고령자 급성 췌장염의 임상적 고찰

이진헌,강진경,박인서,송건훈,정재복,백용한,송시영,서정훈 대한소화기학회 1998 대한소화기학회지 Vol.32 No.3

Background/Aims: Inflammatory diseasas of the pancreas are not uncommon. The advanced age is one of the significant factors in assessing the severity of acute pancreatitis. It has been shown that the biliary tract disease is a more frequent cause of acute pancreatitis in the elderly than in the young. With the increased life span, the elderly are comprising a large proportion of the population. As a result, physicians are more often being faced with acute pancreatitis in the elderly. The purpose af this study was to evaluate clinical features of acute panereatitis in the elderly. Methods: A total of 188 patients with acute pancreatitis were reviewed. We investigated the differences of clinical characteristics between the elderly patients aged over 60 and the young patients aged under 60. Results: The sex distribution showed male preponderance in the young patients (M:F=2.4:1), but was nearly equal in the elderly patients (M:F=1.1:1). The most common cause of acute pancreatitis in the elderly was biliary tract disease (52.5%), while alcohol abuse was the most common cause in the young patients (38.8%), Local complications of acute pancreatitis, such as psuedocyst, necrosis, abscesses were not differently shown between the elderly (16.9%) and the young (20.2%) patients. Systemic complications including acute puhnonary failure occurred more frequently in the elderly patients than the young patients. The mortality rate of the elderly patients (5.1%) was not significantly different from that of the young patients (3.1%). Conclusions: To detect correctable underlying bihary tract diseases the elderly patients with acute pancreatitis should be completely investigated using endoscopic retrograde cholangiopancreatography (ERCP). In addition, the patient should be closely monitored for the development of the systemic complications during the disease process.

A Case of Urethral Stent for Recurrent Urethral Stricture and Penile Prosthesis for Erectile Dysfunction

Jung, Gyung-Woo,Song, Young-Jin,Park, Young-Ho,Kwon, Heon-Young,Yoon, Jin-Han 동아대학교의과대학 1992 동아의대학술지 Vol.4 No.1

고령자 급성 췌장염의 임상적 고찰

백용한,서정훈,송건훈,이진헌,송시영,정재복,강진경,박인서,이수진 大韓消化器病學會 1998 大韓消化器病學會誌 Vol.32 No.3

靈樞·五邪에 對한 硏究

李載胎,鄭憲瑩,琴坰樹,朴炅 대한한의진단학회 1998 大韓韓醫診斷學會誌 Vol.2 No.2

Young Chou O Sa(靈樞 五邪) described the symptoms of a disease when injurious factors permeated the five viscera and the location of a meridian point and the acupuncture in curing them according to the five viscera. When there are injurious factors within the lungs, you ought to acupuncture Woon Moon Hul(雲門穴), Joong Bu Hul(中府혈穴), Pae Soo HuI(肺輸穴 B13), and Geol Boon Hul(缺盆穴 S12), when there are injurious factors within the liver, acupuncture Hang Gan HuI(行間穴 LIV2) and Jok Sam Ri HuI(尺三里穴 S36), within the spleen, do acupuncture Yong Chul HuI(湧泉穴 K1) and Gon Ryun HuI(崑崙穴 B60), and when there are injurious factors within the heart, do so in the place of Shin Moon Hul(神門穴 H7).

