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각종 간질환에서 Tc - 99m pertechnetate 경직장 문맥신티그라피를 이용한 문맥 순환의 평가
김관우 ( Kwan Woo Kim ),김종순 ( Chong Soon Kim ),김학산 ( Hak San Kim ),박원 ( Won Park ),이범우 ( Bum Woo Lee ),서관식 ( Kwan Sik Suh ),이봉휘 ( Bong Hwi Lee ),김광일 ( Kang Il Kim ) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.4
N/A Portal circultion in patients with various liver diseases was evaluated by Tc-99m pertechnetate per-rectal scintigraphy. 10mCi of pertechnetate was instilled into the upper rectum, and serial scintigrams were taken. Time-activity curves for the liver and heart were recorded sequentially. Through analysis of these curves, the per-rectal portal shunt indices were calculated for 15 norrnal controls, 12 with acute hepatitis (AH), 28 with chronic hepatitis, 51 with liver cirrhosis, 1 with falminant hepatic failure (FHF ). 5 with hepatic congestion (I-IC) due to congestive heart failure (CHF). The results obtained were as follows: 1) 15 normal controls and the patients with acute and chronic hepatitis all had 'Pattern II' scintigrams, and the patients with liver cirrhosis (LC) and hepatic congestion had 'Pattern II' scintigrams. One patient with FHF showed 'Pattern II' scintigram. 2) The shunt index (SI) in the normal controls was l.32±1.30%, in AH 10.9±5.7%, in CPH 5.4±2.3%, in CAH 11.8±4.2%, in LC 72.4±21.6%, in HC 39.9±27.2%, and in one FHF 75.4%. 3) Patients with various liver diseases had the significantly higher SI than the normal controls (p < 0.001). Also, the SI in pts. with liver cirrhosis was significantly higher than that of all the other groups (p < 0.001). 4) The mean SI was significantly higher for chronic liver diseases, that were more severe, increasing in the order of CPH, CAH and liver cirrhosis (p<0.001). Also, pts. With AH and CAH showed the significantly higher SI than pts. With CPH (p<0.001), and there was no significant difference in the SI between pts. With AH and CAH (p>0.05). 5) The mean SI was significantly higher in the cirrhotic pts. With varices, encephalopathy, splenomegaly or ascites than in such patient without them (p<0.005). 6) The mean SI in the cirrhotic pts, was calculated according to the modified Child's classification, of which results were that the SI was increased significantly in the order of Grade A, B and C (p< 0.001). 7) In one patient with LC, SI was much decreased from 39.5% before surgery to 7.1% after surgery. The above results suggest that per-rectal portal scintigraphy can be used to evaluate the portal circulation non-invasively and diagnose the portal hypertension in various liver diseases. Also, it can be used to express the degree of any portal hypertension not only by images but also quantitatively, using shunt index, and it is considered useful for the observation of the course of liver diseases and eva]uation of effectiveness of therapy.
김성희(Seong Hee Kim),송태의(Tae E Song),서관식(Kwan Sik Suh),김학산(Hak San Kim),한창순(Chang Soon Han) 대한내과학회 1989 대한내과학회지 Vol.37 No.5
N/A Three cases of Vitamin B12 deficiency megaloblastic anemia are presented and the literature is briefly reviewed. The first 2cases were complicated with a previous gastrectomy due to stomach cancer 7 and 10 years earlier respectively, and the third case was combined with intrinsic factor deficiency and atropic gastritis. All ceses revealed anemic symptoms and peripheral neuropathy or painful beefy tongue. Laboratory findings showed markedly decreased serum Vitamin B, levels and increased LDH (with reversed subfraction; LD1>LD2). Peripheral blood and bone marrow findings were compatible with megaloblastic anemia, which included macrocytic anemia, anisocytosis, hypersegmented neutrophils, increased cellularity, decreased M:E ratio and increased iron storage. Symptomatic and hematological improvements were attained after scheduled Vitamin B therapy. But the intractable peripheral neuropathy in case 1 was not improved and the use of ganglioside was in vain.
갑상선 기능 이상에 따른 혈장 ANP(Atrial Natriuretic Peptide)의 변화
김종순,성상규,박원,이범우,서관식 대한내분비학회 1987 Endocrinology and metabolism Vol.2 No.2
Recently, there were serveral reports that plasma ANP decreased in hypothyroid patients and increased in hyperthyroid rats. We studied plasma ANP levels in 16 normal subjects(mean 29 year), 6 hypothyroid(mean 32 year), 12 euthyroid including subclinical hypothyroid state(mean 40 year), 12 hypothyroid patients(mean 34 year). In hypothyroid patients, the changes of plasma ANP levels were measured after 3 weeks of thyroid hormone therapy, and in hypothyroid patients, after 6 weeks of antithyroid therapy. The results obtained are as follows; 1) Plasma ANP levels were lower in hypothyroid patients(24±4.52(±SE) pg/ml) compared to normal subjects(49.0±4.37 pg/ml)(p$lt;0.05), and insignificantly higher in hypothyroid patients(58±7.56 pg/ml) than mormal subjects. 2) In seven treated hypothyroid patients including 4 subclinical hypothyroid patients, plasma ANP significantly increased from 40±5.30 pg/ml to 67±9.46 pg/ml(p$lt;0.05). 3) In six treated hyperthyroid patients, plasma ANP decreased from 56±10.94 pg/ml to 46±6.48 pg/ml, but there was no statistical significance. In summary, we found that hypothyroidism is characterized by decreased plasma ANP levels which become normal during T_4 treatment. These findings are consistent with the hypothesis that thyroid hormone participates in the release of ANP.