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선희식(Hee Sik Sun),정인식(In Sik Chung),한석원(Suk Won Han),안병민(Byung Min Ahn),김재광(Jae Kwang Kim),최성호(Sung Ho choi),심규식(Gyu Sik Shin),백남종(Nam Jong Baek),지영희(Young Hee Jee),장은덕(Eun Duk Chang) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.3
Anisakis is generally considered to be a parasite of marine mammals and not normally found in man. It is possible for Anisakis larva to be transmitted to man through eating raw sea fish which is preferred by Korean people. The clinical symptoms are characterized by severe cramping abdominal pain, nausea, and vomiting. Recently we experienced 5 cases of acute gastric anisakiasis and all patients had a history of ingestion of raw sea fish and suffered from acute severe epigastric pain, nausea and vomiting. Early gastrofiberscopy was performed in all patients. After detection of the larva of Anisakis on gastric mucosa, endoscopic extraction of the larva by biopsy forcep was successfully carried out in all patients. Clinical symptoms were immediately improved after the removal of larva. We believe that it is very important to perform endoscopic examination and extraction of the larva at the earliest possible opportunity. It is emphasized that endoscopic extraction of the larva is the most effective procedure in dealing with acute gastric anisakiasis.
선희식(Hee Sik Sun),김부성(Boo Sung Kim),정인식(In Sik Chung),한석원(Suk Won Han),이영석(Young Suk Lee),한남익(Nam Ik Han),최명규(Myung Kyu Choi),지영희(Young Hee Jee),김종률(Chong Ryool Kim),장은덕(Eun Deok Chang) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
The pseudolymphoma of the stomach is well known to be a benign proliferation of lymphoid tissues. We reported two cases of gastric pseudolymphoma after gastrectomy. Initial endoscopic findings suggested infiltrating carcinoma of the stomach, respectively.
von Recklinghausen ` s Disease 환자의 위에서 동시 발생한 신경 섬유종 및 평활근종
한석원(Suk Won Han),지영희(Young Hee Jee),김욱(Wook Kim),박태훈(Tae Hoon Park),원종만(Jong Man Won),원용성(Yong Sung Won),한남익(Nam Ick Han),장은덕(Eun Duk Jang) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.2
Neurofibromatosis, first described by von Recklinghausen in 1882, is a dominantly inherited mesodermal and ectodermal dysplasia with a broad spectrum of clinical findings. Most clinicians know that von Recklinghausens neurofibromatosis denotes more than the dermatologic curiosity of cafe-au-lait spots. In this disease, neurofibroma can be found everywhere in the body, but gastrointestinal neurofibroma associated with von Recklinghausens disease is infrequently reported. Patients with this disease may experienee gastrointestinal hemorrhage, small bowel obstruction, malignant degeneration of neurofibromas. Recently, the authors experienced a case of simultaneously developed gastric neurofibroma and leiomyoma in a patient with von Recklinghausens disease and associated literatures were reviewed.
특발성 과호산구성 증후군에 병발한 Immunotactoid Glomerulopathy 1예
이정득,우제영,윤영석,강성구,방병기,양기화,지영희,심상인 대한내과학회 1992 대한내과학회지 Vol.42 No.5
저자들은 수술 전 시행한 말초혈액검사에서 우연히 호산구증다증이 발견되어 여러 검사를 거쳐 과호산구성 증후군으로 진단된 환자가 중증 단백뇨의 소견을 보여 신장 조직검사를 실시하였다. 조직검사 결과 광학현미경 소견상 신사구체 모세관 기저막의 비후와 부종성 변화를 보이는 세포 및 섬유성 물질에 의하여 모세관 내강이 막혀있는 소견과 면역형광현미경 검사상 IgG, C3가 모세관 벽을 따라 침착된 소견을 보였고 전자현미경 검사상 내피세포 하부의 기저막에 직경 20nm의 섬유성 물질의 침착을 보였고 유전분증의 진단적 가치를 가지는 염색법인 Congo red에 음성을 보였다. 이상과 같은 소견은 immunotactoid glomerulopathy에 합당하다고 생각되어 문헌고찰과 함께 보고하는 바이다. The immunotactoid glomerulopathy is a recently described entity characterized histologically by highly organized ultrastructural deposits that appears to be composed of immunoglobulin and complement and are negative for amyloid by Congo red stain. The idiopathic hypereosinophilic syndrome is a disease characterized by idiopathic eosinophilia in blood and eosinophilic infiltration of multiple organs. Although all organ systems can be virtually involved, renal involvement is rare. The authors have experienced a case of idiopathic hypereosinophilic syndrome in a 18-year-old male who showed asymptomatic proteinuria of nephrotic range. Renal biopsy revealed the findings of thickening of the glomerular capillary basement membranes and deposits within the capillary lumen by light microscopy. Immunofluoresence microscopy disclosed IgG and C3 in mesangial regions and capillary walls. Electron microscopy showed highly organized, fibrillary structures measuring about 20 nm in the mesangial matrix and basement membrane. Congo red staining for amyloid was negative. This case was thought to represent an instance of immunotactoid glomerulopathy.
안창호,홍용길,조경석,백민우,강준기,최창락,장은덕,지영희 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.10
Pineocytomas are very rare tumors and little is known about their natural history and effective treatment. A case of pineocytoma we treated is presented. A 26 year-old-male patient was admitted because of gradual onset of severe headache for a week. Precontrast computerized tomography(CT) demonstrated hydrocephalus and well-defined hyperdense pineal mass which did not changed on contrast enhanced CT. A ventriculoperitoneal shunt was done. The tumor markers(alpha-fetoprotein and human chorionic gonadotropine) were negative in serum and cerebrospinal fluid. Initial irradiation of 3060 cGy was given to the tumor, but no response was shown. Therefore, the tumor was removed totally by paraoccipital supratentorial approach. Postoperatively cerebrospinal dissmination was not noticed and radiation therapy was added only to the whole brain. The patient is alive with no evidence of disease at 2 years after treatment.