the ultrasonic examina- tion and enlargement of pancreas(100%), obliteration of fat plane(76.5%), extrapancreatic phlegmonous mass(29.4% ), ascites(20.7% ) and pseudocyst(14.7% ) using the computed to- mography. The cornplications were phlegmon formation, ascites, pseudocyst, shock, atelectasis, septicemia and acute renal failure. The mortality rate during the hospitalization was in 1.7% and the main causes of death were due to septicemia and renal failure. In conclusion, we observed the frequency of complications of acute pancreatitis were higher than the previous studies because of using the advanced diagnostic imaging tools. (Korean J Gastroenterol 1994; 26: 995--1001)
심영웅(Young Woong Shim),이창환(Chang Hwan Lee),박성민(Sung Min Park),김춘섭(Chun Sup Kim),주기중(Kee Joong Ju),송갑영(Kap Young Song),서기식(Kee Sik Suh),최환주(Hwan Ju Choi) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.6
Hepatoblastoma is a distinctive tumor of the liver composed predominantly of hepatocytes of varying degree of maturity and occurs mostly in children under the age of 4 years. Hepatoblastoma in the adult is a very rare clinlcal entity. There is no reported hepatoblastoma in the adult in the Korean literature. The usual course of this disease in adults is one of a relavively rapid downhill course and the prognosis is extremely poor. We report a case of hepatoblastoma in a pregnant woman with a review of the literature.
각종 간질환 및 수혈 경력 환자에서 C 형 간염 바이러스 항체의 발현 양상
박성민(Sung Min Park),주기중(Kee Joong Ju),이창환(Chang Hwan Lee),심영웅(Young Woong Shim),송갑영(Kap Young Song) 대한내과학회 1993 대한내과학회지 Vol.45 No.2
N/A Background: We studied the prevalence of Hepatitis C viruses in various liver diseases in Korea using recombinant viral antigen (C 100-3) to evaluate its etiological significance and routes of transmission. Methods: A total of 256 patients with chronic renal failure who experienced transfusion or hepatocellular disease were tested for serum HBsAg & Ab, HBcAb, Anti-HCV, AST, ALT and some were performed liver biosy for diagnostic purpose. The 46 cases of acute hepatitis, 78 cases of chronic hepatitis, 25 cases of liver cirrhosis, 30 cases of hepatocellular carcinoma, 15 cases of hemodyalysis patients, 62 cases of hepatitis B virus carrier were studied. Results: 1) There were 1.2% Anti-HCV positive patients among 256 cases. Among them there were 32.0% of liver cirrhosis, 16.7% of hepatocellular carcinoma, 20.0% of hemodialysis patients, 8.7% of acute hepatitis, 11.5% of chronic hepatitis, 4.8% of hepatitis B virus carrier (Table 1). 2) Among 184 cases of HBsAg positive patient, 20 cases (10.9%) were Anti-HCV positive and among 72 cases of HBsAg negative patients, 12 cases (16.7%) were Anti-HCV positive (Table 2, 3). 3) Among 32 cases of Anti-HCV positive patients, 20 cases (62.5%) were HBsAg positive and 12 cases were negative (Table 4). 4) Among Anti-HCV positive and HBsAg negative patients, the higher positive response of Anti-HCV were noted in patients with HBcAb positive and increased AST and ALT (Table 5). 5) Among Anti-HCV positive patients, the 65.4% were related to transfusion or acupuncture (Table 6). Conclusion: This study shows that further research for the development of more sensitive and specific diagnostic method for hepatitis C and thorough follow up study for its routes of transmission are needed.