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김인수 ( In Soo Kim ),서주영 ( Choo Young Suh ),이규면 ( Kyoo Myun Lee ),변해원 ( Hae Won Pyun ) 대한내과학회 1969 대한내과학회지 Vol.12 No.7
From a clinical study of 23 idult patients with miliary tuberculosis, experienced in the Catholie Medical Center during past 6 years, the following may be concluded; 1. Miliery tuberculosis comprised 1. 82% of total ward tuberculous patients. 2. Prepondera
이기환 ( Ki Whan Lee ),박이호 ( Yi Ho Park ),서주영 ( Choo Young Suh ) 대한내과학회 1968 대한내과학회지 Vol.11 No.5
An increased incidence of hyperuricemia in patients with hypertension has been cited in several reports. Hyperuricemia in hypertension results from diminished renal excretion of urate. We were conducted to study serum uric acid in 130 hypertensive patients and 95 normal persons, and the following conclusions were made. In the hypertensive patients, primary hypertension was 101, renal 19, and malignant 10. Normal serum uric acid value was, 4.25±1.47㎎./100ml. In man and 3.85±1.23㎎./100ml. In woman. A value for serum uric acid was arbitrarily termed to be elevated, if it exceeded 5.8㎎. /100ml. In males and 5.1㎎./100. in females. 97(75%) of 130 hypertensive patients were hyperuricemic, 70 (69%) of 101 patients with primary hypertension, 18 (95%) of 19 with renal hypertension and 9 (90%) of 10 with malignant hypertension had hyperuricemial. Incidence of hyperuricemia in the patients with hypertension sharply increased according to the severity of azotemia. An elevation of serum uric acid may be an early manifestation of a renal tubular dysfunction or is accompanied by other disturbance formed in the hypertensive patients.
The Musical Diastolic Murmur of Aortic Insufficiency Report of Three Cases
Suh, Choo Young,Bae, Dong Jick 경북대학교 의학연구소 1965 慶北醫大誌 Vol.6 No.1
Three patients with unusual musical aortic diastolic murmur have been observed within a 5 year period. The murmurs have been produced by aortie insufficiency due to syphilitic valvulitis, bacterial endocarditis or acute rheumatic valvulitis. Appearance of the murmur was generally followed by the congestive heart failure and disappeared as the pathologic conditions regressed in the latter two cases. The mechanism of the production of the musical murmur and its effects in altering the cardiova scular dynamics are discussed. A description of the phonocardiographic records in the various etiologic is presented. The underlying etiologt of the murmur can not be determined by the time of onset of the murmur with relation to the second heart sound, or by its graphic representation in the phonocardiographic record. REREERENCES 1.Hodgkin, T.: On retroversion of the valve of the aorta, London Med. Gazette, 3:433,1829. 2.Vernie A. Stanbridge, George, R. Herrmann A.H.: Unusual musical murmur of anterior cusp aortic regurgitation.48:2, 1954. 3.Gelfand, D., & Bellet, S.: The musical murmurs of aortic insufficiency, clinical manifestions; Besed on a study of 18 cases, A.J.M.Sc., 221 : 644, 1951. 4.Elliotson, J.:Diseases of the heart, London, 1930. 5.Bertin, Par,R.J.: Traite ??es maladies duk cocur et des gross vaisseaux, Paris, 1824. 6.Bellet,S., Gonley, B., Nichols, C.F. and McMillan, T. M: L??d, musical, diastolic murmurs of aortic insufficiency, Am.Heart J. 18:483,1939.