http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
이명하 ( Myoung Ha Lee ),정준영 ( Jun Young Jung ),백대현 ( Dea Hyun Beak ),박영숙 ( Young Sook Park ),유탁근 ( Tag Keun Yoo ),성수아 ( Su Ah Sung ),황영환 ( Young Hwan Hwang ) 대한내과학회 2009 대한내과학회지 Vol.76 No.3
Spontaneous urinary bladder rupture is uncommon, but is associated with significant morbidity and mortality because of delayed diagnosis. A 65-year-old man was admitted to the emergency room because of low abdominal pain and abdominal distention of sudden onset. The previous night, he had consumed a bottle of alcohol and fallen asleep. Diagnosed as peritonitis of unknown origin, he was prescribed antibiotics empirically. However, the ascites progressed and oliguric acute renal failure developed. On the fifth day, we measured the creatinine level in the ascitic fluid and performed retrograde cystography. He was diagnosed as idiopathic spontaneous bladder rupture and underwent a primary repair successfully. When a patient presents with acute abdominal pain, ascites, and oliguric acute renal failure without definite causes, physicians should consider idiopathic spontaneous bladder rupture, measure the creatinine level in the ascitic fluid immediately, and perform retrograde cystography to obtain an early diagnosis. (Korean J Med 76:370-373, 2009)
관상동맥조영술이 정상인 비심인성 흉통 환자의 상부위장관내시경 소견
이명하 ( Myoung Ha Lee ),박영숙 ( Young Sook Park ),김남인 ( Nam In Kim ),정준영 ( Jun Young Jung ),송은주 ( Eun Ju Song ),조윤주 ( Yun Ju Jo ),김성환 ( Seong Hwan Kim ),전대원 ( Dae Won Jun ),최재웅 ( Jae Ung Choe ),유승기 ( Seun 대한내과학회 2009 대한내과학회지 Vol.77 No.2
Background/Aims: Noncardiac chest pain (NCCP) mainly results from esophageal lesions in the developed world. By contrast, gastroesophageal reflux disease (GERD) is a less frequent cause of NCCP than peptic ulcer disease in China and Japan. Therefore, both esophageal lesions and stomach and duodenal lesions are likely to be important causes of NCCP in Korea. We used upper gastrointestinal endoscopy to evaluate lesions of the esophagus, stomach, and duodenum in NCCP patients after cardiac chest pain was ruled out by coronary angiography (CAG). Methods: From the patients who underwent CAG between 2004 and 2008, we identified 89 patients who had normal CAG or minimal disease. We retrospectively analyzed the endoscopic findings of these 89 patients who were diagnosed with NCCP. Results: At endoscopy for the 89 patients, the percentages of GERD, gastric ulcer, and duodenal ulcer were 20.2% (n=18), 14.6% (n=13), and 3.3% (n=3) respectively. Of the 16 cases diagnosed as peptic ulcer, 11 were evaluated by biopsy or the Campylobacter-like organism (CLO) test for suspected Helicobacter pylori infection. Six (54%) cases were positive for H. pylori and five (46%) were negative. Conclusions: In Korea, the incidence of peptic ulcer disease (17.9%) as a cause of NCCP is similar to that of GERD (20.2%). Consequently, we should perform endoscopy to determine the cause of NCCP. (Korean J 77:187-192, 2009)
사업장에 적용 가능한 감염병(COVID-19) 위험성평가 지표 개발
김하경,이명하,송형준,Kim, Ha Kyeong,Lee, Myoung Ha,Song, Hyung-Jun 한국안전학회 2022 한국안전학회지 Vol.37 No.2
Widespread infectious diseases are a concern for workers working in confined spaces. However, there is no risk assessment index for the risk of infectious disease in the workplace. Therefore, we propose a simple but effective index model to assess the risk of infectious diseases in the workplace. The proposed model identifies the risk of each workplace through an evaluation sheet comprising the frequency and intensity of the infectious disease. The intensity of an infectious disease is generally governed by the density of workers, whereas frequency is the sum of physical-e nvironmental and human management factors. By multiplying intensity and frequency, the risk of the workplace is derived. Through the proposed model, we evaluate the risks of workers at 15 different work sites. The proposed model clearly reveals what should be improved to keep workers safe from infectious diseases and will be helpful in assessing the risk of contagious disease at the work place.
종례 : 간 종괴로 오인된 우측 심부전에 의한 간 울혈 1예
신동호 ( Dong Ho Shin ),이명하 ( Myoung Ha Lee ),김도영 ( Do Young Kim ),이경주 ( Kyong Joo Lee ),박준용 ( Jun Yong Park ),안상훈 ( Sang Hoon Ahn ),한광협 ( Kwang Hyub Han ),전재윤 ( Chae Yoon Chon ) 대한소화기학회 2010 대한소화기학회지 Vol.56 No.4
This report describes a patient with hepatic congestion due to right heart failure mimicking liver tumor. The patient had a history of breast cancer and left total mastectomy 30 years ago, tricuspid valve regurgitation and tricuspid valve replacement 4 years ago. Three years ago, abdominal contrast-enhanced computed tomography (CT) was performed to evaluate inguinal hernia, which revealed multiple small hepatic nodules. After 1 year, the number and size of liver nodules were increased in CT scan. The patient underwent gun biopsy and histopathology revealed sinusoid enlargement. The patient recently had jaundice, abdominal distension, and peripheral edema. Liver dynamic CT scan was done to evaluate the palpable liver. The number and size of liver nodules were more increased in CT than 2 years ago. In magnetic resonance imaging (MRI), numerous variable sized ill-defined nodules replacing entire liver with progressing centripetal enhancement, which were suggestive of malignancy such as angiosarcoma, were noted. MRI finding suspects malignancy or hemangiosarcoma. Finally, the patient received repeated gun biopsy, and histopathology revealed findings compatible with hepatic congestion. (Korean J Gastroenterol 2010;56:264-267)
혈액투석 중인 류마티스관절염 환자에서 Etanercept (Enbrel(R))로 치료한
백대현 ( Dae Hyun Baek ),송은주 ( Eun Ju Song ),이명하 ( Myoung Ha Lee ),이상렬 ( Sang Ryul Lee ),성수아 ( Su Ah Sung ),황영환 ( Young Hwan Hwang ),허진욱 ( Jin Wuk Hur ) 대한류마티스학회 2008 대한류마티스학회지 Vol.15 No.4
Disease-modifying antirheumatic drugs (DMARDs) have been used for rheumatoid arthritis (RA) with the aim of controlling synovitis and reducing radiologic progression. Although methotrexate (MTX) is one of the most effective DMARDs, it may cause severe adverse effects. Especially, hematologic toxicity including leukopenia, thrombocytopenia, and fatal pancytopenia is reported in patients with impaired renal function, since renal excretion constitutes the major route of MTX elimination. Tumor necrosis factor-α (TNFα) inhibitors are well-established biologic agents for the treatment of RA and their clinical efficacy and safety are already demonstrated. But there were few reports on the efficacy and safety in dialysis patients. We described a case of hemodialysis patient with refractory RA that was successfully treated with etanercept, and discussed with literature review.