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이학중,남양일,태경희,전영만 대한소화기학회 1978 대한소화기학회지 Vol.10 No.1
A clinical study was done on I04 cases of gallstones who were treated as in-patients at the National Medical Center, Seoul, Korea over a period of 4. 5 years, from Jan. 1974 to July 19i'7 and the following results were obtained. 1. The ratio between male and female was 1: 2. 6 with female preponderance and the peak age incidence were in the 5th and 6th decade. 2. The chief complaints were RUQ pain, epigastric pain, radiating pain, chill and vomiting in order of frequency. RUQ tenderness, fever, jaundice and epigastric tenderness were the most common physical findings in order of frequency. 3. In 60.6% of the cases, the duration of illness was less than 1 year and in 13.5%, more than 10 years. 4. In 68.0% of the cases, the frequency of the biliary colic were less than 3 times. 5. Laboratory findings showed less than 2.0 mg% of total bilirubin in 64.4% of the cases, more than 50% of the direct bilirubin in 83.3%, more than 4 B.U./ml of alkaline phosphatase in 85.6%, less than 40 U/ml of SGOT and SGPT in 51.0% and 58.4% respectively, within normal limits of TTT and prothrombin time in the majority, less than 10g% of Hb in 18.3% and more than 15,000/㎣ of the WBC in 14.4%. 6. In 33.3% of the operated cases the stones were located in the gall bladdler, in 25.6% in the common bile duct, in 5.1% in the intrahepatic duct and in 35.9% in more than 2 places. 7. In X-ray studies, the rates of positive detection were 8.0% in simple abdomen, 7.9% in oral cholecystography, 8.3% in IV cholangiography and 80.0% in percutaneous transhepatic cholangiography. 8. The associated diseases with gallstones were cholecystitis, GB empyema and cholangitis in order of frequency. 9. The mortality rate was 2.9% and the causes of death were acute hepatic failure, postoperative pneumonia and septicemia.
위질환(胃疾患)의 수술전후(手術前後) 진단에 관한 비교분석
이학중,조창호,남양일,태경희 대한소화기학회 1978 대한소화기학회지 Vol.10 No.1
A comparison was done for the diagnostic accuracy of gastroscopic and rentgen findings in 71 patients with stomach diseases who were treated as in-patients at the Dept. of Internal Medicine, National Medical Center, Seoul, Korea for 2. 5 years, from Jan. 1975 to July 1977 and whose diagnoses were established after surgery. The results were as followings: l. In 17 cases (24%), the rentgen diagnoses were not identical with the final diagnoses. 2. In 14 cases (19.8%) the gastroscopic diagnoses were not identical with the final diagnoses. 3. In 8 cases(11.8%), both rentgen and gastroscopic diagnoses were not identical with the final diagnoses. 4. In detection of the location of the lesions, some antral lesions and diffuse lesions were incorrect]y detected in rentgen examination and gastroscopy respectively.