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Clinical analysis of 32 cases of documented Abdominal aortic aneurysm at Yonsei University Medical Center from Jan. 1977 to Dec., 1986 was made. Overall incidence was very low compare to western countries. More common in male with 3:1 ratio and median age at diagnosis was 65 for male and 50 for female. Initial presentation was usually with abdominal or back pain, however, more than 1/3 of cases were found incidentally by P.E or X-ray. Hypertension was the most commonly associated condition. 85 %had greater than 5 CM in size and 4 cases (12.5%)presented with rupture. Only 10 patients agreed and underwent operation. Most surgery was done by resection and graft interposition and surgical result was compatible with western series.
The mycotic aneuryms of the adbominal aorta is still uncommon disease and requires a concentrated efforts to diagnose, treat and follow the patient due to its rarity and septic nature. The causative organisms appear to be changed lately from the dorninance of Salmonellas to Staphylococci. Also surgical treatment became in favor of resection and in situ placement of graft over the classic approach of ligation, debridement and extraanatomical bypass. The duration of the administration of antibiotics postopertively has not been established yet. A 56 years old male patient with infrarenal abdominal aortic aneurysm infected with Salmonella group-B was sucessfully treated recently at Yonsei University Medical Center. Since Salmonellosis is not uncommon problem in our country, this entity should be considered in a patient with fever, abdominal pain and palpable abdominal mass. The case is reported with review of literatures.
Colonic diverticular diseae is one of the most common disease in the geriatric patients in Western countries. Most of diverticular disease in Western countries occur in the left colon, especially around the Sigmoid. In contrast, majority of diverticular disease found in Korea occurs in the right colon, especially in the ceucum. The cecal diverticulitis is very difficult to differentiate from the acute appendicitis due to their similar signs and symptoms. This report is collective analysis of 44 cases of diverticular disease including 21 cases managed surgically at the department of Surgery, Yonsei University College of Medicine from January, 1976 to December, 1985 and 23 cases reported in JKSS between the period of April, 1968 to March, 1985. The results obtained were as follows; 1) There were 36 males and 8 females with the ratio of 4.5:1, significantly higher in males. 2) Mean age was 41.3 years, ranged between 8 to 83 years, and most prevalent in the 5th decade (36.4%). 3) 41 cases (93.2%) were located in thr right colon and 3 (6.8%) were in the left colon. Of these, 33 cases (75%) were found in the cecum. 4) There were 4 cases of associated malignancy with the incidence of 9.1%. 5) The most common preoperative diagnosis of right colonic diverticulitis was acute appendicitis. 6) The operative procedures performed in 39 of 41 right colonic diverticular disease consist of right hemicolectomy in 25 cases, appendectomy and diverticulectomy in 5, diverticulectomy in 3, ileocecal resection in 2, appendectomy and inversion of diverticulum in 2, appenectomy in 1 and exploratory lapartomy and drainage in 1 case. Staged operations were performed for the left colonic diverticular disease with two 2-stage operations and one 3-stage operation.