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선천성 쇄골 가관절증의 22년 장기 추시 결과 - 증례 보고 -
이상명,이승구,허성우,김민업 대한수부외과학회 2011 대한수부외과학회지 Vol.16 No.1
Congenital pseudarthrosis of the clavicle is a rare condition, which rarely produces functional disabilities except for cosmetic problems. Surgical treatment involves autogenous iliac bone grafts and internal fixation. Few studies have reported long-term results of surgical treatment or morphological changes of the clavicle. We report a patient with a congenital pseudarthrosis of the clavicle, who demonstrated a near normal radiographic appearance of the clavicle and an excellent result 22 years after the operation performed at 4 years of age. 선천성 쇄골 가관절증은 매우 드문 질환으로 대부분 기능적 이상은 없으나 미용상의문제로 수술하는 경우가 많다. 수술은 대부분 가관절 절제 및 자가 골 이식의 방법을사용하는데 이에 대한 장기 추시 결과는 매우 드물다. 저자들은 4세 여아에서 자가 장골 분절 이식 수술을 시행하고 성장이 완료된 22년 후 내원한 환자를 평가하여 좋은결과를 얻었기에 보고하는 바이다.
Mycoplasma Pneumoniae 폐렴의 임상적 고찰
서은숙,허상명,서종두,강진무 대한감염학회 1991 감염 Vol.23 No.3
A retrospective study of clinical features in 71 patients with M pneumoniae pneumonia who were admitted to the department of pediatrics, Keimyung university, Dong san hospital from January to December 1989 was performed. The results were as follows. 1) The peak incidence of age was 5 to 9 years (69%), and male to female ratio was 1.2:1. 2) Monthly distribution showed the highest frequency in July (33.3%). 3) The most frequent symptom was cough (95.8%) followed by fever (74.7%), sputum (49.3%) and runny nose (28.2%) in order. 4) The common physical findings on admission were rales (77.4%) and throat injection (19.7%). 5) WBC count was within normal range (5000-9999/㎣) in 57.8% and ESR was elevated in 46.5%. 6) A mycoplasma antibody titer was greater than 1:80 in all cases, and the antibody titer began to rise at 15 days and reached peak level on 17 to 23 days onset of illness. 7) Chest X-ray showed pulmonary infiltration in 97.4% of the cases which include bronchopneumonia (45.1%), lobar pneumonia (31%), and interstitial pneumonia (18.3%). Unilateral involvement (76.1%) was more common than bilateral involvement (19.4%). 8) Compications were bronchial asthma (2 cases), atelectasis (1 case), sinusitis (2 cases), chicken pox (1 case), streptococcal sepsis (1 case) and bacteria associated hemophagocytic syndrome (1 case). Pleural effusion was seen in 25.4% of the cases. 9) Patients were treated with erythromycin and all patients were recovered without sequalae.
강진무,서은숙,허상명,백태원 啓明大學校 醫科大學 1990 계명의대학술지 Vol.9 No.4
We experienced a case of alobar type holoprosencephaly without extracranial abnormalities except microcephaly in a 8 months old male infant. The diagnosis was made by brain CT scan, which showed the findings compatible to alobar type of holoprosencephaly. The patient is living up to the age 18 months with severe mental retardation. A brief review of literature was made.