인위배수성 (人爲倍數性) 임목에 (林木) 관한 연구 ⅩⅢ - Colchitetraploid 인 자주무궁화와 단심무궁화의 몇 형태학적 및 생리학적 특성 -

이석구,김정석 ( Suk Koo Lee,Chung Suk Kim ) 한국산림과학회 1976 한국산림과학회지 Vol.32 No.1

Two individuals (Sp₁, Sp₂) of purple and one individual (sd₁) of red hearted flower were selected from 18 years old Hibiscus syriacus trees obtained from the seeds treated with colchicine, and their morphological and physiological characteristics were investigated and following results were obtained. 1. The somatic chromosome number of the selected individuals, sp₁, sp₂, and sd₁ were 2n=160, while that of the check tree was 2n=80, indicating that the selected individuals, sp₁, sp₂ and sd₁ were tetraploid. 2. Peroxidase isoenzyme bands of high activity in selected individuals, sp₁, sd₁ and check tree were mostly in cathode, fixed band was f and v bands, and frequency of each band and their activity were not different between selected individuals, sp₁ and sd₁ and check tree. 3. The flowers of sp₁ individual were large in size and more dark purple than check tree`s. The flowers of sp₂ individual were not increased in size, but they were dark purple and red heart at the base of the petal was expanded to 2/3 of the petal length. The flower of sd₁ individual was also large and some of the red lines from the petal base were extended to 2/3 of the petal length, which was much longer than those of the check tree. 4. Thickess of leaves, length of guard cells, diameter of pollens, wood fiber lengths and woody fiber widths were all increased in sp₁, sp₂ and sd₁ as compared to those of the check tree. 5. Survival percentage of cuttings was 80% with sp₁ and 36% with sd₁, and their growth performance were inferior to control in their second growing season.

인위배수성(人爲倍數性) 임목(林木)에 관(關)한 연구(硏究) XIII -Colchitetraploid인 자주무궁화와 단심무궁화의 몇 형태학적(形態學的) 및 생리학적(生理學的) 특성(特性)-

이석구,김정석,Lee, Suk Koo,Kim, Chung Suk 한국산림과학회 1976 한국산림과학회지 Vol.32 No.1

무궁화의 종자(種字)에 colchicine처리(處理)를 실시(實施)하여 얻어진 18년생(年生)의 무궁화중 자주무궁화 2본(本)(선발4개체(選拔4個體)자주무궁화(1), 선발4개체(選拔4個體)자주무궁화(2))와 단심무궁화 1본(本)(선발4개체(選拔4個體)단심무궁화)을 선발(選拔)하고 그 특성(特性)을 조사(調査)한 결과(結果)는 다음과 같다. 1. 선발4개체(選拔4個體)자주무궁화(1) 선발4개체(選拔4個體)자주무궁화(2) 및 선발4개체(選拔4個體)단심무궁화는 체세포염색체수(體細胞染色體數)가 2n=160개(個)이고 비교무궁화는 2n=80개(個)로써 선발4개체(選拔4個體)자주무궁화(1) 선발4개체(選拔4個體)자주무궁화(2) 및 선발4개체(選拔4個體)단심무궁화는 4배체(倍體)무궁화였다. 2. Diploid의 단심무궁화, 자주무궁화와 tetraploid의 단심무궁화, 자주무궁화의 엽(葉)의 과산화동위효소(過酸化同位酵素)가 고활성(高活性) band는 cathode측(側)에 편중(偏重)되고 있고 f band와 v band는 이들 무궁화의 기본(基本) band이며 그리고 효소변이(酵素變異)는 배수성(倍數性)과는 무관(無關)하다. 3. 선발4개체(選拔4個體)자주무궁화(1)의 꽃은 비교(比較)자주무궁화에 비(比)하여 크고 농자색이있다. 선발4개체(選拔4個體)자주무궁화(2)는 꽃의 크기가 비교자주무궁화에 비(比)하여 증대(增大)되지 않았으나 색(色)이 농자색이었으며 꽃잎 기부(基部)에 있는 적단심(赤丹心)이 꽃잎길이의 $\frac{2}{3}$까지 확대되어 있었다. 그리고 선발4개체(選拔4個體)단심무궁화의 꽃의 크기는 비교(比較)단심무궁화에 비(比)하여 크기가 증대(增大)되고 꽃잎의 기부(基部)에 있는 적색조맥(赤色條脈)이 꽃잎길이의 $\frac{2}{3}$까지 뻗어 있었다. 4. 선발4개체(選拔4個體)자주무궁화(1), 선발4개체(選拔4個體)자주무궁화(2) 및 선발4개체(選拔4個體)단심무궁화에서 잎의 두께 공변세포(孔邊細胞), 화분경(花粉徑), 섬유장(纖維長) 및 섬유폭(纖維幅)은 모두 비교(比較)무궁화에 비(比)하여 증대(增大)되었다. 5. 삽목활착율(揷木活着率)은 선발4개체(選拔4個體)자주무궁화(1)이 80%, 선발4개체(選拔4個體)단심무궁화가 36%이었으며 삽목묘(揷木苗)의 생장상황(生長狀況)은 2년생(年生)에서 선발4개체(選拔4個體)자주무궁화(1) 및 선발4개체(選拔4個體)단심무궁화 모두 비교(比較)무궁화보다 뒤떨어졌다. Two individuals ($sp_1$, $sp_2$) of purple and one individual ($sd_1$) of red hearted flower were selected from 18 years old Hibiscus syriacus trees obtained from the seeds treated with colchicine, and their morphological and physiological characteristics were investigated and following results were obtained. 1. The somatic chromosome number of the selected individuals, $sp_1$, $sp_2$, and $sd_1$ were 2n=160, while that of the check tree was 2n=80, indicating that the selected individuals, $sp_1$, $sp_2$ and $sd_1$ were tetraploid. 2. Peroxidase isoenzyme bands of high activity in selected individuals, $sp_1$, $sd_1$ and check tree were mostly in cathode, fixed band was f and v bands, and frequency of each band and their activity were not different between selected individuals, $sp_1$ and $sd_1$ and check tree. 3. The flowers of $sp_1$ individual were large in size and more dark purple than check tree's. The flowers of $sp_2$ individual were not increased in size, but they were dark purple and red heart at the base of the petal was expanded to 2/3 of the petal length. The flower of $sd_1$ individual was also large and some of the red lines from the petal base were extended to 2/3 of the petal length, which was much longer than those of the check tree. 4. Thickess of leaves, length of guard cells, diameter of pollens, wood fiber lengths and woody fiber widths were all increased in $sp_1$, $sp_2$ and $sd_1$ as compared to those of the check tree. 5. Survival percentage of cuttings was 80% with $sp_1$ and 36% with $sd_1$, and their growth performance were inferior to control in their second growing season.