생활하수 및 산업폐수가 유입되는 수영천의 수질특성

이헌모,곽영규 동의공업대학 1999 論文集 Vol.25 No.1

Su-young Cheon is one of the severely polluted streams by domestic sewage and industrial wastewater. A study was carried out at downstream of Su-young Cheon in order to evaluate the effect of domestic sewage and industrial wastewater on water quality. The range and mean values of water quality in Won-Dong bridge were as follows: DO were 0.6-5.7mg/l and 3.82mg/l. SS were 12-79mg/l and 38.4mg/l. BOD 1.6-5.1mg/l, 3.17mg/l, COD 22.4-71mg/l, 39.6mg/l, NH4-N 0.28-1.49mg/l, 2.33mg/l, T-N 0.95-3.92mg/l, 1.76mg/l. In case of T-P were 0.14-0.77mg/l and 0.21mg/l. The range and mean values of water quality in Minrak bridge were as follows: DO were 3.3-5.6mg/l and 4.26mg/l. SS were 11-96mg/l and 53.7mg/l. BOD 0.8-4.7mg/l 2.75mg/l, COD 20-41mg/l, 29.6mg/l, NH4-N 0.02-1.98mg/l, 0.58mg/l, T-N 0.64-2.6mg/l, 1.76mg/l. In case of T-P were 0.12-0.88mg/l and 0.37mg/l.

직장 Dieulafoy 병변으로 다량의 혈변을 보인 1 예

김태영;이상헌;김지현;배영환;정은주;김승만;지삼룡;설상영 인제대학교 2011 仁濟醫學 Vol.32 No.-

Dieulafoy’s lesion is very rare cause of gastrointestinal bleeding, Deiulafoy’s lesion is exposure of non ulcerative, abnormally large tortuous, thick- walled artery in the muscularis mucosa through a small submucosal defect. It is usullay found on stomach antrum and lesser curvature side of the proximal body, and possibly found on any sites throughout whole gastrointestinal tract, but rarely on rectum. The principal of treating Dieulafoy’s lesion was the surgical resection of lesion, but recently remarkable advances in endoscopic technique make endoscopic approach more popular. We report a case of rectal Dieulafoy’s lesion successfully treated with endoscopic hemoclipping in an elderly female patient.

괴사후성과 비괴사후성 간경변증에서 원인별 주석교질 (^99mTc-tin colloid) 간스캔의 차이

이헌영,허승식,이강욱,정현용,김삼용,신영태,김영건,노흥규 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2

The differences of the liver scintigraphic features between postnecrotic and nonpostnecrotic liver cirrhosis were studied for 69 patients. Degrees of mottling and splenomegaly were no different between two groups but shrinked form was more frequent finding in postnecrotic type(23:10), and normal shape & enlarged left lobe with shrinked right lobe were relatively dominant in non-postnecrotic group(15:6, 10:2). Grade of extrahepatic uptake of ^99mTc-tin colloid was significantly higher in Child-Pugh B & C group than A group(p<0.05), but there was no difference between postnecrotic and non-postnecrotic groups. These will be important results on the dicision for the presence of cirrhosis according to the variable causes.

정보기술 계열학과와 비계열학과의 인터넷 중독 대학생에 있어서 충동성과 강박성 및 우울의 정도 비교

최상헌(Sang-Heon Choi),김민정(Min-Jeong Kim),정영인(Young-In Chung) 대한사회정신의학회 2004 사회정신의학 Vol.9 No.1

