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간스캔에서 Hepatic Dome의 변형을 나타낸 예의 분석
하승우,손상균,김광원,유병애,이재태,이규보,황기석 慶北大學校 醫科大學 1989 慶北醫大誌 Vol.30 No.3
Abnormal appearances of the hepatic dome in liver scans cannot be described strictly as a pathologic condition or normal variation. Many hepatic and extrahepatic conditions associated with deformed hepatic dome have been reported. We evaluated 105 cases with deformed hepatic dome and then analyzed underlying causes. These occurred among 4800 liver scans performed with Tc-99m-phytate between January 1983 and March 1989 at Kyungpook National University Hospital. Fifty five domes were flattened, and 32 domes were protruded upwardly. Twelve domes showed focal filling defect, and 6 domes had irregular and serrated border. Analysis of the causes of deformities revealed that 29 cases(27.6%) were due to intrahepatic lesion, and 53 cases(50.5%) were associated with adjacent organ disorders such as heart, pleura, diaphragm and lung. However, no detectable abnormalities were noted in 23 cases(21.9%), despite intensive diagnostic effort.
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李靖基,李承宰,黃駿河,兪炳愛,鄭台鎬,黃尙翼,黃樹寬,金亨鎭,朴載植,朱永恩 慶北大學校 醫科大學 1983 慶北醫大誌 Vol.24 No.2
金管樂器 演奏者의 經歷別 肺機能의 變化를 究明하기 위하여 男子 高等學生中 金管樂器 演奏者 74名과 非演奏者 26名, 그리고 軍樂隊 金管樂器 演奏者 15名과 大學生 非演奏者 25名을 對象으로 肺機能檢査를 실시하여 分析한 본 연구결과는 다음과 같다. ○ 演奏者群과 非演奏者群의 비교 : 1) 高等學校 金管樂器 演奏者群의 全肺機能이 對照群에 比해 減少되었다. 2) 軍樂隊의 金管樂器 演奏者群의 全肺機能은 對照群에 比해 增加되었다. ○ 經歷別 肺機能變化 : 1) FVC는 經歷別로 別差異가 없었다. FEV_0.5(%)와 FEV_1(%)는 演奏 2년까지 減少하다가 그후 次次 增加하였다. 2) MVV는 演奏 1년까지 減少하다가 그후 次次 增加하여 4년이후는 對照群에 比해 有意하게 높았다. 3) PEF, FEF_200∼1200㎖, FEF_25∼75%, FEF_25%, FEF_50% 및 PIF는 演奏 2년까지 有意하게 減少하다가 그후 次次 增加하여 4년이후는 對照群에 比해 有意하게 높았다. 이상을 綜合해 볼때 金管樂器 演奏初期에 肺機能이 減少하기 시작하여 2년까지 계속 減少하다가 그후 次次 增加하여 4년이후는 對照群보다 높은 肺機能을 보여준 점은 意義있는 결과로 注目되는 바이다. In order to elucidate the change in the pulmonary function in players of brass wind instruments with different careers, pulmonary function tests were performed on 74 male high school students who have played brass wind instruments, 26 non-player high school students, 15 military players of brass wind instruments, and 25 non-player college students. From the forced vital capacity maneuver, forced vital capacity(FVC), forced expiratory volumes(FEV_0.5, FEV_0.5%, FEV_1 and FEV_1%) and expiratory and inspiratory flows (PEF, FEF_200∼1200㎖, FEF_25-75%, FEF_75-85%, FEF_25%, FEF_50%, FEF_75% and PIF) were measured, and from the maximal voluntary ventilation maneuver, maximal voluntary ventilation(MVV) was measured. Cavitron SC-20A spirometric computer was used throughout the entire study. The results obtained are summarized as follows. In comparison of players versus non-players, 1) All the pulmonary function parameters measured were lowered in high school players compared with high school non-players. 2) All the parameters were elevated in military players compared with non-player college students. In comparison among different careers, 1) FVC was not significantly changed with different careers, but FEV_0.5(%) and FEV_1(%) were decreased until 2 years of playing and gradually increased thereafter. 2) MVV was decreased until one year of playing, gradually increasing thereafter, and was significantly higher than in non-player control after 4 years. 3) PEF, FEF_200∼1200㎖, FEF_25-75%, FEF_25%, FEF_50%, and PIF were significantly higher than in non-player control after four years. It was concluded from the above that the pulmonary ventilatory function is decreased during the first two years of playing brass wind instruments, gradually increasing thereafter, and become significantly higher than in non-players after 4 years.
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이종명,장세국,조동규,김용림,유병애 대한내과학회 1988 대한내과학회지 Vol.35 No.5
Urinary calculi are an uncommon complication in renal transplant recipients. We describe a case of calculi occurring two months post-transplantation in a living renal allograft recipient. Three major predisposing causes of nephrolithiasis were found in the patient, including suture material, decreased urine volume and acid urine. Crystallographic examination of the calculi revealed uric acid stones. The calculi were spontaneously passed. No further calculi have developed following observation and allograft function remains satisfactory.
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