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삼출성 복수에서 결핵성 복막염과 암성 복수의 감별진단을 위한 복수검사 소견
박종호 ( Park Jong Ho ),방성조 ( Bang Seong Jo ),신정우 ( Sin Jeong U ),주광로 ( Ju Gwang Lo ),박능화 ( Park Neung Hwa ),김도하 ( Kim Do Ha ) 대한소화기학회 2003 대한소화기학회 추계학술대회 Vol.2003 No.-
<목적> 삼출성 복수를 주소로 내원한 환자에서 결핵성 복막염과 암성 복수를 감별진단 하는 데는 어려움이 많으며 또한 모든 환자에서 복강경검사가 가능한 것도 아니다. 본 연구에서는 복수검사 소견만으로 두 질환을 감별진단 하고자 할 때 유용한 복수검사의 종류와 예민도 및 특이도 등을 알아보고자 하였다.<방법> 1999년 9월부터 2003년 7월까지 울산대학교병원에서 급성복막염을 제외하고 삼출성 복막염으로 내원한 환자 중 복수의 원인이 명확하게 밝혀진 예를
상부 소화관 질환증상에 대한 제산, 소화효소 및 생약 세립의 유용성
구자영(Ja Young Koo),박능화(Neung Hwa Park),최종수(Jeong Soo Choi),안수열(Soo Yeul Ahn) 대한약학회 1993 약학회지 Vol.37 No.5
The purpose of this study is to assess the clinical efficacy and safety of NRM granules which were newly developed as a combination product containing antacids, digestive enzymes and herb drugs for the treatmet of various symptoms of upper gastrointestinal disorders taking SGN granules of similiar but different composition as a control. One hundred and twenty one patients were randomly allocated to receive one pack of either NRM granule(80 cases) or SGN granules(41 cases) three times a day after meal and undergone symptomatic, endoscopic and clinical laboratory assessment before and after two weeks of treatment. The results were as follows; 1. All symptoms except anorexia showed improvements in more than 90% of total cases with each symptom in the NRM group. 2. The general improvement rate was 97.5% in NRM group, and was superior to the(92.5%) of SGN group. 3. Two cases of NRM group and one case of SGN group developed mild nausea, and onecase of SGN group developed mild epigastric soreness. No cases of the two groups developed laboratory(blood, biochemical, urine) abnormalities. 4. The overall clinical efficacy rate was 95.0% in NRM group, 87.8% in SGN group. According to the result of this trial, it was concluded that NRM granule was an effective and safe drug and(but not statistically significant) was slightly more efficient than SGN for treatment of various symptoms in upper gastrointestinal disorders.
외과영역에서의 간질환 : 수술 전 위험 평가 및 수술 후 간기능이상
오쌍용 ( Ssang Yong Oh ),박능화 ( Neung Hwa Park ) 대한간학회 2009 Clinical and Molecular Hepatology(대한간학회지) Vol.15 No.2(S)
It is common for patients with liver disease to undergo surgery. Asymptomatic patients with undiagnosed chronic liver disease might also undergo surgery. These patients have an increased risk of morbidity and mortality that is related to their underlying liver disease. Appropriate preoperative evaluation and management of patients with liver disease is essential for counseling and selection of patients for surgical treatment, and might reduce the risks of surgery and improve outcomes for these patients. The most useful indicators of surgical risk are indices that predict advanced disease, such as the Child-Turcotte-Pugh score, or such as the Model for End-stage Liver Disease score. In this lecture, we will review the pathophysiology, morbidity and mortality associated with patients with liver disease, and then recommend an algorithm for risk assessment and evidence based management strategy to optimize postsurgical outcomes.