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대퇴골두 무혈성 괴사에 대한 혈관부착 비골 이식술 후 디지털 감산 혈관조영술 소견
이기행,김윤수,이해규,옥지훈,김배균,김형민,Lee, Kee-Haeng,Kim, Youn-Soo,Lee, Hae-Giu,Ok, Ji-Hoon,Kim, Bae-Kyun,Kim, Hyoung-Min 대한미세수술학회 2004 Archives of reconstructive microsurgery Vol.13 No.2
Purpose : To observe the patency of anastomosis site and the findings of circulation of grafted fibula in osteonecrosis of femoral head treated with vascularized fibular graft by use of digital subtraction angiography. Materials and Methods : 17 cases of 11 patients who underwent vascularized fibula graft for osteonecrosis of femoral head. We performed digital subtraction angiography(DSA) for them at second week postoperatively in 12 cases, at sixth week in 1 case, at sixth month in 2 cases, at twelfth month in 1 case, and eighteenth month in 1 case which had been got DSA at second week before. We observe the patency of pedicle, and the circulation of grafted fibula such as periosteal and intraosseous vessels with time. Results : All cases except one which were thought failure of selective angiogram showed good passage of blood flow through anstomosed pedicle on DSA. We found the differences in appearance of circulation of grafted fibula with time. DSA at 2nd and 6th week postoperatively revealed both of periosteal and intraosseous vessels along the fibula and blood pooling at the tip of fibula. DSA at 6th month showed maintenance of periosteal and intraosseous vessels along the fibula but did not clearly reveal blood pooling at the tip of fibula. The findings of DSA at 12th and 18th month were similar each other. The periosteal vessels were not seen as the grafted fibular bone were incorporated into surrounding femoral bone but intraosseous vessels were still seen. Conclusion : It was thought that DSA could be used for evaluation of the status of pedicle including anastomsed site and vessels of grafted fibula with time. The periosteal vessels of fibula were decreased with time but intraosseous vessels were still seen until 18th month after vascularized fibula graft.
20대에서 발병한 간세포암 복합 치료에 반응을 보인 진행성 간세포암
이장은 ( Jang Eun Lee ),윤나리 ( Na Ri Yoon ),배시현 ( Si Hyun Bae ),최종영 ( Jong Young Choi ),윤승규 ( Seung Kew Yoon ),김동구 ( Dong Goo Kim ),천호종 ( Ho Jong Chun ),최병길 ( Byung Gil Choi ),이해규 ( Hae Giu Lee ),장홍석 ( Ho 대한간암학회 2009 대한간암학회지 Vol.9 No.-
The prognosis of young patients with hepatocellular carcinoma is remains controversial. Here we report a case of advanced hepatocellular carcinoma in twenty, successfully treated with transarterial chemolipidolization (TACL), systemic chemotherapy, radiation therapy and surgical resection. Previously healthy 28 years old woman was admitted for treatment of hepatocellular carcinoma. Abdominal CT showed a diffuse infiltrative HCC involving both lobes with intrahepatic bile duct invasion and pericardial lymphadenopathy. She was treated TAC with systemic chemotherapy and external beam radiotherapy. 6 months after these treatments, main tumor and the pericardial lymph node were decreased in size. And then extended left lobectomy and systemic chemotherapy were done. The pericardial lymph node was markedly decreased. The patient has been followed for 10 months without evidence of regional tumor recurrence.
정미영(Mee Young Chung),이해규(Hae Giu Lee),이철우 대한통증학회 1991 The Korean Journal of Pain Vol.4 No.1
N/A Celiac Plexus neurolysis (C. P. N) has been commonly used to treat malignant pain of the abdomi- nal area that is intractable. It relieves the pain effectively instead of using massive systemic narcotic analgesics. C. P. N. with modified transaortic technique was performed under C-T guidance, in which a single needle was advanced from a left posterior paramedian approach through the aorta in order to inject anesthetic agents directly into the celiac plexus. There was marked pain relief without any hemorrhagic and neurological or other complications. We found this modified transaortic method of C. P. N. to be very effective, safe and easy to perform compared with the classic two needle tech- nique.