"Skip Area"가 있는 선천성 거대결장

이석구,이우용,김현학,Lee, Suk-Koo,Lee, Woo-Yong,Kim, Hyun-Hahk 대한소아외과학회 1998 소아외과 Vol.4 No.1

Early recognition and surgical treatment of Hirschsprung's disease prevents serious mortality and morbidity from enterocolitis and obstruction. Usually this disease is characterized by a single aganglionic segment of the colon extending distally to the anal margin. In surgical treatment, the surgeon performs a frozen section biopsy to confirm whether there are ganglion cells. If there are intervening ganglionic sites in aganglionic bowel, there may be confusion in diagnosis and treatment. The authors experienced one case of total colonic aganglionosis with skip area. A transverse loop colostomy was performed on a 7 day-old male baby with colon perforation due to Hirschsprung's disease. But intestinal obstruction persisted and required two more operations to find the true nature of the disease. There were aganglionic segments from the anal margin to the terminal ileum 3.7cm proximal to the ileocecal valve. The entire transverse colon and appendix were normally ganglionated.

괴사성 장염 - 대한소아외과학회회원 대상 전국조사 -

이석구,김대연,김신곤,김우기,김인구,김상윤,김성철,김재억,김재천,박귀원,박우현,서정민,송영택,오수명,오정탁,이남혁,이두선,이성철,전용순,정상영,정성은,최금자,최순옥,최승훈,한석주,Lee, Suk-Koo,Kim, D.Y.,Kim, S.G.,Kim, W.K.,Kim, I.K.,Kim, S.Y.,Kim, S.C.,Kim, J.E.,Kim, J.C.,Park, K 대한소아외과학회 2006 소아외과 Vol.12 No.1

