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이동화(Dong Wha Lee),조성원(Sung Won Cho),심찬섭(Chan Sup Shim),김진홍(Jin Hong Kim),이문성(Moon Sung Lee),조주영(Joo Young Cho),추원석(Won Seok Chu),김익수(Ik Su Kim) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
Lymphangioma of the large bowel is rare benign tumor which is compo of numerous small or large thin-walled lympbatic spaces contained fibrous tissue, smooth muscle and aggregates of lymphold tissue. Lymphangiama of the large bowel has not any pathognomic signs or symptoms, and never demonstated any potential for malignant degeneration, There are three types: 1) simple eapillary lymphaegieme, 2) cavemous lymphangioma, and 3) cyetic lymphangioma. Recently, we experienced a case of cavernous lymphengioma of large intestine whieh has been revealed eharply marginiat rounded, polypoid mass with a broad base in the d ending colon by double-contrast barium enema and colonoeeopy and confirmed by surgical resection. So we report this case with brief review of literature.
우준희,한세환,변동원,추원석,홍성태 대한감염학회 1991 감염 Vol.23 No.2
Korea once was an endemic area for malaria. Of late in Korea malaria has been a rare disease, however, frequent foreign travel of Koreans to Africa, southeast and mideast Asia brought Korean physicians to see the patients with malaria once in a while. We encountered an imported malaria case (P. vivax) in a 39 year-old Korean male laborer working in Ivorycoast who was told to have malaria two years ago. He was treated with chlorquine but fever persisted. The Management with quinine, tetracycline was successful and recently he gets along well with after 6 months of follow-up.
신장과 비장에 다발성 경색을 동반한 렙토스피라병 1 예 보고
백진기,김종봉,양동호,송옥평,문수남,김표년,홍세용,추원석,봉형근,임헌관,차미경,조무식 대한내과학회 1994 대한내과학회지 Vol.46 No.2
Leptospirosis is an acute disease characterized by the symptoms of fever, myalgia, headache, and blood-tinged sputum. One of the prominent features in leptospirosis is hemorrhagic diasthesis, which is attributed to capillary injury of uncertain nature. Pathogenically the vascular damage has been elucidated to begin with increased permeability prior to endothelial necrosis. However, as different from the previously reported hemorrhagic complications there have been reported a few cases of leptospirosis complicated by infarction of the organs. We experienced a case of leptospirosis which was confirmed by passive hemagglutination antibody test, with multiple renal and splenic infarctions in a 17-year-old school girl. The diagnosis of the infarction was made by abdominal sonography, abdominal CT (computed tomography), and selective renal angiography which revealed multiple well defined lesions and hypovascularity on both kidneys. In this case the mechanism of infarction of the kidneys and spleen is uncertain. The serum levels of FDP and fibrinogen on admission were slightly increased, but not significant. The total fibrinolytic activity in euglobulin fraction was found to be decreased during the progression of the disease. There were no positive findings suggesting diffuse intravascular coagulation except for the slightly increased level of serum FDP. Her symptoms and laboratory findings were nearly normalized 2 weeks after treatment. And she was discharged with favorahle condition. We present one case of leptospirosis which showed decreased fibrinolytic activity throughout the progression of the disease, and complicated by infarction of the kidneys and spleen.
신중호,김종봉,차미경,양동호,조무식,송옥평,백승호,오도연,이지윤,추원석,홍세용,김도진 대한내과학회 1994 대한내과학회지 Vol.46 No.1
Hereditary factor V1I deficiency is a rare bleeding disorder, with an estimated incidence of 1 in 500,000 and approximately 150 cases reported. It is inherited in an autosomal recessive pattern, with variable expression Homozygotes may have bleeding problems, the severity of which does not always correlate with factor VII levels. Recently, we have experienced a case who was admitted for donor study. Potential recipient was his younger brother who has been dialysed for 5months due to ESRD (end-stage renal disease). During donor study, he exhibited prolonged prothrombin time and normal activated partial thromboplastin time. Delayed prothrombin time was not corrected by vitamine K injection but did by cryoprecipitate transfusion. Assay of coagulation factors revealed deficiency of factor VII. Other coagulation profiles and quantatitation of coagulation factors were normal range. Family members coagulation test were normal range. Successful renal transplantation was performed after cryoprecipitate transfusion. Thus, we report a case of factor VII deficiency with literatures.