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김해영 부산대학교 병원 암연구소 2008 부산대병원학술지 Vol.- No.24
Purpose) Segmental small bowel volvulus without malrotation is a different disease entity from midgut volvulus. Unlike midgut volvulus with malrotation, segmental small bowel volvulus shows rapid progression to ischemic necrosis and bowel perforation. This study was performed to analyze the clinical characteristics of patients with segmental small bowel volvulus. Subject and Methods) A retrospective review of 6 patients who had segmental small bowel volvulus and received operation at the Pusan National University Hospital from 1996 to 2007 was done. Results) There were 6 cases of segmental small bowel volvulus. There were 2 males and 4 females with female predominance. Mean gestational age was 34^(+6) weeks and mean birth weight was 2593.7gm. Five patients had symptoms within 48hour after birth; the remaining case had symptom at 63 days. Unfortunately all cases were misdiagnosed, their preoperative diagnosis was ileal atresia and necrotizing enterocolitis. Five patients received 1st operation at 5.5 days after birth; the remaining case received at 67 days. The lesion site was ileum in 4 cases and jejunum in 2 cases. Ischemic necrosis of affected bowel was seen in all cases and perforation was seen in 3 cases. Segmental resection of bowel was performed in all cases and mean length of resected bowel was 33.8cm. There was no mortality case. Conclusions) Segmental small bowel volvulus shows rapid progression but proper diagnostic attempts and early surgical management will show a good result.
김해영,김태성,김병홍,김재문 한국미생물 · 생명공학회 1992 한국미생물·생명공학회지 Vol.20 No.2
The number of sulphate-reducing bacteria (SRB) in some of the tributaries to the Han River was determined by the most probable number method using Postgate's Medium E.Higher number of SRB were obtained in the streams to which industrial waste water is discharged than those receiving only domestic waste water.
김해영 부산대학교 병원 암연구소 2006 부산대병원학술지 Vol.- No.20
Purpose) Bilious vomiting in the neonatal period may be a serious surgical problem. Intestinal malrotation has a variable clinical presentation and is one of the most important diseases to be diagnosed differently in such situations. This study was performed to analyze the clinical characteristics of patients with intestinal malrotation. Subject and Methods) A retrospective review of 11 patients who had intestinal malrotation and received operation at the Pusan National University Hospital from Jan 2001 to Dec 2005 was done. Results) Among 11 cases of intestinal malrotation, there were 8 males and 3 females with male predominance. At the time of operation, 10 patients(90.9%) were in the neonatal period. According to clinical manifestations, the most common symptom was bilious vomiting that was seen in 11 cases(100%). Ultrasonographic examination was performed in all symptomatic cases and a abnormal location of SMA/SMV or 'whirl-pool' sign was seen in them. According to operative findings, malrotation only was 6 cases(54.5%) and malrotation with midgut volvulus was 5 cases(45.5%). After a definite procedure, adhesive intestinal obstruction was developed in 3 cases and among them one case required re-operation. There was no mortality case. Conclusions) Intestinal malrotation could be concerned preferentially for patients presenting bilious vomiting at the neonatal and infantile period. And proper diagnostic attempts and early surgical management will show a good result.