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관상동맥 질환으로 입원한 한국인 환자의 임상양상과 예후인자
조진만 ( Jin-Man Cho ),김종진 ( Chong-Jin Kim ),신우승 ( Woo Seung Shin ),조은주 ( Eun-Ju Cho ),박철수 ( Chul-Soo Park ),김범준 ( Pum Joon Kim ),이종민 ( Jong-Min Lee ),임상현 ( Sang-Hyun Ihm ),임효영 ( Hyou-Young Rhim ),장기육 ( 대한내과학회 2007 대한내과학회지 Vol.73 No.2
Background: Coronary artery disease (CAD) has recently become one of the major causes of mortality and morbidity in Korea. However, not much epidemiologic and demographic data has yet been reported. The purpose of this study was to investigate the clinical features as well as the prognostic factors of patients with CAD. Methods: We prospectively enrolled 1,665 consecutive patients with CAD who had been admitted to the Catholic University Hospitals from December 1999 to April 2003. Results: Acute myocardial infarction (AMI) was the most common cause of admission (n=715, 42.9%). Dyslipidemia, hypertension and smoking were the most common risk factors. More than 70% of the patients who underwent percutaneous coronary intervention (PCI) received stent implantation. A total of 965 (612 males) patients were followed at least for 6 months (the mean follow-up duration was 23.8±12.2 months). The incidence rates of major adverse cardiac events (MACE: cardiac death, acute myocardial infarction, target vessel revascularization) and cardiac death were 15.1% (n=146) and 2.2% (n=21), respectively. There was no difference in overall survival between the patients treated with medical therapy and those treated with PCI. By Cox regression analysis, the independent prognostic factors for MACE were PCI (95% CI: 1.75-4.85; p<0.01) and multivessel disease (95% CI: 1.03-2.04; p<0.05), and the independent prognostic factors for cardiac death were medical therapy (95% CI: 1.08-14.41; p<0.05) and old age (95% CI: 1.13-16.13; p<0.05). Conclusions: There was no difference in overall survival between the patients treated with medical therapy and those treated with PCI. However, PCI was superior to medical therapy for preventing death of the patients with acute coronary syndrome.(Korean J Med 73:142-150, 2007)
임효영,조은주,송치원,김양리,최정현,유진홍,신완식,강문원 대한화학요법학회 1995 대한화학요법학회지 Vol.13 No.2
Group A β-hemolytic streptococcal pneumonia is a rare community-acquired infection. We report a case of pneumonia complicated with empyema caused by Streptococcus pyogenes. A 23-year-old man was admitted with right-sided pleuritic chest pain and fever. The culture of sputum and pleural fluid yielded heavy growth of Streptococcus pyogenes. With penicillin G and catheter drainage, the patient was recovered successfully.
이상헌,박성환,박동준,최문영,김호연,조철수,김한욱,임효영 대한내과학회 1995 대한내과학회지 Vol.48 No.2
Systemic lupus erythematosus (SLE) is an autoimmune systemic rheumatic disease that can involves various organs and systems. However, acute pancreatitis in SLE has uncommonly been reported and may be manifested as a part of the primary disease process of vasculitic or autoimmune etiology, or associated with drug therapy including corticosteroid, thiazide diuretic, and azathioprine. Two patients with SLE are reported here who developed acute pancreatitis, probably unrelated to drug therapy, confirmed by clinical manifestations, pancreatic isoenzyme elevation, and diffuse pancreatic enlargement on computerized tomography.