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김익모(Ik Mo Kim),김경진(Kyung Jin Kim),황일용(Il Yong Whang),조승제(Sung Jae Cho),유호대(Ho Dae Yoo) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.2
N/A A case of the liver abscess caused hy Salmonella typhi was introduced, Salmonella liver abscess is known to be one of the rare causes of the pyogenic liver abscess. We experienced a case of salmonella liver abscess, successfully treated with medical management and the available literatures were also reviewed.
옥철호,김성후,이수창,송창석,최환준,차태준,유호대,주승재,이재우 고신대학교 의학부 1998 高神大學校 醫學部 論文集 Vol.13 No.1-2
저자들은 62세 여자 환자의 우측대둔부에서 발생한 월발성 편평상피암과 그 중심부 궤양을 통한 이차적인 파상풍 감염을 경험하였기에 문헌고찰과 이를 보고 하는 바이다. Primary skin cancers are the most common malignant tumors in the human. The incidence of primary skin cancers is rising steadily. The increasing incidence of primary skin cancers have been attributed to increasing exposure to sunlight, alteration of host defence factors and exposure to chemicals or viruses. The primary cutaneous squamous cell cancers (SCC) are prone to metastasis and rapid growth. However, early diagnosis is difficult, and with the delay of the diagnosis, serious complication may be resulted. SCC can develope skin ulceration and skin ulceration can be contaminated by various bacterial organisms. If skin ulceration contaminated by serious bacterial organism, it can be fatal to the patient. So early diagnosis of SCC is important for prevention of complication. Among the various organism, clostridium tetani can infect skin ulceration, and its manifestations are severe after infection. We experienced a case of tetanus developed from skin ulcer complicating primary cutaneous SCC on the right buttock in 62 years old woman. She manifested severe generalized body spasm, opistotonus, dyspnea, trismus, and convulsion, she was treated with muscle blocking agents and tetanus antitoxin. So we report one case of tetanus associated with cutaneous squamous cell cancer.
급성 관동맥 증후군 환자에서 혈소판 세포질내 칼슘 이온 농도
이재우,주승재,차태준,홍관표,유호대 고신대학교 의학부 1997 高神大學校 醫學部 論文集 Vol.12 No.1-2
연구 목적: 관동맥 죽상경화반(atherosclerotic plaque)의 균열에 뒤따르는 혈소판 응집은 급성 관동맥 증후군(acute coronary syndromes)에서 관동맥 혈류를 감소시키는데 중요한 역할을 한다. 혈소판이 활성화되면 혈소판 세포질내 칼슘 이온 농도가 증가하고, 혈소판 응집에 필요한 세포질내 칼슘 농도의 역치에 도달하는데 필요한 칼슘 양이 적어지므로 혈소판 응집능이 증가한다. 본 연구에서는 불안정형 협심증, 급성 심근 경색증 환자의 혈소판 활성화 정도를 알아 보기 위해서 혈소판 세포질내 칼슘이온 농도를 측정하였다. 연구 방법: 급성 관동맥 증후군 환자 11예(남 5예, 여 6예; 평균 연령 62±8.4세)를 대상으로, 입원 후 7~10일 사이에 혈소판 세포질내 칼슘 이온 농도를 측정하였다. 이중 불안정형 협심증이 6예, 급성 심근 경색증이 5예였다. 대조군은 심질환의 과거력이 없으며, 혈압이 정상인 10예(남 6예, 여 4예; 평균 연령 58±10세)로 하였다. 혈소판 세포질내 칼슘 이온 농도 측정을 위해서 형광 탐침자인 quin2를 혈소판과 배양시킨 후, spectrofluorometer로 형광을 측정하였다. 결과: 급성 관동맥 증후군 환자와 정상인의 혈소판 세포질내 칼슘 이온 농도는 각각 213±41nM, 205±38nM로 차이가 없었다. 결론: 회복기 급성 관동맥 증후군 환자의 혈소판 세포질내 칼슘 이온 농도는 정상이나, 심근 허혈이나 심근 경색 발생 직후에는 증가한 가능성이 있으므로, 향후 다른 연구에서 이에 대한 확인이 필요하다. Platelets aggregation on a fissured atherosclerotic plaque in the coronary artery can reduce coronary blood flow and lead to the acute coronary syndromes of unstable angina, acute myocardial infarction and ischemic sudden death. To evaluate the platelet activation in patients with unstable angina or acute myocardial infarction, we measured the resting platelet cytoplasmic Ca^(2+) concentration in 11 patients with the acute coronary syndromes (6 patients with unstable angina, 5 patients with acute myocardial infarction) 7 to 10 days after admissions and in 10 normal controls. After loading of a fluorescent probe, quin2, we measured platelet cytoplasmic Ca^(2+) concentration with a spectrofluorometer. Platelet cytoplasmic Ca^(2+) concentration of patients with the acute coronary syndromes (213±41nM) was not different from that of normal controls (205±38nM). These results suggested that circulating platelets from patients with the acute coronary syndromes during recovery periods were not in a activated state.
