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39 점막하 침윤암의 심달도와 림프절 전이에 따른 기질단백분해효소와 그 억제인자의 발현 및 신생혈관형성
정성애 ( S. A. Jung ),양석균 ( S. K. Yang ),김정선 ( J. S. Kim ),명승재 ( S. J. Myung ),심기남 ( K. N. Shim ),임석아 ( S. A. Im ),정훈용 ( H. Y. Jung ),김희철 ( H. C. Kim ),유창식 ( C. S. Yu ),김진천 ( J. C. Kim ),홍원선 ( W. S. Hong 대한소화기학회 2002 대한소화기학회 추계학술대회 Vol.2002 No.-
송인성(I S Song),최규완(K W Choi),김정룡(C Y Kim),정현채(H C Jung),윤용범(Y B Yoon),양석균(S K Yang),임용철(Y C Lim),윤병철(Byung Cheol Kim),노임환(I H Roe),유권(K Yoo) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.4
N/A A total of 486 cases of upper gastrointestinal bleeding admitted to Seoul National University Hospital via emergency room from Jan. 1986 to Jun. 1988 were clinically reviewed and the following results were obtained: 1) The male to female ratio was 4.7:1 and peak incidence was in the 6th and 5th decades. The sex and age had no prognostic value. 2) The causes of bleeding were esophageal varix (35.2%), gastric ulcer (17.7%), duodenal ulcer (13.4%), stomach cancer (6.6%), gastritis (5.15), Mallory-Weiss syndrome (2.7gp), miscellaneous causes (l.0%), and unknown causes (18.3%). Variceal bleeders had the highest mortality rate. 3) There was no past history of bleeding in 61.5% overall, and it had no prognostic value. But variceal bleeders had past history of bleeding in, 50.3% and the first episode of bleeding offered higher mortality rate. 4) Three types of bleeding hefore admission were hematemesis in 27.85, melena in 25.7% and both of them in 46.5%, which had no prognostic value if variceal and nonvariceal bleeders were considered respectively. 5) Systolic blood pressure and pulse rate had some prognostic value, that is, high pulse rate on admission carried higher morthalty rate in variceal bleeders and low systolic blood pressure did in nonvariceal bleeders. 6) The three patterns of bleeding after admission were single bleeding in 63.0%, repeated bleeding in 21.0% and continuous bleeding in 16.0%. The mortality rate of repeated and continuous bleeding was higher than that of single bleeding. 7) The patients who received transfusion were 86.8% and the amount of blood transfused was more than 10 pints in 24.1%. The mortality rate increased as the amount of blood transfused increased. 8) Esophageal varix ivas the cause of the first bleeding in 76.4% of patients with chronic liver disease with esophageal varix. If the cause of the first bleeding was the esophageal varix in patients with chronic liver disease with esophageal varix, the cause of the second bleeding was also esophageal varix in 93.5%.