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췌장의 점액성 낭성종양 - 9예보고 및 국내문헌 고찰 -
이용찬(Yong Chan Lee),송시영(Si Young Song),정재복(Jae Bock Chung),박찬신(Chan Shin Park),최원(Won Choi),강진경(Jin Kyung Kang),박인서(In Suh Park) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.4
N/A Most cystic lesions of the pancreas are pseudocysts, however, 10% to 15% are cystic neo- plasms, including serous cystadenoma and mucinous cystic neoplasms(mucinous cystadenorna and cystadenocarcinoma). Pseudocysts may resolve spontaneously or may require a drainage procedure, but total excision is the ideal treatment for pancreatic cystadenoma because it is a true neoplasm which probably posseses a malignant potential. The authors have reviewed 9 patients(4 patients of mucinous cystadenoma and 5 patient.s of mucinous cystadenocarcinoma) from January 1981 to December 1990. There were 8 women and 1 man with the mean age of 49.3 years(range, 27 to 68 years). Abdominal pain was the most common symptom(6 patients) with the palpable mass in 3 patients. Ijltrasonography showed cystic mass in 7 patients(77.8% ). Of those 6 patients who underwent C;T, ll detected the lesion without difficulty. Endoscopic retrograde cholangiopancreatography(F,RCP) were performed in 5 patients with the findings of duct displacements in 3 patients and abrupt cut- off of pancreatic duct in 1 patients and there was no comrnunication between main duct and cyst. Tail was the most common location of the tumor(5 patients) with mean size of 8.9cm (range, 2.0 to 22.0cm). Curative resection were possible in 6 patient(66.7%). Survival time was obtainable in 6 patients. After excluding 2 patients whom died 4 rnonths and 6 months after surgery respectively, the median survival duration was 27 months(maximum 69 months).(Korean J Gastroenterol 1994; 26: 728 736)
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충남(忠南) 남부지역(南部地域)의 소 유행렬(流行烈), 아까바네병(病) 및 이바라끼병(病)의 항체(抗體) 상황(狀況) 조사(調査)
천정훈 ( Joung Hun Chun ),이재봉 ( Jae Bong Lee ),이건택 ( Gun Tak Lee ),박옥배 ( Ok Bae Park ),박찬신 ( Chan Shin Park ),박봉균 ( Bong Kyun Park ) 한국가축위생학회 1994 韓國家畜衛生學會誌 Vol.17 No.1
To investigate serum neutralizing antibodies against Bovine ephemeral fever (BEF) virus, Akabane virus and Ibaraki virus in southern area of Chungnam province, Holstein sera were collected from April-May(269 heads/37 farms) and October-November(226 heads/35 farms), 1993. The results were summarized as follows; 1. Bovine ephemeral fever. -antibody positive rates to BEF virus were 46.1%(124 heads/269 Holstein) in April-May and 53.9%(122 heads/226 Holstein) in October-November. 2. Akabane disease. -antibody positive rates to Akabane virus were 34.2%(92 heads/269 Holstein) in April-May and 51.3%(116 heads/226 Holstein) in October-Novermber. 3. Ibaraki disease. -antibody positive rates to Ibaraki virus were 57.6%(155 heads/269 Holstein) in April-May and 38.5%(87 heads/226 Holstein) in October-November.
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지속성 외래 복막투석 환자에서 진균성 복막염의 임상적 고찰
한대석,김흥수,강신욱,김진안,김유선,최규헌,조재용,박찬신,이호영,강덕희,김김용 대한신장학회 1993 Kidney Research and Clinical Practice Vol.12 No.4
CAPD peritonitis is one of the most important com- lication of peritoneal dialysis. Among the CAPD peritonitis, fungal peritonitis is relatively rare but the prognosis is grave and removal of the peritoneal catheter is essential for management of peritonitis. We report our center's experience of 21 episodes of fungal peritonitis confirmed by CAPD effluent culture from January, 1983 to March 1993. The male to female ratio, the mean age, the mean duration of CAPD were 11:10, 48.2+11.2 years (range 17 -70), 21.0+20.8 monthes (1-72) respectively and the mean annual incidence of peritonitis was 1.47+1.49(0 -4). The most common causitive fungi were candida species with 869(N =18), and the remaining 3 cases were Trichosporon beigelii, Mucormycosis species, Cryptococcus neoformans isolated respectively. The severe complications of fungal peritonitis were intraaMominal abscess combined with intestinal obstruction in 3 cases, sepsis in 2 cases, meningitis in 1 case, and pneumonia in 1 case. Patients were treated by cathter removal alone (N = 5), by catheter removal followed by intravenous antifungal agent (N=13), or peritoneal catheter removal, antifungal agent and surgical drainage (N =3). Of these 60% 92% and 100% were treated successfully respectively. The complication and death rates were significantly low in the early peritoneal catheter removal group (within 7 days). And also, the group receiving antifungal agent more early showed better prognosis. In conclusion, we recommednd early peritoneal catheter removal, with antifungal medications as soon as fungal peritonitis is diagnosed in CAPD patients. And if symptoms of intestinal obstruction or abdominal pain continue despite adequate treatment, complication such as intraabdominal abscess should be suspected.
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