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조류에 실험적으로 감염시킨 Rickettsia tsutsugamushi의 증식.
구영무,송호연,이강순 순천향대학교 1992 논문집 Vol.15 No.2
For the survey of possibility of the inapparrent infection of R. tsutsugamushi in bird, we infected the chicken with suspension of R.tsutsuggamushi via intraperitoneal and subcutaneous routes. We observed the chicken on various vital signs and examined indirect immunofluorescent staining, pathologic and electron microscopic finding on liver and spleen of chicken. The result were as follow ; 1. We can;t detect the any abnormal finding in chicken infected with suspension of R.tsutsugamushi, except the highly increased levels of SGOT and SGPT when compared to control group. 2. In indircet immunofluorescent staining, antibody titers to R.tsutsugamushi in serum of infeted chickens were increased rapidlly after 2-3 weeks of infection. Also, positive fluorescent cells were observed in liver and spleen of infected chicken. 3. Patholigic finding of liver and spleen in infected chicken were showed inflammatory cells infiltration and vasculitis, especially endothelial cells lining small blood vessel were showed marked proliferation and degeneration. 4. In electron microscopic finding, R. tsutsugamushi were observed mainly in endothelial cells lining blood vessels of liver and spleen. In conclusion, the inapparent infection of R. tsutsugamushi in chicken was conformed and these results suggest the need of move wide scale of survey in wild bird and migrant birds in near future.
Gastric Adenocarcinoma:Hypotonic CT Staging and Pathologic Correlation
Oh,Do Yoon,Goo,Young Moo,Park,Hee Ju,Kim,Pyo Nyun,Kim,Il Young,Kim,Chang Jin 순천향대학교 1993 논문집 Vol.16 No.4
위암의 수술전 병기 결정을 위해 CT(Computed Tomography)가 시행된다. 그러나 위암의 병기 결정에 있어서 CT의 정확도에 대해서는 논란이 많다. 저자들은 CT의 정확성을 알아보기 위해 저긴장성 복부(Hypotonic abdominal)CT를 시도하였다. 위 내시경 검사에 의한 조직 생검에서 위암이 확진된 101명의 환자에서 수술전 병기 결정을 위해 저긴장성 복부 CT를 시행하였다. CT 검사벙법은 5mm 두께의 절편과 5mm 간격으로 시행하였다. 검사 시행 20분전에 환자의 장운동을 이완시키기 위해 10mg의 브스코판(Scoplamine bultylbromide)을 정맥 수사하였다. 상기 환자중 30명이 수술을 시행하였다. 위암의 병기 결정을 위해 상기 환자의 CT 소견을 AJCC(American Joint Committe on Cancer)의 TNM 분류에 의해 병기를 정하였다. 암의 위벽 침윤 정도를 평가한 경우, CT 소견과 병리 조직 소견과는 14명중 30명이 일치하여 47%(P=.0001, R=0.678)의 일치율을 보였다. 국소 임파절 전이의 경우 CT와 병리조직과는 50%(P=.201, R=0.422)의 일치율을 보였다. 병기결정에 대한 저긴장성 복부 CT와 병리조직과는 57%(P=0.0001, R=0.694)의 일치율을 나타냈다. 본 연구에서 저긴장성 복부 CT는 그 정확도를 높이기 위해 좀더 많은 노력이 필요할 것으로 사료된다.
김선영,조무식,구영무,송재화,안철용 대한외상학회 1994 大韓外傷學會誌 Vol.7 No.1
A clinical review was made on a case of chronic gastric volvulus with previous traumatic diaphragmatic hernia which was operated upon the Department of Gener al Surgery, Soon Chun Hyang University Hospital, Chun An, Korea, on March, 1994. Gastric volvulus is a rare disease defined as torsion of the stomach of more than 180 with closed loop obstruction, which usually combined with idiopathic or secondary diaphragmatic hernia, eventration of diaphragm, hiatal hernia. Gastric volvulus may occur at any age, especially fifth decade and the incidence is approximately the same in both sexes. Acute volvulus presents a striking clinical picture first described in 1904 by Bor chardt, who emphasized the following three features. 1. Severe epigastric pain and distension. 2. Vomiting followed by violent retching with an inability to vomit. 3. Difficulty or inability to pass a nasogastric tube. Chronic volvulus may be symptomless and an incidental finding on a barium enema or chest x-ray film. When symptoms occur, they are frequently those of mild, continuous or intermittent upper abdominal discomfort that may be impossiblc to differentiate from peptic ulcer, calculous disease of gallbladder. Most cases of total gastric volvulus are organoaxial, as are the majority of acute case and this type is usually associated with diaphragmatic hernia of eventration. In contrast, the mesenteroaxial type is more often idiopathic and partial in extent chronic volvulus. Acutc volvulus can sometimes be reduced by the passage of nasogastric tube but in most cases it cannot be passed, and immediate operation will be required. If primary volvulus has no obvious cause, gastropexy must be considered by taking the anterior wall of the stornach to the parietal peritoneum. If gastric necrosis has taken place, local excision, subtotal gastrectomy or total gastrectomy will be required, depending on the extent of' the ischemic injury. A case of chronic, organoaxial and mesenteroaxial gastric volvulus complicated traumatic diaphragmatic hernia was treated surgically by primary repair of diaphragmatic clefect and gastropexy, and the patient was good prognosis postoperatively. The authors report with a review of literatures.