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급성상복부 동통을 주수로 입원한 환자의 임상적 관찰 ( 제 1보 )
최재심 ( J. D. Choi ),안승운 ( S. O. Ahn ),김석근 ( S. K. Kim ),이종석 ( C. S. Lee ),최일영 ( I. Y. Choi ) 대한내과학회 1968 대한내과학회지 Vol.11 No.3
The clinical studies are observed in 113 patients with uppar abdominal pain who had been admitted to the Dept. of Internal Medicine of Han Il Hospital from Janurary. 1967 to September, 1967, durning 9 months. The differential diagnosis of acute upper abdom
식도 (食道) 정맥류 (靜脈瘤) 출혈에 있어서 내시경적 (內視鏡的) 경화요법의 (硬化療法) 치료효과
신현성(H S Shin),이동후(D H Lee),기춘석(Chun Suk Ki),박경남(K N Park),황흥곤(H C Hwang),주상언(S U Joo),최일영(I Y Choi) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.1
N/A Bleeding from esophageal varices is the most, severe complication in patients with cinhosis of the liver and portal hyrpertension. There has never been a uniform concept of emergency management of variceal bleeding because of pitfalls in the medical as well as the surgical therapeutic technics. Endoscopic injection sclerotherapy of esophageal varices is being reevaluated by many physicians because of increasing dissatisfaction with shunting procedures. This is to report the result of the EIS of 12 patients with esophageal varix. Who have been admitted to the department of internal medicine at Han Yang Universitv Hospital. The results are as follows: 1. 12 patients with liver cirrhosis who were proven to have esophaveal varices by esophagoscope were treated by EIS. There were 10 males and 2 females in the age range of 37 to 58 years. 2, Severity of liver cirrhosis was classified by Child method revealed cases in grade II and 7 cases in grade III, The varices were classified by the Sesoko method, revealed cases in moderate (B) and 8 cases in severe (C). Intravenous vasopressin was injected within 10 to 12 hours before EIS and b!ood transfusion was performed, if needed. 5.Solution of 5% sodium morrhuate was iniected into varices and Bovine thrombin was spraid around varices. 11 patients with active bleeding had control of their hemorrhage: 7 cases with first shooting, 3cases with second shooting, 1 case with third shooting. In the one patient without bleeding, esophageal varix was significantly decreased in size after EIS. 7. EIS has advantages such as simple, safe, inexpensive, low complication. 8. EIS is proposed as the emergency treatment of choice for patients with proven bleeding Esophageal varices who do not stop bleeding on conservative treatment.
李宗,金永健,崔一泳 최신의학사 1976 最新醫學 Vol.19 No.3
We report here 3 cases of multiple myeloma confirmed by its clinical pictures and laboratory data. Laboratory findings revealed anemia, hyperglobulinemia, and Bence-Jones proteinusia Bone marrow aspiration showed the proliferation of atypical plasma cells. Bone X-rays were compatible with those of multiple myeloma.