본 조사 결과는 16개 병원에서 21명의 회원에 의해 수술 받은 환자 71명의 기록과 전체 설문응답지의 대상인 81명에 대한 설문 응답지를 후향적으로 분석한 것으로 자료로서의 정확성에 한계가 있으나 괴사성 장염이라는 질병에 대한 회원들의 전체적인 의견과 성향을 파악하는데 만족할 수 있었으며 회원들이 동일한 관심에 대하여 논의하는 과정 중에 각자의 관점을 정리하는 계기가 되었기를 기대한다. 앞으로 첨부한 설문지에 따라 환자마다 전향적으로 기술하여 학회에 등록하여 향후 괴사성장염에 대하여 다시 한번 논의하는 자리를 갖기를 바란다. A nationwide survey on necrotizing enterocolitis (NEC) was undertaken among members of the Korean Association of Pediatric Surgeons. The members were required to complete a questionnaire and the case registration form for each patient during the three-year period from July 2001 to June 2004. Eighty one patients were included in the questionnaire, but only 71 patients were registered from 22 members in 16 hospitals. At the same time survey on focal intestinal perforation (FIP) was undertaken and 17 patients were registered from 11 members in 10 hospitals. Total 19,041 newborns were admitted to neonatal intensive care unit during the study period. Eighty one patients (17.27 %) were underwent surgery among 469 babies who were managed under the impression of NEC. The male to female ratio was 2.1:1. The premature were 60.6 %. The most common site of involvement was ileum. Overall and operation survival of NEC were 72 % and 79 %, respectively. The survival was lower in smaller babies, multiple segments involvement and involvement of both the small and large intestine. But there was no difference in survival according to sex or prematurity. The FIP showed very similarity with NEC in terms of incidence, and the age of diagnosis and operation. But the survival was much better and 100 %. The results showed the clinical characteristics of NEC and the trend of management in NEC in Korea. In the future we hope we can discuss about this topic in prospective manner.

Congenital, Cystic Adenomatoid Malformation을 보이는 복강내 폐분리증

이석구,이우용,김현학,Lee, Suk-Koo,Lee, Woo-Yong,Kim, Hyun-Hahk 대한소아외과학회 1996 소아외과 Vol.2 No.2

Pulmonary sequestration is a complex anomaly involving the pulmonary parenchymal tissue and its vasculature. It presents as a cystic mass of nonfunctional lung tissue without communication with the tracheobronchial system. Usually, it receives blood supply from anomalous systemic vessels. Therefore, preoperative diagnosis of the pulmonary sequestration is difficult, especially when it is located in the abdomen and combined with congenital cystic adenomatoid malformation(CCAM). We encountered such a mass(CCAM type 2) detected prenatally by ultrasonography. It was a kidney bean shaped, pinkish mass straddling the thorax and abdomen on the right side. Because of the sonographic appearance, neuroblastoma was diagnosed preoperatively. The mass was completely extirpated without difficulty.

급성 충수염 - 2006년 대한소아외과학회회원 대상 전국조사 -

이석구,김대연,김상윤,김성철,김신곤,김우기,김인구,김재억,김재천,박귀원,박우현,서정민,송영택,오정탁,이남혁,이두선,이명덕,이성철,장수일,전용순,정상영,정성은,정을삼,정풍만,Lee, Suk-Koo,Kim, D.Y.,Kim, S.Y.,Kim, S.C.,Kim, S.G.,Kim, W.K.,Kim, I.K.,Kim, J.E.,Kim, J.C.,Park, K.W. 대한소아외과학회 2007 소아외과 Vol.13 No.2

본 조사 결과는 21개 병원에서 수술 받은 환자 476명의 기록에 대한 전향적인 분석과 23명의 회원에 대한 설문 응답지에 의한 것이다. 미리 환자등록지를 배부하여 6개월 간 전향적으로 기록한 것으로 그 의의가 크다고 할 수 있다. 그러나 전향적 연구계획에 의한 것이 아니므로 통계적인 비교는 시도하지 않았고 급성충수염에 대한 회원들의 전체적인 의견과 성향을 파악하는데 중심을 두었다. 복강경수술은 아직 전체 충수절제술의 30 %에 못 미치고 있으나 설문지에 답한 회원 약 50 %가 복강경 충수절제술을 시행하고 있으며 이 숫자는 계속 증가할 것으로 보인다. 그러나 복강경수술의 결과는 아직 개복수술과 크게 차이가 없는 것으로 보인다. 한편 단순충수염에 대한 예방적 항생제투여 방법과 기간 등에 대한 설문결과에 큰 차이가 있어 이에 대한 학회 중심의 논의가 필요하다고 생각한다. A nationwide survey on acute appendicitis (AAP) was undertaken among members of the Korean Association of Pediatric Surgeons. The members were required to complete a questionnaire and the case registration form for each patient during the 6 months period from the $1^{st}$ October, 2005 to $31^{st}$ March, 2006. Questionnaires were collected from 23 members. Four hundred seventy six patients were registered from 21 hospitals where the members were working. The male to female ratio was 1.67:1. Average age was 9 years and 5 months (range 21 months-20 years). Operations were performed on average 10.4 hours (range 1-230 hours) from arrival at hospital. The average operation time was 59.1 minutes. The average admission days were 5.8 days (range 2-45 days). The most frequent symptoms were abdominal pain (95.1 %), vomiting (50.6 %) and fever (43.7%). The average duration of symptoms was 42.2 hours (range 1 hour-22 days). Leukocytosis (WBC count > 10,000) was found in 85.9%. The most popular diagnostic tools were ultrasonography and CT. Open surgery was performed in 72.1 % and laparoscopic surgery in 27.5 %. Two laparoscopic surgeries were converted to open surgery (0.4 %). Simple appendicitis was found in 54.5 % and complicated appendicitis such as abscess, gangrenous change and perforation in 45.5%. According to the questionnaires 12 hospitals were performing open surgery only in all patients. Four hospitals were performing laparoscopic surgery in all patients. Seven hospitals are performing both surgical methods according to surgeon or occasion. Regarding the use of antibiotics in acute appendicitis, three kinds of antibiotics were used in 40 % of total simple appendicitis patients. The results showed the trend of management in acute appendicitis in Korea. Especially it is necessary for the members to discuss the use of antibiotics for prophylaxis in the simple appendicitis.

