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RISS 인기검색어
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- 저자 : 천지성 ( Ji Sung Chun ) (검색결과 4 건)
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박영실 ( Young Sil Park ),정우철 ( Woo Chul Chung ),이강문 ( Kang Moon Lee ),이보인 ( Bo In Lee ),천지성 ( Ji Sung Chun ),장우임 ( U Im Chang ),양진모 ( Jin Mo Yang ),최규용 ( Kyu Yong Choi ),정인식 ( In Sik Chung ) 대한소화기학회 2006 대한소화기학회지 Vol.48 No.3
Gastric ulcer bleeding in neonatal period, mainly in preterm newborn babies or in neonates treated in intensive care units, is relatively frequent, However the occurrence of significant gastric ulcer bleeding in healthy full term infants is unusual. We experienced a case of massive upper gastrointestinal (GI) bleeding in a 3-day-old healthy full term infant. Endoscopic examination confirmed the presence of gastric ulcerations. Treatment was initiated with transfusion and histamine 2 receptor antagonist, and the clinical signs resolved. Mother`s serum antibody to Helicobacter pylori (H. pylori) was positive. We collected stool of the patient including other 17 infants in the intensive care unit. A highly sensitive semi-nested PCR for H. pylori DNA was performed, but all infants including the patient revealed negative. H. pylori infection is not related with upper GI bleeding in healthy full term infants. In conclusion, the diagnosis of upper GI bleeding in infant can be easily made by means of pediatric endoscopy, which is a simple and a well tolerated examination. (Korean J Gastroenterol 2006;48:210-214)
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항결핵 치료과정에서 호전되었다가 악화된 뇌 결핵종 1예 보고
이대훈,유진홍,강미자,김홍기,김선화,고동훈,천지성,유원종 대한화학요법학회 1997 대한화학요법학회지 Vol.15 No.3
In spite of nationmide tuberculosis control program, tuberculosis is still prevalent in Korea. Accordingly, tuberculous meningitis also poses one of the main trouble some problems. Recently, We experienced a perplexing case of tuberculous menin-gitis and tubercdoma in a 24-year old female patient. She was admitted to our hospital owing to meningeal irritation sign, aphasia, VI nerve palsy, and ,fever. CSF analysis showed a finding consistent with that of presumptive tuberculous meningitis.. Initial MRI of the brain revealed a large mass(tuhercu1oma) on left parieto-temporal area. Antitubeculous regimen(1soniazid (INH), rifampin(RMP), ethambutol(EMB), pyrazinamide(PZA)} of meningeal dose was given immediately, and her symptoms and signs were dramatically disappeared with a few days after treatment. She was discharged with improved condition and under maintenance treatment of tuberculosis. Follow-up one year after treatment. revealed that the previous lesion was nearly diminished. She showed no symptom at all until she recognized a total blindness of sudden onset on her left eye a t the 18th month of treatment. Brain MRI checked at that time showed multiple masses of tuberculoma scattered over the brain base and one of them invaded left optic nerve. In our opinion, the cause of relapse in this patient might he explained by the selection and ultimate replication of a minor population of resistant strain. Although such relapse is an extremely rare event, we think that we should always pay attention to this possible resistance problem every time we meet patients with tuberculous meningitis.
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이상준,박순민,이영석,한남익,윤종구,이종민,한석원,문건웅,윤인재,천지성,정정조,서백종 대한소화기학회 1998 대한소화기학회지 Vol.30 No.5
Background/Aims: The Krukenberg tumor is a metastatic or primary ovarian tumor of the signet-ring cell type. The incidence of this tumor are high in Korea, especially among relatively young age group, and the prognosis is poor. Therefore we tried to understand the relationship between the many factors and survival periods. Methods: We have observ d 12 cases of Krukenberg tumors from January 1984 to February 1997 in Holy Family Hospi:al and analyzed them. Results: The Krukenberg tumor accounts for 14.1% among the 85 malignat ovarian tumor and 3.5% among the 342 female gastric cancers found in our hospital during this period. The age distribution of the patients ranged from 25 to 50 years of age and the majority were under 40 years of age. The mean age was 34.2 years. Initial chief complaints were epiga.tric pain, lower abdominal pain, and lower abdominal mass. The sizes of Krukenberg tumors range from 7.2cm to 18.0cm and the tumors were usually bilateral. From diagnosis to death, the mean duration of survival was 6.7 months. But it was 9.0 months in cases where an operation on the ovaries and the primary site, were performed. In the group of ascites(8 cases), it was 2.6 months contrary to 14.8 months of ascites-free group. Conclusions: The prognosis of the Krukenberp tumor depends on early diagnosis and aggressive treatrnent.
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