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김종진(Jong Jin Kim),임정식(Jeong Sik Lim),공덕경(Duck Kyung Gong),최경희(Kyoung Hee Choi),정인권(In Gweon Jung),정만홍(Man Hong Jung),이재우(Jae Woo Lee) 대한내과학회 1990 대한내과학회지 Vol.39 No.4
N/A The left atrial systolic time intervals and Doppler mitral flow velocity measurements were performed in 28 patients of essential hypertension and in 12 normal controls(Group I). The hypertensive patients were divided into two groups according to the absence (Group II, 12 cases) and the presence (Group III, 16 cases) of the fourth heart sound on phonocardiegram. Left atrial systalic time interva) indices included atrial pre-eiection period (APEP), corrected atrial pre-eiection period (APEEc), atrial eiection time (AET) and the ratio of APEP/AKT. The hypertensive patients with the fourth heart sound had a shorter APEPc (78±9 vs 94±11 ms, P<0.01), a longer AET (168±13 vs 144±11 ms, P<0.01), and a shorter APEPc/AET (0.48±0.08 vs 0.66±0.12, P<0.01). The ratio of mitral peak flow velocity during atrial systole to peak flow veloclty in early diastole (A/E ratio) was signifieantly higher in Group III compared with values in Group II (1.54±0.28 vs 1.29±0.31), as well as there being a significant increase of left ventricular wall thickness (2.88±0.38 vs 2.57±0.34 cm, P<0,05). There were no signilicant differences in the left atrial systolic time intervals and the A/E ratio between Group I and Group II. In concluslon, left atria) systolic time intervals can be a good method in the quantitative assessinent of left atrial function in hypertensive patients with left ventricular hypertrophy.
악성흉막삼출증 환자에서 소구경 도관과 흉관을 이용한 talc slurry 흉막유착술의 비교
신호식 ( Sin Ho Sig ),육동승 ( Yug Dong Seung ),김희규 ( Kim Hui Gyu ),김수홍 ( Kim Su Hong ),옥철호 ( Og Cheol Ho ),장태원 ( Jang Tae Won ),정만홍 ( Jeong Man Hong ) 대한내과학회 2003 대한내과학회지 Vol.65 No.5
목적 : Talc를 이용한 흉막 유착술은 악성 흉막 삼출이 있는 환자의 대증치료로 널리 사용되고 있다. 본 연구에서는 소구경 도관(14F)과 흉관(28F)을 사용한 talc slurry의 치료효과를 비교하였다. 방법 : 2000년 1월부터 2002년 5월까지 증상완화를 위해서 흉막삼출액의 반복적인 천자가 필요하였던 37명의 환자를 대상으로 흉관(17명)과 소구경 도관(20명)을 사용한 전향적 연구를 실시하였다. 환자의 평균 연령은 55.6세였고 대부분의 Background : Talc sclerotherapy is widely used for symptomatic malignant pleural effusion. The object of this study was to evaluate the outcome of talc slurry sclerotherapy, and to compare the efficacy of the small-bore catheter with that of chest tube in
김광,전성진,서기석,김상태,정만홍,옥순애,장희경,허만하 고신대학교 의학부 1991 高神大學校 醫學部 論文集 Vol.7 No.1
We report a case of sarcoidosis in 48-year-old female. She showed skin manifestation of subcutaneous nodules in previously scarred area and non-scarred skin. Chest X-ray and gallium 67-scan revealed bilateral lymphadenopathy, and pulmonary function test showed moderate degree of restrictive ventilatory pattern. Histopathologically, subcutaneous nodules at the scarred area of forehead as well as non-scarred skin of knee and forearm, were subcutaneous noncaseating granulomas composed of epithelioid cells admixed with a few Langhans giant cells. Reticulum fibers surrounded and permeated the granulomas. She was treated with systemic corticosteroids for 10 months and improvements of skin lesions and pulmonary symptoms could be noted.
류마토이드 관절염 환자에서 금치료후 발생한 미만성 간질성 폐질환 1 예
이재성,김미선,이신호,서기석,장희경,정만홍,조기범,최환준,장태원,정숙금 대한내과학회 1994 대한내과학회지 Vol.46 No.3
A 56-year-old woman with rheumatoid arthritis for 9 years was admitted in Oct. 1989 because of skin eruption, non-productive cough and exertional dyspnea for 1 month. She had been treated with gold sodium thiomalate (accumulated dose: 735 mg) for 3 months. Bibasilar inspiratory crackles were heard. Chest roentgenogram and computed tomogram showed diffuse interstitial infilterates. The lung specimen by open lung biopsy demonstrated alveolar septa1 thickening and interstitial lymphocyte infiltrates with fibrosis. The drug history, clinical features and the pathological findings support the diagnosis of gold pneumonitis.