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만성 기관지염 환자에서 Fenoterol aerosol 의 단독 투여와 Ipratropium Bromide 의 첨가에 따른 기관지 확장 효과의 차이에 관한 연구
김태년(Tae Nyeon Kim),정문호(Moon Ho Chung),이영현(Young Hyun Lee),정재천(Jae Chun Chung),이현우(Hyun Woo Lee) 대한내과학회 1988 대한내과학회지 Vol.35 No.5
N/A In chronic bronchitis, a randomized, double blind crossover study was done to evaluate the bronchodilatory effect of ipratropium bromide aerosol added on fenoterol. 14 cases of chronic bronchitis were selected and 2 serial pulmonary fuction tests were done, after 2 puffs of fenoterol and 2 puffs of ipratropium (FFII), and after 4 puffs of fenoterol (FFFF), on two successive days. The results were as follows; 1) There were significant bronchodilatory effects in 5 and 60 minutes after both modes of adminstration 2) At 5 minutes after administration, both modes of therapy showed comparable bronchodilatory effects. 3) At 60 minutes after administration, bronchodilatory effect of FFII was greater than that of FFFF 4) At smaller airways, the bronchodilatory effect of FFII was greater than that of FFFF, but the difference was not statistically significant. In conclusion, the combined use of fenoterol and ipratropium bromide was superior to double dose fenoterol therapy in chronic bronchitis.
김태년(Tae Nyeon Kim),김영조(Young Jo Kim),정재천(Jae Chun Chung),이준하(Joon Ha Lee),이석강(Suck Kang Lee) 대한내과학회 1988 대한내과학회지 Vol.34 No.6
N/A A randomized crossover study was done to compare the hemodynamic effects of conventional mechanical ventilation (CMV) and high frequency jet ventilation (HFJV) at comparable levels of alveolar ventilation, Airway pressure, esophageal pressure, and hemodynamic variables using femoral artery and Swan-Ganz catheter were measured during spontaneous ventilation and artificial ventilation with CMV and HFJV, Mean airway pressure and esophageal pressure were significantly lower during HF~JV than during CMV (Paw; 2.22±0.44 vs. 4.12±0.62, Peso; 1.8±0.3 vs. 3.2±0.6). Heart rate, systemic arterial pressure, pulmonary arterial pr re, and pulmonary vascular resistance were not different during both modes of ventilation. Cardiac index, stroke index, and pulmonary artery wedge pressure were significantly higher during HFJV than during CMV (cardiac index; 4.1±0.8 vs. 3.8±0.7, stroke index; 25.0±5.2 vs. 22.8±5.2, PAWP; 3.3±1.4 vs. 2.2±1.3). In conclusion, HFJV produces less hemodynamic impairements and maintains adequate ventilation at lower mean airway pressure and esophageal pressure in normal dogs. This hemodynamic advantage of HFJV is provably related to the lower mean airway pressure produced by HFJV than by CMV.
김태동 ( Kim Tae Dong ),오희주 ( O Hui Ju ),김국현 ( Kim Gug Hyeon ),김성목 ( Kim Seong Mog ),김준환 ( Kim Jun Hwan ),장병익 ( Jang Byeong Ig ),김태년 ( Kim Tae Nyeon ),정문관 ( Jeong Mun Gwan ) 대한소화기학회 2004 대한소화기학회지 Vol.43 No.1
Background/Aims: Pancreatic cancer is fatal with a dismal 6-month median survival from diagnosis. Diabetes mellitus is reported to be present up to 33.3 percent of patients with pancreatic cancer. The reason for the high frequency of diabetes is unknown. We studied the prevalence and duration of diabetes in patients with pancreatic cancer and the relationship between the two diseases. Methods: A total of 152 patients with pancreatic cancer diagnosed at Yeungnam University Hospital from January 1999 to December 2001 were enrolled in this study. Clinical features, family history, smoking history, and characteristics of the tumor were compared between diabetic and non-diabetic groups. Results: Among 152 patients with pancreatic cancer, 43 patients (28.3%) had diabetes. In diabetic group, mean age of diagnosis was significantly younger than non- diabetic group (62.0±7.2 vs. 65.0±8.8, p<0.05). Most of the patients with diabetes had non-insulin dependent diabetes mellitus (NIDDM) and did not have family history. Diabetes was diagnosed within 2 years after the diagnosis of pancreatic cancer in 35 patients (74.3%) of the diabetic group. There were no differences in the location and stage of tumor, chief complaints, presence of weight loss, and body mass index between the two groups. Conclusions: Diabetes mellitus occurs frequently in patients with pancreatic cancer and does not influence clinical features of pancreatic cancer. Pancreatic cancer should be suspected in patients with recent onset diabetes, especially in patients without family history of diabetes and with type of NIDDM. (Korean J Gastroenterol 2004;43:35-40)
김국현 ( Kim Gug Hyeon ),오희주 ( O Hui Ju ),최재원 ( Choe Jae Won ),이지은 ( Lee Ji Eun ),이은주 ( Lee Eun Ju ),오현아 ( O Hyeon A ),이형철 ( Lee Hyeong Cheol ),김준환 ( Kim Jun Hwan ),김태년 ( Kim Tae Nyeon ),정문관 ( Jeong Mun 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
<목적> 담낭 용종은 초음파 검사가 보편화됨에 따라 발견되는 빈도가 증가 추세에 있다. 담낭의 용종성 병변은 콜레스테롤 용종, 과증식 용종, 염증성 용종 등의 비신생물형 용종과 선종, 선종성 증식, 선암 등의 신생물형 용종으로 분류할 수 있다. 이 중 신생물형 용종은 담낭암으로 진행할 가능성이 높으므로 임상적으로 구분해주는 것은 매우 중요하다. 저자들은 담낭용종의 조직학적 형태에 따른 발생빈도, 임상양상, 검사실 소견 및 용종의 크기와 개수 등을 분석하
야간성 기관지천식 환자에서 체위에 따른 Peak Expiratory Flow Rate 의 변화와 그 기전의 고찰
이경희(Kyung Hee Lee),김태년(Tae Nyeon Kim),김필영(Pill Young Kim),현명수(Myung Soo Hyun),이영현(Young Hyun Lee),정재천(Jae Chun Chung),이현우(Hyun Woo Lee) 대한내과학회 1988 대한내과학회지 Vol.34 No.6
N/A Nocturnal attacks of brochospasm is a well-known phenomenon in bronchial asthma. In spite of numerous studies to indentify Its mechanism, its positional effect have not been carefully studies. 8 patients of bronchial asthma with history of nocturnal attack and 7 healthy comparable control patietns were evaluated for changes of PEFR on the different body positions, and found that PEFR was 1) lower at supine than sitting position (218+35 vs 253+61) 2) decreased progressively by keeping on supine position 3) lowest at 90 minutes of supine position 4) partially recovered on left lateral position (190+50 vs 211+61) 5) fully recover~3 immediately after return to sitting position In conclusion, PEFR was significantly influenced by changes of body postion and it should be one of the mechanisms of nocturnal attack of bronchospasm in bronchial asthma.