목 적: 본 연구의 목적은 인터넷 중독 대학생의 인터넷의 사용양상과 인격적 특성이 정보기술(IT) 계열학과와 비계열학과 간에 차이가 있는지를 알아보는 데 있다. 방 법: 부산광역시의 한 전문대학에서 IT 계열학과 146명과 비계열학과 140명의 남학생들을 대상으로 인터넷 사용과 관련된 일반적 특성과 인격적 특성을 조사하였다. 인터넷 중독 여부는 Young의 인터넷중독척도, 충동성은 한국판 Eysenck Personality Scale의 충동성검사, 강박성은 한국판 Maudsley Obsessive-Compulsive Inventory, 그리고 우울의 정도는 Beck Depression Inventory를 이용하여 측정하였다. 결 과: 1) 인터넷 중독율은 IT 계열학과에서 25.3%, 비계열학과에서 25.7%였다. 2) 인터넷 중독자에서 IT 계열학과에서 비계열학 과에 비해 교우관계가 더 양호하였고, 인터넷의 일일 사용시간이 더 많았다. 3) 인터넷 중독자에서 IT 계열학과에서 비계열학과에 비해 충동성 정도는 낮았으나, 강박성과 우울 정도는 차이가 없었다. 결 론: 본 연구결과는 인터넷 사용자의 인격적 특성이나 인터넷의 사용양상이 인터넷 사용자의 사회환경적 특성에 따라 인터넷 중독에 미치는 영향이 다를 수 있음을 시사한다. Objectives:This study aimed to investigate the differences of internet-use pattern and personality characteristics between internet-addicted college students of Information Technology(IT)-related departments and non-IT-related departments. Methods:286 male college students who were divided into 146 students of IT-related departments and 140 students of non-IT-related departments completed a checklist containing questionnaires designed by authors, Young’s Internet Addiction Test, Impulsiveness Questionnaire of Eysenck Personality Scale, Maudsley Obsessive-Compulsive Inventory, and Beck Depression Inventory. Results:1) The rate of internet addicts of IT-related and non-IT-related departments were 25.3% and 25.7%, respectively. 2) The internet addicts of IT-related departments had less problems of peer relationship and spent more time in the daily internet-use compared with those of non-IT-related departments. 3) The internet addicts of IT-related departments showed lower levels of impulsiveness compared with those of non-IT-related departments, but there were no differences in levels of obsessive-compulsiveness and depression between the two groups. Conclusion:These results suggest that the effects of personality characteristics and internet-use pattern of internet user on internet addiction may be different depending on their socio-environmental factors.

점액성췌장 낭종 1예

황석주,김영운,오성광,김대영,임선재,박승욱,이두용,이헌영 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2

Pancreatic cystadenoma is very rare, slow growing tumor and generally preoperative differential diagnosis may be difficult. A 43-year-old female was admitted to our hospital with the complaint of abdominal discomfort in the epigastrium for about preceeding 5 years. Ultrasonography and Computed tomography were performed. When endoscopic retrograde cholangio-pancreatogram was performed, displacement of distal pancreatic duct by huge mass was noted and injected dye was drained irregulary into the cavity of mass. Distal pancreatectomy was performed with splenectomy. The mass size of distal pancreas was 7X4cm, and the cyst contained with yellowish thick mucoid fluid. Diagnosis was confirmed the mutinous cystadenoma of the pancreas on histologic examination.

췌장염에 의한 가성낭종내에 생긴 가성동맥류 : 1례 보고

오연희,이채경,김승현,이성우,양창현,이정호,이영현 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

만성 췌장염의 합병증으로 생긴 가성동맥류는 드문질환으로, 반복적으로 다량의 출혈을 일으킬 수 있으며, 치료를 하지 않을 경우 사망율이 높기 때문에, 조기 진단과 치료가 필수적이다. 저자들은 38세 남자 환자에서 췌장염의 합병증으로 생긴 가성낭종내에서 발생한 가성동맥류 1예를 경험하였기에 보고하는 바이다. 가성 동맥류의 색혈류도플러상 낭종내에 양방향 흐름의 와류를 볼 수 있었다. Pancreatic Pseudoaneurysm within Pseudocyst from Pancreatitis: 1 Case Department of Diagnostic Radiology and Internal Medicine, College of Medicine,DongGuk University Yeon Hee OH M.D., Chae Kyeong Lee M.D., Seoung Hyeon Kim M.D., Sung Woo Lee M.D., Chang Heon Yang M.D., Jung Ho Lee M.D., Young Hyun Lee M.D. Pseudoaneurysm from pancreatitis is uncommon, but it can cause recurrent and massive hemorrhage. Because of high morbidity and mortality, early detection and treatment of the pseudoaneurysm is needed. We report a case of pseudoaneurysm within pseudocyst from pancreatitis. Color-flow Doppler sonography shows bidirectional flow and turbulent arterial flow, within anechoic mass.