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Doxycycline 이 원인으로 사료되는 약제성 식도궤양 1예
박경남(Kyung Nam Park),이민호(Min Ho Lee),김순길(Soon Gill Kim),민영일(Young Il Min),박태현(Tae Hyun Park) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.2
N/A Tetracycline induced esophageal ulcer was first described by Bokey and Hugh(1) in 1975. Thirty more cases associated with doxycycline or tetracycline ingestion have been reported since then(1-9,13). One case of drug-induced esophageal ulcer, probably due to doxycycline, is reported and compared with 18 other cases from the literature. In most cases, the patients had taken their capsules just before going to bed with little fluid intake. Some hours later they developed retrosternal burning sensation and odynophagia. Endoscopy revealed sharply demarcated ulcers with grayish white exudate surrounded by mucosal edema. Esophagogram was unsuitable to detect the lesions. They healed without complications within one to six weeks. Prolonged retention of capsules and direct irritation of esophageal mucosa by drug is thought to be the cause of the esophageal ulcer. The patients on doxycycline treatment should therefore be instructed to take their capsules with copious water and not just before going to bed.
원발성간임의 (原發性肝癌) 초음파상에 (超音波像) 관한 연구
박경남(Kyung Nam Park),이창홍(Chang Hong Lee),기춘석(Choon Suk Kee),최웅환(Oung Whan Choi),이동후(Dontg Hoo Lee),이호채(Ho Chae Lee),김순길(Soon Gill Kim),민영일(Young Il Min) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.1
N/A The gray- cale ultrasonographic app arances of histopathologically proven primary hepatoma in 61 patients were evaluated retrospectively. Our study has revealed four different ultrsonographic patterns of primary hepatoma: echogenic(39.4%), sonolucent(8.2%), mixed(31.0%) and diffuse parenchymal distortion(21.3%). Of 61 primary hepatoma examined, 19 cases exhibited encapsulation. Predominantly, the marginal Contour of mass was irregular rather than smooth. Most of cases represented downward convexity of the lower edge of the liver. Both of hump and marginal irregularity on the hepatic surface were exhibited in 54.1% and 59.0% respectively. Ultrasonography makes it possible to demonstrate not only the extrinsic compression of the vascularity by the tumor mass on intrahepatic vessels, inferior vena cava, and abdominal aorta, but also extrahepatic biliary obstruction. While 40.9% of cases were found to have a cites, splenomegaly was noticed in 31.1% In fact, ultrasonography is a useful screening method for imaging primry hepatorna with pecial regard of its noninva siveness and easy application to assess the nature and extent of the lesions.
Holter 심전도 모니터를 이용한 만성 폐쇄성 폐질환 환자에 있어서의 부정맥에 대한 연구 - 만성 폐쇄성 폐질환에 있어서의 부정맥에 대한 연구
이정균 ( Chung Kyun Lee ),이정희 ( Chung Hee Lee ),박성수 ( Sung Soo Park ),이방헌 ( Bang Hun Lee ),주상언 ( Sang Aun Joo ),김순길 ( Soon Gill Kim ),신승호 ( Seung Ho Shin ),황흥곤 ( Hweung Kon Hwang ),정효철 ( Hyo Chul Chung ) 대한내과학회 1984 대한내과학회지 Vol.27 No.11