만성 C형 활동성 간염에서 인터페론과 리바비린 병합 요법의 치료효과
김길수,한병훈,김형주,이상욱,윤병철,유호대 대한소화기학회 2001 대한소화기학회지 Vol.37 No.3
Background/Aims: Interferon alpha therapy is known to be efficient in treating chronic hepatitis C, but only 10-20% of all treated cases demonstrate sustained response to interferon. The aim of this study was to evaluate the therapeutic efficacy of combined therapy with ribavirin and interferon alpha for the initial treatment of chronic hepatitis C. Methods: One hundred and ten patients with chronic hepatitis C were included in this study. Forty patients were treated with interferon alpha (three million units, thrice weekly) in combination with ribavirin (600 mg/day) for 6 months (group I). Seventy patients were treated with same dose of interferon alpha alone for 6 months (groups II). Changes in the levels of ALT and HCV RNA were observed for 6 months after the completion of treatment. Results: At the end of treatment, 57.5% of group I showed treatment response compared with 30% of group II (p=0.008). At the 6 months follow up, 37.5% of group I showed sustained response (SR) compared with 17.1% of group II (p=0.022). There was no difference in relapse rate between the two groups. The univariate analysis to identify predictive factors for SR and relapse revealed that age, baseline serum ALT, γ-GT in group I and HAI in group II were statistically significant. Conclusion: The combined therapy with interferon alpha and ribavirin is more effective than the therapy with interferon alpha alone for the treatment of naive patients with chronic hepatitis C.
급성심근경색증 때 내원 첫 심전도상 QRS파 끝부분의 비틀림과 조기 예후와의 관계
이영수,차태준,김현주,임진형,이철희,최환준,유호대,주승재,이재우 고신대학교 의학부 1998 高神大學校 醫學部 論文集 Vol.13 No.1-2
There were some reports that magnitude of ST segment elevation reflects the extent of myocardial injury in acute myocardial infarction. And the magnitude of ST elevation, which is influenced by the extent and severity of ischemia, is also determined by other factors. Recently there were some reports that if terminal portion of QRS was distorted, it was related to severe myocardial injury. So we investigated the relationship between distortion of the terminal portion of the QRS complex and early outcome of the myocardial infarction. We classified 108 patients into two groups : 64 patients who had no distortion of terminal QRS portion and 48 patients with distortion of terminal QRS portions. Distortion of terminal QRS portion was defined as the emergence of the J point at a level above the lower half of the R wave or disappearance of the S wave in leads with an Rs configuration in 2 or more adjacent leads. We studied the first ECG checked in emergency room or intensive care units. And we followed the inhospital course of the two groups. 1. There were no significant difference in infarct sites, blood pressure, potassium, creatinine, cholesterol, HDL, triglycerides, smoker, hypertension and DM between two groups. 2. There revealed significantly higher level of peak CK-MB, SGOT and LDH in the QRS distortion group. And Killip class and mortality were also higher in the QRS distortion group. 3. Multivariate logistic regression analysis of mortality with various factors showed that reinfarction, fillip class, QRS distortion was associated with mortality. Distortion of the terminal portion of the QRS complex on the admission ECG was associated with severe myocardial injury and higher mortality rate in patients with acute myocardial infarction.