http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
김계준(Kye Jun Kim),박경란(Kyung Ran Park),이종영(Jong Young Lee),김희연(Hie Yeon Kim),성기준(Ki Joon Sung),추성실(Sung Sil Chu) 대한방사선종양학회 1992 Radiation Oncology Journal Vol.10 No.1
수술중 방사선치료를 환자에 적용하기에 앞서 본원이 보유하고 있는 LID를 이용한 전자선의선량분포 특성을 연구하였다. 이러한 선량 특성에 대한 자료는 적절한 Cone의 모향이나 크기, 에너지를 결정하게하며 빠르고 정확한 계산을 위하여 필요하다. 따라서, 본 저자들은 3-Dimensional Water Phantom Dosimetry System를 이용하여 Cone의 크기, Cone의 모양, 보상필터 사용 유무에 따라 Cone의 출력인자, 조직표면선량, 선축상 최대치 지점, 90%의 깊이, 대칭도와 편평도, SSD 보상인자, 선량분포 등을 측정하여 다음과 같은 결과를 얻었다. 1) Cone의 출력인자는 Cone 모양에 따라 각각 측정하였으며 Cone의 크기와 에너지가 작을수록 급격하게 감소하는 결과를 보였다. 2) 보상 필터의 하나인 Flattening Filter를 사용한 결과 표면 선량이 6MeV, 9MeV, 12MeV에 대하여 각각 85.3%, 89.2%, 93.4%였고, 이 보상 필터를 사용하므로 선량률과 beam의 투과율은 감소하지만 치료부위에 따라 beam의 모양을 변형시키며 특히, 표면선량을 90%나 그 이상으로 증가시킬수 있었다. 3) 3차에 걸친 beam의 collimation과 보상 필터를 결합하여 사용한 결과 매우 좋은 beam의 균일성과 편평도 뿐만아니라 90% 등선량곡선 넓이가 커지는 결과를 보였다. 4) 치료를 위하여 중요한 간격인 SSD 100cm에서 SSD 110cm까지의 출력인자는 측정치와 계산치가 Cone의 크기와 모양, 에너지에 따라 1~3%의 차이를 보였다. We have studied the dosimetric properties of electron beam using Lyon intraoperative device for intraoperative radiation therapy. The dosimetry data had compiled in such a way that a quick and correct decision regarding the cone shape, energy, and accurate calculations could be made. Using 3 dimensional water phantom, we have got the following data: cone output ratios. surface dose. dmax, d90 flatness, symmetry, beam profiles, isodose curve. and SSD correction factors, The cone output ratios were measured with straight and bevelled cone. respectively. As the cone size and the energy were reduced, the cone output ratios decreased rapidly. With the flattening filter. the surface dose increased by electron beam to 85.3%, 89.2%, and 93.4%. for 6 MeV. 9 MeV, and 12 MeV. respectively. It is important to increase the surface dose to 90% or more. Inspite of diminishing dose rate and beam penetration. this flattening filter increases the treatment volume significantly. With the combination of the three levels Collimation and the flattening filter. we achieved good homogeneity of the beam and better flatness and the diameter of the 90% isodose curve was increased. It is important to increase the area that is included in the 90% isodose level. The value of measured no calculated SSD correction factors did not agree over the clinically important range from 100 cm to 110 cm.
정대관(Dae Kwan Jeong),유운용(Wun Young Yu),한지희(Ji Hee Han),김성목(Sung Mok Kim),윤상호(Sang Ho Yun),이찬주(Chan Ju Lee),김희연(Hie Yeon Kim),강신재(Sean Jae Kang),김대하(Dae Ha Kim),이혜경(Hey Kung Lee),정승혜(Sung Hey Chung),배영만 대한내과학회 1994 대한내과학회지 Vol.46 No.5
The cystic lymphangioma of adrenal gland is a rare benign tumor. It has not been reported in Korea. The present study represents the first report of cystic lymphangioma of adrenal gland in Korea. It's exact etiology is obscure but thought to be related to a congenital abnormal development of lymphatic system. In addition, it is associated with the failure of communication with the central lymphatic system. The clinical significance of cystic lymphangioma is related to its size manifest itself as a palpable mass early in life. Preoperative clinical and laboratory characteristics are non-specific. Recently we experienced a case of cystic lymphangioma of the adrenal of the adrenal gland in 28-year-old female and reported it with a review of the literature.
간경변증을 동반한 당뇨병 환자에 있어서 2 차적으로 발생한 피부괴사 1 예
오영배(Young Bae Oh),백정민(Jung Min Baik),홍한기(Han Ki Hong),이찬주(Chan Ju Le),김희연(Hie Yeon Kim),강신재(Sean Jae Kang),김혜랑(Hae Lang Kim),김응진(Eung Jin Kim),곽호근(Ho Kun Kwak),유정하(Jung Ha Ryu),남은숙(Eun Sook Nam) 대한내과학회 1995 대한내과학회지 Vol.49 No.6
It has long been recognized that the liver plays an important role in carbohydrate homeostasis. Petrides reported that Diabetes mellitus in insulin resistant cirrhotic patients developed as the result of progressive impairment in insulin secretion with the development of hepatic insulin resistance leading to fasting hyperglycemia and a diabetic glucose tolerance profile. Diabetic patients with debilitating illness, including hepatic cirrhosis and acute alcoholic heptitis, appear to be more prone to infections, and the accumulating evidence for an immunological defect superimposed upon the metabolic abnormalities of diabetes is becoming increasingly convincing. We described a patient with diabetes mellitus and liver cirrhosis who has purpura on body due to falling down, resulting in perineal and scrotal necrosis (Fournier`s gangrene) as well as foot gangrene. Despite aggressive antibiotic therpy and debridement, Foumier`s gangrens is associated with a high motality. We performed necrotic skin resection and reconstrucitve procedure with massive antibiotics therapy