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기관지 과민반응이 있는 환자에서 기관지 확장제 흡입후 동맥혈 가스분석치와 폐기능 검사치의 변화에 관한 연구
안필상(Phil Sang Ahn),황찬교(Chan Gyo Hwang),방문권(Mun Kweon Bang),이종진(Jong Jin Lee),김상섭(Sang Seop Kim),김주옥(Ju Ock Kim),김선영(Sun Yong Kim) 대한내과학회 1988 대한내과학회지 Vol.35 No.4
N/A Some debates has been going on regarding changes in the values of pulmonary function test and arterial blood gas analysis after bronchodilator inhalation. A study was performed to evaluate the changes of the pulmonary function test (VC-FVC, VC, FVC, FEV1, FEV1/ FVC%) and arterial blood gas analysis (pH, Paco2, Pao2 BE, Sao2,, HCO3,) after bronchodilator inhalation in 44 patients with bronchial hypersensitivity. The results were summarized as follows: 1) The negative response group did not show change in the values of both the pulmonary function test and arterial blood gas analysis. 2) The positive response group did not show change in the values of the arterial blood gas analysis after bron-chodilator inhalation, but did show significantly increase in the order of FEV1, VC and FVC1, but not in VC-FVC and FEV1/FVC%. 3) On comparison of the two groups, there were no differences in the values of the pulmonary function test but there were differences in pH before bronchodilator inhalation and in pH and B.E. after bronchodilator inhalation. These findings indicate that there were no significant changes in the parameters of the arterial blood gas analysis in both groups after bronchodilator inhalation but various parameters (FEVVC, FVC) of the pulmonary function test were significantly increased after bronchodilator inhalation in the positive response group.
심방 및 심실중격 결손증에서 폐동맥판 Vegetation 을 동반한 심내막염 1 예 : 수술 전후의 심에코도 비교
김상수,박순창,박붕연,안필상,황찬교 대한내과학회 1986 대한내과학회지 Vol.31 No.2
We present a case of pulmonic valvular endocarditis in a 22-year-old male with underlying heart disease consisting of ventricular septal defect and atrial septal defect. Though all blood cultures were negative, he had strong clinical evidences of bacterital endocarditis including fever, anemia and heart murmurs. In addition, the abnormal shaggy echoes on the pulmonic valve in M-mode scan and globular mass echoes attached to the pulmonic valve in 2-dimensional echocardiogram were confirmed to be vegetations based on surgical and pathologic findings. This was further proven by the disappearance of the shaggy echoes after surgical excision of the vegetations. We conclude that echocardiography is helpful in the diagnosis of pulmonic valvular endocarditis, expecially in a patient with negative blood cultures.
김상수,안필상,박붕연,황찬교,심우익 대한내과학회 1987 대한내과학회지 Vol.32 No.1
Vascular lesions of the gastrointestinal tract, previously thought to be rare, have been recognized as a common cause of gastrointestinal bleeding. The diagnostic approach and management of severe gastrointestinal bleeding have changed dramatically during the past decade. The selective angiography and radioisotope scanners have made possible the accurate identification of the site and cause of bleeding. A great deal of confusion and controversy exists concerning the classification. The authors experienced two cases of GI bleeding due to small capillary hemangioma of ileum and carvernous hemangioma of jejunum, and treated successfully by operation.