선천성 횡격막 탈장의 지연수술 결과

이석구,김현학,김경헌,장윤실,박원순,Lee, Suk-Koo,Kim, Hyun-Hahk,Kim, Kyung-Hun,Chang, Yun-Sil,Park, Won-Soon 대한소아외과학회 2001 소아외과 Vol.7 No.1

Congenital diaphragmatic hernia (CDH) in the past was considered a surgical emergency requiring immediate operation. Several groups now advocate preoperative stabilization and delayed surgery. The treatment strategy for CDH in this institution is delayed surgery after preoperative stabilization. The aim of this study was to evaluate the results of delayed surgery. A retrospective review of 16 neonates with CDH was performed. Surfactant. conventional mechanical ventilation. high frequency oscillation. and nitric oxide were utilized for preoperative stabilization as necessary. The difference in outcome between two groups differentiated by the duration of the preoperative stabilization periods with mechanical ventilation (${\leq}$ 8 hours and > 8 hours) was determined. Chi-square test was used to analyze the data. There were 7 right-sided hernias and 9 left. The average duration of stabilization was 32.4 hours. Hepatic herniation through the defect was found in 6 cases and all died. The most common postoperative complication was pneumothorax. The mortality rate of the right side hernia was higher than the left (85.7% vs. 33.3%. p=0.036). Mortality rate of the group (N=8) whose preoperative stabilization period was 8 hours or less was better than that (N=6) whose preoperative stabilization period was more than 8 hours (25.0% vs. 83.3%. p=0.031). The overall mortality rate was 56.3%. The better prognosis was noticed in left side hernia. no liver herniation, or shorter preoperative stabilization period.

미숙아와 만삭아에서의 비후성 유문 협착증의 임상적 차이

이석구,김성환,이우용,김현학,Lee, Suk-Koo,Kim, Seong-Hwan,Lee, Woo-Yong,Kim, Hyun-Hahk 대한소아외과학회 1998 소아외과 Vol.4 No.1

Infantile hypertrophic pyloric stenosis(IHPS) is common in full-term babies, and relatively rare in prematures. The diagnosis of IHPS in premature infants may be obscured because of the lack of classic symptoms and signs and the absence of the standard criteria for ultrasonic diagnosis. The purpose of this study is to discover the clinical differences between premature and full-term infants with pyloric stenosis, and determine the appropriate diagnostic methods for early diagnosis in premature infants. The clinical records of 52 IHPS patients who had been operated upon from October, 1994 to April, 1997 were reviewed. The incidence of IHPS in premature infants was 25 %. The onset of symptom was 4.7 weeks of age in premature, and 2.9 weeks in full-term babies. Diagnosis was established by typical symptoms. signs. and diagnostic imaging studies. In two premature infants, diagnosis was confirmed by upper gastrointestinal(GI) series, because ultrasonography did not meet the diagnostic criteria. Two premature infants initially diagnosed as gastroesophageal reflux by esophagography. were found to have IHPS by upper GI series. For the diagnosis of IHPS, a new set of criteria for premature babies has to be developed.

소아 서혜부탈장수술에 의한 의인성 방광손상

이석구(Suk Koo Lee),배수동(Soo Tong Pai),임효근(Hyo Keun Lim) 대한외과학회 1991 Annals of Surgical Treatment and Research Vol.40 No.4

外科系 入院患者의 抗菌劑 使用實態에 對한 硏究

李奭九(Suk Koo Lee),金鎭福(Jin-Pok Kim) 대한외과학회 1984 Annals of Surgical Treatment and Research Vol.27 No.4