고빈도 Jet 환기법에 의한 인공호흡시 폐환기에 미치는 인자에 관한 연구
이경희(Keyong Hee Lee),안재희(Jae Hee Ahn),김태년(Tae Nyeon Kim),정재천(Jae Chun Chung),이현우(Hyun Woo Lee),이상학(Sang Hak Lee),이준하(Joon Ha Lee) 대한내과학회 1989 대한내과학회지 Vol.37 No.1
N/A High frequency ventilation, which uses a smaller tidal volume (Vt) than dead space volume, should have a different mechanism of alveolar ventilation. To evaluate its mechanism or determinants of PaCO2, a study was done with a high frequency jet ventilator (HFJV) on 15 healthy cats and the following results were obtained. PaCO2 at the same driving pressure was correlated with Vt, minute ventilation (VE), airway pressure difference, pleural pressure difference and respiratory frequency, but was not correlated with mean, peak, lowest airway and pleural pressures, and was increased on higher respiratory frequency instead of decreased. Of the possible determinents, PaCO2 was most strongly related to Vt, and Vt was also strongly correlated with VE, frequency, airway pressure difference and pleural pressure difference. But Vt was not predictable the with inspiratory time ratio (IT%) and frequency of HFJV, and was not equal to ejected volume from HFJV. From the above results, the authors concluded that Vt, VE, frequency, airway and pleural pressure differences are the possible determinants of PaCO2 on artificial ventilation with HFJV, Vt seems to be the main determinant. Vt is not predictable and is not equal to ejected tidal volume from HFJV. Therefore, a different method of manipulation is required on HFJV.
포스터 전시 : 췌담도 ; 급성췌장염 발생으로 진단할 수 있었던 조기 췌장암 1예
오희주 ( O Hui Ju ),최재원 ( Choe Jae Won ),김국현 ( Kim Gug Hyeon ),이은주 ( Lee Eun Ju ),오현아 ( O Hyeon A ),이형철 ( Lee Hyeong Cheol ),김준환 ( Kim Jun Hwan ),김태년 ( Kim Tae Nyeon ),정문관 ( Jeong Mun Gwan ) 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
<서론> 원발성 췌장암과 전이성 췌장암은 드물게 급성췌장염을 유발할 수 있으며 췌장암 환자 중 급성췌장염은 3%까지 보고되고 있다. 급성췌장염은 종양의 췌관 폐쇄나 췌관 상피세포의 파괴에 의해 유발되며 심한 경우 췌장 가성낭종이나 복수를 유발할 수 있다. 저자들은 급성췌장염으로 입원하여 조기 췌장암으로 진단할 수 있었던 환자 1예를 경험하였기에 보고하는 바이다. <증례> 70세 여자환자가 내원 당일 시작된 상복부 통증과 오심, 구토를 주소로 내원하였다.
건강검진 수진자에서 초음파로 진단된 비알코올성 지방간의 임상양상 및 위험인자
오희주 ( O Hui Ju ),최재원 ( Choe Jae Won ),김국현 ( Kim Gug Hyeon ),이은주 ( Lee Eun Ju ),오현아 ( O Hyeon A ),이형철 ( Lee Hyeong Cheol ),김준환 ( Kim Jun Hwan ),김태년 ( Kim Tae Nyeon ),이헌주 ( Lee Heon Ju ) 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
<목적> 최근 지방간은 비만, 고인슐린혈증, 인슐린 저항성, 당뇨병, 고중성지방혈증 등의 대사 증후군과 밀접한 관련이 있는 것으로 알려져 있다. 지방간의 자연경과에 대한 연구에서 지방간이 간경변으로도 진행할 수 있음이 보고되면서 그 관심이 증가하고 있다. 저자들은 건강검진 수진자에서 초음파로 진단된 비알코올성 지방간의 임상양상과 위험인자 및 중증도의 예측인자를 알아보고자 하였다. <방법> 2003년 2월 1일부터 2003년 3월 31일까지 본원 건강 검