이성원(Sung Won Lee),이영석(Young Sok Lee),한석원(Suk Won Han),한남익(Nam Ik Han),김욱(Wook Kim),원종만(Jong Man Won),장은덕(Eun Deok Chang),이해규(Hae Giu Lee) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.3
Malignant fibrous histiocytoma is the major subset of soft tissue sarcomas which occurs most commonly in the extremities and trunk, but rarely in the visceral organs. This report documents a case of malignant fibrous histiocyoma arising in the omentum in 36 year-old female whose chief complaints were growing non-tender masses. After surgical resection, there are no evidences of recurrencee or metastasis during 4 months follow up period. Electron microscopic study of the tumor showed irregular, spindle-shaped histiocyte with large indented nuclei and prominent nucleoli. The cytoplaem was abundant with microfilament and distended mitochondria. There was no evidence of myofibril in the tumor.
김정표 ( Jeong Pyo Kim ),김성훈 ( Seong Hun Kim ),이해규 ( Hae Giu Lee ),성미숙 ( Mi Sook Sung ),김영실 ( Young Sil Kim ),김형민 ( Hyoung Min Kim ),민준기 ( Jun Ki Min ) 대한류마티스학회 2003 대한류마티스학회지 Vol.10 No.1
Sarcoidosis is a multisystemic granulomatous disease of unknown cause. Lung, skin, eye, liver and lymph nodes are commonly affected. But the nodular type of muscular sarcoidosis is rare. The nodular type can be presented with a soft tissue mass that may be confused with a tumor. Magnetic resonance imaging and muscle biopsy are useful methods for early diagnosis. Optimal management of nodular sarcoidosis is not well known, but surgical excision or corticosteroid may be considered as an initial management. We report a case of nodular muscular sarcoidosis as an initial manifestation of sarcoidosis in a 56-year-old woman who was treated with corticosteroid therapy after surgical excision.
99mTc - DISIDA를 이용한 간 혈류 중 동맥 분획의 측정
양일권(Il Kwon Yang),박용휘(Yong Whee Bahk),이해규(Hae Giu Lee),임계연(Gye Yeon Lim),김학희(Hack Hee Kim),임정익(Jung Ik Lim),한석원(Sok Won Han),한남익(Nam Ik Han),이영석(Young Sok Lee) 대한핵의학회 1991 핵의학 분자영상 Vol.25 No.2
N/A Arteriai fraction of total hepatic blood flow was estimated by a new method, slope method, on radionuclid angiogram using 99mTc-DISIDA and was compared with that from 99mTc-Phytate radionu clide angiogram. This study included ll of normal subjects, 37 of intermediate group with various liver diseases, and 25 patients with liver cirrhosis. We analyzed the datas with slope method from radionuclide angiograms and the results were compared with hepatic arterial fractions from uptake method, introduced by Lee et al. at 1986. The hepatic arterial fractions from radionuclide angiograms using Tc-DISIDA and 99mTc- Phytate were 0.32 +- 0.09 and 0.31 +- O.11 respectively in normal subjects, and 0.75+0.18 and 0.77+0.21 respectively in patients with liver cirrhosis. The hepatic arterial fractions by the slope method was well correlated with those of the uptake method on 99mTc-DISIDA scan. There was high correlation between the hepatic arterial fractions from 99mTc-DISIDA and 99mTc-Phytate scans. Hepatic arterial fraction estimated by the slope method is a useful index for the diagnosis of liver cirrhosis and the evaiuation of status of portal hypertension.
