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      • SCOPUSKCI등재

        원발성 간암 119예에 대한 임상적 관찰

        김영재(Young Jae Kim),손영배(Young Bae Son),박창우(Chang Woo Park),이영철(Young Chul Rhee),오용구(Yong Gu Oh),박인조(In Jo Park) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1

        N/A Clinical observations were made at the Masan Korea General Hospital on 119 patients with primary carcinoma of the liver from March 1981 to December 1984 The following results were obtained: 1) The average age was 54. 5 years with the age ranged from 29 years old to 79 years old and the peak age incidence was in the 5th decade, amounting to 40.3% of the total. The ratio between male and female was 6.9:1 2) The chief complaints were pain in right upper quadrant of abdomen in 64.9% anorexia or indigestion in 51.3% epigastric discomfort in 47.9% fatigability in 43.7% and weight loss in 37.8%, in order of frequency. Physical examination showed hepatomegaly in 85.7% ascites in 37.8% edema in 31.9% and fever in 21.8% in order of frequency. 3) Liver function tests were revealed globulin elevation in 86.6% SGOT elevation in 79.8% hypoalbuminemia in 73.9% alkaline phosphatase elevation in 71.4% SGPT elevation in 51.3% and total bilirubin elevation in 40.3% in order of frequency. 4) HBsAg was positive in 54(45.4%) of the 119 cases and AFP was positive in 66(55.6%) of the 119 cases. It was observed that AFP is apt to be positive in the patient positive for HBsAg. 5) The presence of cold area could be demonstrated by liver scan in 92(77.3%) of 119 cases: 68.5% In the right lobe, 16.3% in the left lobe, 11.9% in both lobe and 3.3% in porta hepatis. 6) Pathological classification of 119 cases were 105 cases(88.2%,) of liver cell carcinoma and 14 cases(11.8%) of cholangiocellular carcinoma. 31(81.6%) of 38 cases were died within 6 month after biopsy.

      • KCI등재후보

        폐결핵 환자에서 Gallium - 67 Scan 의 진단적 가치

        이승걸(Seoung Gul Lee),김영성(Yeong Sung Kim),성이경(Yi Gyeong Seong),조용근(Yong Keun Cho),박형근(Hyung Geun Park),오용구(Yong Gu Oh),조인묵(In Mook Cho) 대한내과학회 1992 대한내과학회지 Vol.43 No.5

        N/A Backgrond: For the evaluation of the activity of pulmonary tuberculosis, chest radiographs and sputum acid-fast bacili examination have been used, but their sensitivity and specificity are far from satisfaction. Using the property of Gallium accumulation in sites of active pulmonary tuberculosis, we could estimate whether the lesion was active or not. Methods: 30 patients with pulmonary tuberculosis had been analized for their activity using chest radiographs, sputum acid-fast bacili examination and Gallium scan. And then had compared with their sensitivity each other. Results: In 14 patients with active pulmonary tuberculosis, the sensitivity of Gallium scan was 85.7%, and false negative rate was 14.3%, but the sensitivity for chest radiograph was 78.6% Conclusion: We can conclude that Gallium scan is more useful for the evaluation of the activity of pulmonary tuberculosis than chest radiograph.

      • SCOPUSKCI등재

        대장 흑색소증

        정태호(Tae Ho Chung),정홍수(Hong Soo Jeong),장재권(Jae Kwon Jang),김성기(Sung Ki Kim),안종운(Jong Woon Ahn),장경호(Kyeong Ho Jang),김성록(Sung Rok Kim),오용구(Yong Gu Oh) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.4

        Melanosis coli is the brownish discoloration of the colon associated with prolonged administration of anthraquinone type laxatives. The pigmentation of the colonic mucosa is due to the accumulation of lipofuscin pigment in macrophages located in the lamina propria. The diagnosis is made by endoscopy and is virtually specific for anthraquinone abuse. This is the one of the complications of laxative abuse, but the pigments disappear by withdrawing the lax- atives. We present a case of melanosis coli in a 39 year old female with histologica! Confirm by sigmoidoscopic biopsy consuming anthraquinone type laxative for 2 years. (Korean J Gas- troenterol 1994; 26: 746 750)

      • KCI등재후보

        정상 관상동맥조영상을 가진 심근경색증 1 예

        오용구,이만길,차호,정영채,임진우 대한내과학회 1987 대한내과학회지 Vol.32 No.1

        Acute myocardial infarction may occur in patients with angiographically normal coronary arteries. These patients are generally younger and frequently develop subendocardial infarction. Coronary spasm may be a significant factor in the pathogenesis of this type of infarction. The prognosis is considered to be good. Recently we experienced a case of acute myocardial infarction with normal coronary arteries. He was a 33 year old male who developed severe chest pain on the day of the admission at local hospital. He was admitted to our hospital for further evaluation and treatment Cardiac catheterization, coronary arteriogram and left ventriculogram showed dyskinesia of inferior wall and normal coronary arteries.

      • KCI등재후보

        고지질혈증 환자에 동반된 재발성 췌장염

        신옥식,신규창,이병삼,장재권,정홍수,정태호,조용근,오용구 대한내과학회 1993 대한내과학회지 Vol.44 No.6

        음주력이나 담도 질환없이 15년동안 반복적인 췌장염을 앓아온 45세 남자 환자에서 특별한 원인을 찾을 수 없는 심한 고지질혈증 특히 중성 지방의 현저한 증가를 관찰하였고, 체중 감량, 저지방식, 투약 등으로 중성 지방의 감소와 더불어 증상의 호전을 보인 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. For a long time, it is well known that hyperlipidemia and pancretitis is closely related, though we could not define clearly whether the lipid abnormalities are the cause or the result of the pancreatitis. In patients with hyperlipidemia and pancreatitis, the recurrent bouts of pancreatitis are controlled only when serum triglyceride levels are lowered toward normal. A 45-year old man with abdominal pain due to pancreatitis was admitted. For 15 years, he had frequent relapse of pancreatitis. He denied any history of alcohol ingestion. On routine laboratory examination, we could find no abnormal finding except lactescent serum with marked hypertriglyceridemia up to 35 mmol/L, hypercholesterolemia and increased serum amylase level. With low fat diet, weight reduction and gemfibrozil 1,200㎎/day, he is now pain free and his serum triglyceride level is about 5.3 mmol/L (465㎎/dL).

      • SCOPUSKCI등재

        Addison씨 병 1예 : 고칼륨혈증성 신경근육증을 동반한

        김영성,배경태,이승걸,성이경,박형근,오용구,기세길 대한내분비학회 1991 Endocrinology and metabolism Vol.6 No.1

        Addison's disease is a rare disorder resulting from chronic deficiency of adrenal cortical hormone.Clinical manifestations are hyperpigmentation, general weakness, weight loss, gastrointestinal-symptoms, hypotension, hyponatremia, hyperkalemia. 42-year-old man has experienced progressive generalized pigmentation(especially sun exposed area, gum area, extensor surface and his nail bed), weakness, weight loss since 15 years ago. On the time of admission, his chief clinical manifestations were repidly ascending muscular weakness(leading to flaccid quadriplegia), dyspnea, hyporeflexia. His neuromuscular symptoms are completely resolved with the correction of hyperkalemia and the replacement of adrenocortical hormones. Here we experienced one case of Addison's disease with the typical signs of neuromyopathy combined with hyperkalemia (J Kor Soc Endocri Vol 6:82 87, 1991)

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