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羅蓮淑,鄭英採,金敎善,黃長龍,崔龍煥,鄭俊謨 慶北大學校 醫科大學 1984 慶北醫大誌 Vol.25 No.2
應急實을 방문하는 患者중 吐血과 血便을 主訴로 하는 患者 123名에게 緊急內視鏡檢査를 施行하여 다음과 같은 成績을 얻었다. 對象은 男子가 86.2%, 女子가 13.8% 이었으며 50代가 35.8%로 가장 많았다. 出血部位는 胃가 가장 많았고 病別로는 胃潰瘍이 43.1%, 食道靜脈瘤 19.5%, 다음이 Mallory-Weiss 裂傷, 十二指腸潰瘍의 順이었다. 과거의 出血病歷이 없었던 예가 81.3%로 가장 많았고 3번이상 經驗한 例가 5.5% 이었으며 出血후 6時間 이내에 內視鏡檢査를 施行하 예는 23.1% 이었는데 87.9%가 24時間 이내에 檢査를 받았다. 輸血을 받지 않는 경우가 25.6% 이었으며 5단위 이상받은 예는 38.9%이었다. 胃出血患者中 誘發因子로 推定되는 것으로는 알콜, 副腎皮質홀몬제, 감기약, 鎭痛劑등이 있었다. Urgent endoscopy was performed for one hundred twenty three patients who were admitted to emergency room due to hematemesis and/or melena by upper gastrointestinal bleeding. The ratio of men to women was approximately 6:1 and peak incidence was in the 6th decade. The sources of bleeding were in the order of gastric ulcer(43.1%), esophageal varices(19.5%), Mallory-Weiss tear(10.6%) and duodenal ulcer(9.8%) etc. No previous history of upper gastrointestinal hemorrhage was noted in 81.3% of the patients and also more than 3 times of that was noted in 5.5% of the patients. Urgent endoscopy was performed within 6 hours after bleeding episode in 23.1% of the patients but within 24 hours it was 87.9%. 25.6% of the patients required no transfusion and 38.9% of the patients required mord than 5 units of blood. The possible causative agents of gastric bleeding in these cases included alcohol, steroids, drugs for the cold, analgesics, and herb drugs.
의료 (醫療) 종사자와 비의료(非醫療) 종사자 및 고아원아에 있어서의 혈청 (血淸) HBsAb 및 양성율
김일봉,이영화,라연숙,최용환,정준모,정극수 ( Il Bong Kim,Young Wha Lee,Yeun Suk Ra,Yong Hwan Choi,Joon Mo Chung,Keuk Soo Chung ) 대한소화기학회 1981 대한소화기학회지 Vol.13 No.1
By reverse passive hemagglutination method, the authors examined HBsAg in the serum of medical professors, nurses and non-medical professors regarded as control group E orphans and also HBsAb in the serum of non-medical professors E. nurses. And the authors compared past history between HBsAg positive group and HBsAg negative group. HBsAg positive rate was 8. 2% in medical professors, 5. 3% in non-medical professors, 7.4 % in nurses, 28.6% in orphans. HBsAb positive rate was 13po in nurses and 10% in non- medical professors. In past history, the incidence rate of jaundice, operation and admission history in HBsAg positive group was more frequent than that of HBsAg negative group, but no remarkable difference in transfusion history.