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문한배,유영선,강중원 대한흉부심장혈관외과학회 1968 Journal of Chest Surgery (J Chest Surg) Vol.1 No.1
This is a case report of traumatic arterial injuries with false aneurysm & arterio-venous fistula treated surgically at National Medical Center. 3 cases were A-V fistula and 2 cases only false aneurysm. Physiological disturbance were produced by only arteriovenous fistula; In one case ulceration of mid. 1/3 tibia due to diminished arterial flow and in 2 cases left ventricular hypertrophy, in which cases Bramhan`s sign were positive. Removing out the fistulous lesions and aneurysm, all of the arterial continuities has been reconstructed by means of end to end anastomosis, Dacron graft and vein graft, veins were managed by ligations of both ends in two cases and end to end anostomosis in one case. Immediate post operative results were good, and two cases were followed for 10 months.
외과적 치료를 가한 폐농양 115례에 대한 임상적 관찰
문한배,이호일 대한흉부심장혈관외과학회 1969 Journal of Chest Surgery (J Chest Surg) Vol.2 No.1
Prior to availability of antibiotics, lung abscess has been recognized as one of the most serious pulmonary disease, and despite of diminished morbidity and mortality rate with the advent of antibiotics and development of better technique in the fields of surgery on pulmonary disease it continues to be a virulent form of pulmonary supuration. It is the purpose of this paper to present a clinical review of 115 lung abscess treated by surgically at "The National Medical Center" during past 9 years. 1. The most common age of occurrence is between the age of 30 and 50, and 105 cases were male and 31 cases occurred in female. 2. Numerous etiological factors may play a role in the formation of a pulmonary abscess; aspiration in 36 patients of which 2 patients had diabetes, 54 patients had preceding URI or pneumonia, and 5 patients followed liver abscess, one of which in hematogenous route. In 20 patients, no predisposing factor could be determined- 3. Clubbing digits were presented in 26 of 1315 patients suggesting chronicity of the disease, and gastric ulcer were combined in 3 of 136 patints. 4. Apparently the onset was insidious, and the progress was masked by indiscriminate administration of antibiotics for URI and TB remedies under impression of pul. tbc. Previous TB treatments were done in 56.%[76 cases] for one week to two years and administration of antibiotics in 51 cases. 5. 89 cases were on tbe right and 2t5 cascs were on the left side. 51 cases of pneumonectomy and 8 of open drainage, of which 4 of Monaldi procedure, were made and operative mortality rate was 5.2%. Numerous complications such as 8 of empyema, 4 of each bleeding and atelectasis, 2 of BPF, 1 of esophageal fistula and one of pneumothorax which were responded well to prolonged treatment with good results, were obtained. 6. The incidence of Klebsiella and Pseudomonas were increased recently. In these results, we submit the surgery should be performed if the conservative therapy had failed. The resection was most favorable operation for pulmonary abscess though drainage procedure may be of value in certain patients with grave systemic menifestations. In chronic long standing abscess, more complications and high mortality rate were assumable although the prognosis has been improved with the advent of antibiotics, the development of improved surgical technique and complete preoperative care.
白米와 麥類混食에 衣한 白鼠體內 蛋白質代謝에 關한 硏究
文翰培,柳總根 고려대학교 의과대학 1974 고려대 의대 잡지 Vol.11 No.1
This study was carried out to observe the effect of individual species or mixed ratio of wheat and barley with rice diet on the metabolic change of protein in growing male albino rat. The species of wheat and barley used were wheat, naked barley (Baik-dong and Cheoung-maik), and barley (Su-won No. 18 and Jei-cheun No. 5). The growing rats were fed on 17 kinds of the mixed diets, such as 10%, 30% and 50% wheat or barley mixed with rice diets for 12weeks, respectively. The contents of hemoglobin and hematocrit in the blood, and total nitrogen, amino acid nitrogen, urea-nitrogen, and creatinine in the liver and serum, and urea-nitrogen, creatinine, and urea- nitrogen/creatinine ratio in the urine have been measured. The results obtained are summarized as follows: 1. The contents of the hemoglobin and the hematocrit were no remarkable difference in between each mixed diet group compared with the control group. 2. The total nitrogen contents in the liver and the serum of the wheat or barley mixed diet group were higher than that of the standard diet group, but these were the similar to the control diet group. 3. The amino acid nitrogen contents in the liver and the serum of the mixed diet groups showed a tendency to decrease but these were higher or similar than that of the control diet group. increase after four weeks feeding. 4. The creatinine contents in the liver of the control and each diet group showed a tendency to increase after four weeks feeding. 5. In the urine, the urea-nitrogen and creatinine contents were decreased after four weeks feeding and these were excreted very small amounts by feeding the control and each diet group for 12 weeks. 6. The urea-nitrogen/creatinine ratio in the urine of all diet group were decreased gradually after four weeks feeding. It is concluded form the above results that the contents of amino acid nitrogen in the liver and the serum, and urea-nitrogen, creatinine, and urea-nitrogen/creatinine ratio in the urine of all diet groups were decreased after four weeks feeding. But the protein metabolism was not greatly affected by the species or mixed ratio of the wheat or barley mixed with rice in the growing albino rat.