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- 저자 : 정철영(Cheol-Young Chung) (검색결과 6 건)
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박중채,김정년,장철호,최명재,김홍용,김정숙,정철영,Park, Joong-Chae,Kim, Jeong-Nyun,Chang, Cheol-Ho,Chey, Myung-Jae,Kim, Hong-Young,Kim, Jeong-Suk,Chung, Churl-Young 대한소아소화기영양학회 1998 Pediatric gastroenterology, hepatology & nutrition Vol.1 No.1
미숙아에서 유문협착증은 매우 드문 질환으로 증상이 비전형적이고 한번의 복부 초음파 검사로 진단이 어렵다. 저자들은 구토와 수유 곤란이 발생한 미숙아에서 계속적인 복부 초음파 검사와 위장관 조영술로 유문협착증으로 진단하였고 수술 후 증세 호전되어 퇴원한 2례를 보고하는 바이다. The incidence of Hypertrophic pyloric stenosis (HPS) in premature infants is rare, the presentation is not typical, and the diagnosis delayed due to uncertain diagnostic criteria in abdominal ultrasonography (US). We report two premature infants with HPS diagnosed by US and upper gastrointestinal (UGI) contrast study. Patient 1. A premature female infant (birth weight 1950 gm at 34 week's gestation) with the onset of intermittent vomiting at 9 days of age was evaluated. US was normal at 13 days of life, however, abnormal at 41 days of life (pyloric muscle length 16.5 mm). Patient 2. A premature male infant (birth weight 1470 gm at 29 week's gestation) with the onset of intermittent vomiting at 10 days of age was evaluated. US showed pylorospasm at 11 days of life, however, findings compatible with HPS at 57 days of life (pyloric muscle thickness 11 mm). UGI contrast study at 48 days of life showed similar findings in both cases. Both patients had undergone pyloromyotomy. In conclusion, the diagnosis of HPS in premature infants requires careful follow-up by US and UGI contrast study.
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정경미,장철호,정철영 인제대학교 1996 仁濟醫學 Vol.17 No.2
최근에 와서 장중첩증의 조기 진단과 적절한 치료로 예후가 현저히 좋아지긴 했으나, 아직 근본적인 원인과 위험인자들을 예측할 지표는 확실하지 않다. 이에 저자들은 1994년 1년간 상계백병원 소아과를 내원하여 장중첩증 의심 하에 복부초음파를 시행한 218명을 대상으로 하여 장중첩증의 임상 증상 및 검사 소견들을 조사하였다. To evauate the clinical analysis associated with intussusception in children. We studied 218 patients who had taken abdominal ultrasonography, impressed intussusception, at Sanggye Paik hospital during 1 year period January 1994 to December. The results were as follows ; 1.The mean age was 1.45 years old, the most common age are under 1 year old.(41.1%) 2.The sex ratio was 1.7:1, male predominant. 3.The number of intussusception with 3 symptoms(abdominal pain or irritability, vomitting, current jelly stool) was 63 cases, two symptoms(abdominal pain, bloody stool) was 27 cases and 3 cases had only one symptom(vomitting or bloody stool) but they were intussusception. 4.Of the 53 cases with palpable abdominal mass, 47 cases were intussuscetion. 5.Of the 218 cases undergone abdominal ultrasonography, 149 cases were intussuscetion 6.The most common associated diseases was upper respiratory tract infection. 7.Of the 146 cases with intussusception, 119 cases were reducted by gastrographin enema, 26 case were failed, 1 case was reducted by manual method. 8.Of the 26 cases, failed by gastrographin reduction, 20 cases were reducted by surgically manual method and 5 cases were spontaneously reducted, 1 case were resected.
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장철호,정철영 인제대학교 1997 仁濟醫學 Vol.18 No.3
결절성 십이지장염은 일반적으로 내시경 검사상 흔치 않은 소견으로 최근 말기 신장 질환과 연관이 있는 것으로 알려지고 있다. 본 연구는 위내시경 검사상 결절성 십이지장염 소견을 보인 소아들을 대상으로 임상 증상, 동반된 내시경 검사 소견, 조직학적 소견 등을 조사하였다. 결절성 십이지장염은 소아에서 비교적 흔히 관찰되는 내시경 소견이며, 거의 모든 예에서 조직학적 염증 소견이 관찰되지만 만성 반복성 복통과 같은 임상 증상과의 관련성은 확실하지 않다. Nodular duodenitis is endoscopically characterized by multiple erythematous nodules in proximal duodenum and may represent a valiant of duodenal inflammation. This study examines the incidence, clinical presentation, endoscopic finding, and histologic feature of nodular duodenitis in 91 children who presented with gastrointestinal symptoms. Endoscopically, in addition to nodular duodenitis, esophagitis was found in 6% of patients and gastritis in 33%. Histology of duodenal nodules revealed chronic inflammation in 91% of patients, lymphoid hyperplasia in 6%, and normal mucosa in 3% of patients. We conclude that nodular duodenitis in children is relatively common and is an endoscopically distinct entity that is associated with chronic inflammation.
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김병의,장철호,정철영,지제근 인제대학교 1995 仁濟醫學 Vol.16 No.2
Alagille 증후군은 소엽간 담도수의 현저한 감소 및 담즙 정체를 특징으로하며, 특이한 얼굴 모양, 눈의 이상, 심혈관 이상, 척추 기형, 신장 질환등이 동반되는 드문 유전성 질환이다. 저자들은 황달을 주소로 본원에 내원한 22개월 환아를 경험하였기에 보고하는 바이다. Alagille syndrome is a disorder that is characterized by paucity of interlobularbile duct, cholestasis, characteristic facial profile, ocular abnormality, cardiovascular abnormalities and vertebral arch defect. We experienced a case of alagille syndrome of a 22 month-old female. She showed persistent cholestasis, characteristic facies, peripheral pulmonary artery stenosis and vertebral defect, but posterior embryotoxon was not seen. The liver biopsy showed paucity of interlobular bile ducts.
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