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간내담석으로 간부분절제 수술 후 발생한 황달의 치험 1례에 관한 고찰
최서형,심민,심윤섭,최영규,Choi, Seo-Hyoung,Sim, Min,Sim, Yun-Seub,Choi, Young-Gyoo 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.3
Objective : This study was designed to investigate the effects of herbal medicine on jaundice caused by hepatic resection. Methods : This study was carried out on one patient with jaundice ensued by hepatic resection. The patient was admitted on October 25th, and treated until November 13th, 2004, using acupuncture and herbal medicine(Hepacure-I and Ex.Sosiho-tang.) Result : After 18 days, clinical symptoms had improved. Results of total bilirubin, ALP, GGT tests and urinalysis also showed improvement. Conclusions : These result support a role for this combination of acupunture and herbal medicine in treatment of chronic liver disease.
최서형,심민,김태수,민지연,최영규,Choi, Seo-Hyoung,Sim, Min,Kim, Tae-Soo,Min, Ji-Yeon,Choi, Young-Gyoo 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.4
Objective : Liver cirrhosis is a disease of the liver in which normal cells are replated by scar tissue. Chronic liver disease and liver cirrhosis are the foutth ranked causes of death in Korea. However, clinical data on liver cirrhosis is not accumulated in oriental medicine. Therefore, clinical characteristics of 33 liver patients admitted to Hana Oriental Hospital from May 2004 to May 2005 were studied. Methods : Clinical characteristics of liver cirrhosis, such sex, age, causes, Child-Pugh class, chief complain, abdomen ultrasonography, disease duration, past history, blood test and urinalysis were reviewed. Results : The results of this study were as follows: 1 The distribution of sex and age in our study is similar to already reported statistics. 2. Hepatitis B and alcohol are the major factors to cause the liver cirrhosis. Diabetes and hypertention contribute more to cause than they have in previous histories. 3. Major symptoms are following: fatigue 87.9%, ascites 84.8%, jaundice 78.8%, leg edema 72.7%, dyspepsia 45.5%. 4. Most liver cirrhosis patients have pancytopenia. Standard Deviation accentuates the big differences between total bilirubin and serum amonia. 5. In urinalysis, Urobilinogen 19 patients (57.6%), bilirubin 12 patients (36.4%), blood 15 patients (45.5%) are positive. 11 cases of 15 in blood positive results scored $3{\sim}4+$. Contusions : In oriental medicine, it will be necessary to research and develop oriental medical therapies for liver disease including liver cirrhosis.
유한차분법을 이용한 기능성 위장 장애 진단용 초음파 시스템의 개발
박원필(Won Pil Park),우대곤(Dae Gon Woo),고창용(Chang Yong Ko),이균정(Qyoun Jung Lee),이용흠(Yong Heum Lee),최서형(Seo Hyoung Choi),신태민(Tae Min Shin),김한성(Han Sung Kim),임도형(Dohyung Lim) Korean Society for Precision Engineering 2007 한국정밀공학회지 Vol.24 No.9
The disaster from functional gastrointestinal disorders(FGID) has detrimental impact on the quality of life of the affected population. There are, however, rare diagnostic methods for FGID. Our research group identified recently that the gastrointestinal tract well of the patients with FGID became more rigid than that of healthy people when palpating the abdominal regions overlaying the gastrointestinal tract. The objective of the current study is, therefore, to identify feasibility of a diagnostic system for FGID based on ultrasound technique, which can quantify the characteristics above. Two-dimensional finite difference(FD) models(one normal and two rigid models) were developed to analyze the reflective characteristic(displacement) on each soft-tissue layer responded after application of ultrasound signals. Based on the results from FD analysis, the ultrasound system for diagnosis of the FGID was developed and clinically tested via application of it to 40 human subjects with/without FGID who were assigned to Normal and Patient Groups. The results from FD analysis showed that the maximum displacement amplitude in the rigid models(0.12 and 0.16) at the interface between the fat and muscle layers was explicitly less than that in the normal model(0.29). The results from actual specimens showed that the maximum amplitude of the ultrasound reflective signal in the rigid models(0.2±0.1Vp-p) at the interface between the fat and muscle layers was explicitly higher than that in the normal model(0.1±0.0Vp-p). Clinical tests using our customized ultrasound system showed that the maximum amplitudes of the ultrasound reflective signals near to the gastrointestinal tract well for the patient group(2.6±0.3Vp-p) were generally higher than those in normal group(0.1±0.2Vp-p). These findings suggest that our customized ultrasound system using the ultrasound reflective signal may be helpful to the diagnosis of the FGID.