http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
젊은 연령층의 정상 성인남자에서 체지방분포가 당대사에 미치는 영향
최문기(Moon Gi Choi),박성우(Sung Woo Park),박충기(Choong Ki Park),이병두(Byung Doo Rhee),이홍규(Hong Kyu Lee),고창순(Chang Soon Koh),민헌기(Hun Ki Min) 대한내과학회 1988 대한내과학회지 Vol.35 No.2
N/A The Subgrouping of human obesity might be of importance for the elucidation of the pathogenesis of type II diabetes mellitus, To evaluate the effects of the degree of fatness and regional distribution of fat on hyperinsulinemia (insulin area; IA) and insulin sensitivity (KJTT), standard oGTT during a 3-hour period and insulin tolerance tests were performed on 16 noniabetic young men. Body mass index (BMI), waist to hip circumference ratio (WHR), and the intraabdominal visceral fat to subcutaneous fat ratio (VSR) were measured using an abdominal CT scan. There were significant positive correlations between IA and BMI (r=0.58, p<0.05) and WHR (r=0.76, p<0.001). There were significant negative correlations between KITT and BMI (r=0. 64, p<0.05) and WHR (r=0.64, p<0.05), However, VSR had no significatn correlation with IA (r=0.07) and KlTT (r=0.39). These results suggest that in non- diabetic young men, the intraabdaminal distribution of fat has no influence on hyperinsulinemia and insulin sensitivity, and that upper body obesity and the degree of overall fatness have major roles in the genesis of hyperinsulinemia and insulin insensitivity.
인슐린의존성 당뇨병 환자에 합병된 Sino-orbital Aspergillosis 1 예
최강원,고창순,민헌기,서교일,민양기,한대희 대한내과학회 1986 대한내과학회지 Vol.31 No.4
Sino-orbital aspergillosis is defined as invasive aspergillosis of the paranasal sinuses involving orbit. 1ts prognosis has been reported to to be disastrous when complicated by neurologic signs. We herein report a patient with insulin-dependent diabetes mellitus with bilateral ophthalmoplegia, who was finally diagnosed as sino-orbital aspergillosis. Marked improvement was achieved with strict glycemic control, long term amphotericin H therapy and surgical removal of granulation and necrotic tissues. Our experience suggests that in case of bilateral opthalmoplegia in patients with diabetes mellitus, the possbility of sino-orbital aspergillosis should be kept in mind and strict glycemic control and amphotericin-B therapy may play some role in the treatment of the disease.
이홍규,이기업,정민화,민용기,김성연,최문기,이병도,민헌기 대한내과학회 1986 대한내과학회지 Vol.30 No.1
To see clinical characteristics of Korean acromegalics, 27 acromegalic patients admitted to SNUH from 1979 to Sep 1984 were studied. The results are as follows: 1) The mean age of acromegaly was 45, and male to female ratro was 1: 2. 2) The common clinical manifestations were acral and soft tissue enlargement (93%), excessive sweating (70%), headache (56%), voice change (48%), and arthralgia (41%), and 41% of the patients also had clinical diabetes mellitus. 3) The common plain X-ray findings were positive heel pad sign (86%) and enlarged sella (81%). 4) In 19 cases who took brain CT, there were 13 cases (68%) of macroadenomas and 2cases (11%) of microadenomas. 5) In all patients basal GH levels were elevated above 5ng/ml and hyperprolactinemia was detected in 32% of the acromegalics. 6) GTT-GH test, TRH stimulation test, and bromocriptine suppression test was positive in 100%, 67%, and 100% of the patients, respectively. 7) The cure rate of surgical treatment was 17%.