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박흠례(Heum Rea Park),최덕주(Duck Joo Choi),박현철(Hyun Chul Park),박종재(Jong Jae Park),이성광(Sung Kwang Lee),강동훈(Dong Hoon Kang),김주현(Ju Hyun Kim),김득조(Duk Jo Kim),오수용(Soo Yong Oh),강영숙(Young Sook Kang),이정남(Jong Nam 대한소화기학회 1997 대한소화기학회지 Vol.30 No.1
Hepatocellular carcinoma in pregnancy is very rare. Because it is associated with high maternal and fetal rnortality, the risk group of developing hepatocellular carcinoma in pregnant women must be closely monitored. The risk group includes pregnant women who are HBsAg carriers with cirrhosis, long term users of oral contraceptives, and who have a history of multiparity. An elevated a fetoprotein(AFP) level is useful for the diagnosis. The risk group should be closely monitered with a careful physical examination and AFP measurement. Then hepatocellular carcinoma can be detected at an early stage. We have experienced a case of hepatocellular carcinoma in a pregnant woman with an elevated AFP level who was an user of oral contraceptives and had a history of multiparity. It was confirmed by operation and histologic examination. (Korean J Gastroenterol 1997;30:126-130)
간 , 담도 및 췌장 : 간내담석증 진단에 있어서 정량적 99mTc - DISIDA 스캔의 의미
김학산(Hak San Kim),이은주(Eun Joo Lee),위상오(Sang Oh Wee),최덕주(Duk Joo Choi),박원(Won Park),김종순(Jong Soon Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
N/A To evaluate the usefulness of technetium99m-DISIDA scan for diagnosis of intrahepatic lithiasis, we studied 22 cases of normal subjects, 14 cases of intrahepatic stone (4 cases of right intrahepatic stone, 5 cases for left intrahepatic stone and 5 cases for bilateral intrahepatic stone), 7 cases of common hepatic and common bile duct stone, 7 of hepatitis and 17 cases of GB stone. The results are summarized as follows; 1) In normal control-group, the mean ratio+1s.d. was 0.47+0.18 for RRR, 0.54+0.17 for RRL and 0.91+0.24 for R/L DR. 2) The retention ratio was 0.85+0.52 in affected right lobe of right intrahepatic stone and 0.95+0.18 in affected left lobe of left intrahepatic stone. So ratio was significatnly increased in affected lobe when compared with that of the corresponding normal lobe (p<0.005). 3) The RRR and RRL of bilateral intrahepatic stone, common hepatic and common bile duct stone, GB stone and hepatitis were significantly increased than normal control groups (p<0.01). In conclusion, quantitative technetium-99mDISIDA scan was simple, objective, time-sparing and non-invasive method for screening intrahepatic stone.
차건원,김석경,최덕주,전병훈 인제대학교 1986 仁濟醫學 Vol.7 No.4
The incidence of acute mastoiditis has declined precipitously since the introduction of effective antimicrobial agents for the treatment of acute otitis media. But still the frequency of serious complications from acute mastoiditis has not declined due to inadequate use of antimicrobial agents and improper management. In the present paper we provide 3 cases of acute mastoiditis to discuss the clinicopathologic features and the therapeutic implication.
전병훈,국형철,김석경,최덕주,우훈영,함태영 인제대학교 1985 仁濟醫學 Vol.6 No.4
Vestibular neuritis is a discrete degenerative neuropath of the vestibular nerve trunks. The etiology for the loss of the vestibular function is postulated to be a viral neuritis, An awareness of this disorder as a disease entity will minimize diagnostic and therapeutic frustration on the part of the physician and provide a realistic prognosis for the patient. We have exprienced 4 cases of vestibular neuritis and all of them were well responded to vestibular suppresant drugs.