혈액투석 환자에서 유전성출혈모세혈관확장증에 의한 폐동정맥기형
박세영 ( Seyoung Bahk ),부성현 ( Seong Hyeon Bu ),김형덕 ( Hyung Duk Kim ),원유동 ( Yoodong Won ),이해규 ( Hae Giu Lee ),김영옥 ( Young Ok Kim ) 대한내과학회 2021 대한내과학회지 Vol.96 No.3
유전성출혈성모세혈관확장증(HHT)은 폐동정맥기형(PAVM)과 같은 혈관 기형을 초래하는 흔하지 않은 상염색체 우성유전 질환이다. 저자들은 HHT를 가진 혈액투석 환자에서 PAVM이 발생한 드문 증례를 경험하여 보고하고자 한다. 요골동맥-요측피정맥 동정맥루를 통해 유지 혈액투석 치료를 받던 34세 남자 환자가 진행하는 호흡곤란을 호소하였으며 폐부종은 없었다. 환자의 어머니는 HHT를 진단받은 과거력이 있었다. 환자는 심한 빈혈로 간헐적인 적혈구 수혈을 받고 있었고, 여러 차례의 비출혈이 있었다. 동맥혈가스분석 결과 저산소증이 확인되었다. 흉부 전산화단층촬영에서는 양 폐야에 다양한 크기의 혈관 확장 소견이 여러 군데 확인되었고, PAVM으로 진단되었다. 가장 큰 PAVM을 폐동맥 색전술로 치료한 후 환자의 호흡곤란은 호전되었고 저산소증도 회복되었다. Hereditary hemorrhagic telangiectasia (HHT) is an uncommon autosomal dominant disorder resulting in vascular malformation, such as pulmonary arteriovenous malformation (PAVM). Here, we report a rare case of pulmonary arteriovenous malformation caused by HHT in a hemodialysis (HD) patient. A 34-year-old man receiving maintenance HD via radiocephalic arteriovenous fistula developed progressive dyspnea without definite pulmonary edema. His mother had been diagnosed with HHT. He had experienced multiple episodes of epistaxis and had been intermittently treated with blood transfusions because of severe anemia. Blood gas analysis showed hypoxia. Chest computed tomography revealed multiple dilated vessels of variable sizes, continuous with the pulmonary artery throughout both lung fields, consistent with PAVM. After treating pulmonary artery embolization at the largest PAVM, he recovered from his dyspnea symptoms and hypoxia. (Korean J Med 2021;96:247-251)
방사성동위원소 심조영술상 심전도게이트 일회통과법을 이용한 우심실 박출계수
박용휘(Yong Whee Bahk),정수교(Soo Kyo Chung),신경섭(Kyung Sub Shinn),이성용(Sung Yong Lee),이해규(Hae Giu Lee),문영희(Young Hee Moon),박석민(Suk Min Park),임정익(Jeong Ik Yim),김영균(Young Gyun Kim),권순석(Soon Seog Kwon) 대한핵의학회 1993 핵의학 분자영상 Vol.27 No.1
N/A Radionuclide cardioangiography has been widily applied and has played mjor foles in moninvasive assessment of cardiac function. Three techinques, first-pass gated first and gated equlibrium nethods have commonly been used to evaluate right ventricular ejection fraction which usually abnormal in the patients with cardiopulmonary disease. It has been known that the gated first pass method is most accrate method among the three rechiques in assessment of fight ventricuiar ejection fraction. The radionuclide right ventricular ejection fraction values were determined in 13 normal subjects and in 15 patients with chronic obstructive puimonary disease by the gated first pass method and compared with those of the first pass method because there has been no published data of fight ejection fraction by the gated first pass method were compared with the detas from the pulmonary function test performed in the patients wih chronic obstructive pulmomar desease. The results were as follows; 1) The values of fight ventricular ejection fraction by the gated first pass method were 50.1 +- 6.1% in normal subjects and 38.5 +- 8.5 in the patients with chronic obstructive pulmonary disease. There was statistically significant difference between the right ventricular ejection fraction of each of the two groups (p<0.05) 2) The right ventricular ejection fraction by the gted first pass method was not linearly correlated ith FEV, VC. DLCO. and FVC as well as PO2 and PCO2 of the patients with chronic obstructive pulmonary disease. We concluded that right ventricular ejection fraction by the gated first pass method usingradionuclide cardioangiography may be suseful in clinical assessment of the right ventricular function.
이광우,이해규,김진우,손호영,차봉연,강무일,윤건호,유순집,강성구,김태규,윤형규,최의진,한훈 대한내과학회 1995 대한내과학회지 Vol.48 No.6
Autoimmune polyglandular syndrome encompasses a number of diseases, ranging from unusual endocrine and nonendocrine disorders to the co-occurrence of common organ specific autoimmune disease. Knowledge of these syndrome is important for several respects: given the presence of one disease, certain others become more likely(in relatives as well as in the primary patient); there are similarities in the etiology and genetics of the different diseases; and immunologic treatment of one disease may be applicable to others. We recently experienced type II autoimmune polyglandular syndrome in a twenty-two-year old female patient who had insulin dependent diabetes mellitus associated with diabetic ketoacidosis, Hashimoto's thyroiditis, autoimmune Addison's disease, primary gonadal failure and alopecia totalis. Among the family member, twenty-year-old sister showed primary gonadal failure. Evaluation of the histocompatibility leukocyte anti- gene(HLA) was done in the patient and 4 relatives by two-step polymerase chain reaction(PCR). In HLA typing, the patient showed HLA-Al, B8, DR3, DR4 haplotypes, which had been known to be related with the autoimmune polyglandular syndrome.