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      • SCOPUSKCI등재

        삼출액을 동반한 급성심낭염의 임상적 고찰

        박건,윤정섭,김용환,조규도,박재길,왕영필,김세화,이홍균,Park, K.,Yoo, J.S.,Kim, Y.H.,Jo, K.D.,Park, J.K.,Wang, Y.P.,Kim, S.W.,Lee, H.K 대한흉부심장혈관외과학회 1991 Journal of Chest Surgery (J Chest Surg) Vol.24 No.2

        Clinical experience of 48 acute pericarditis with effusion was reviewed and presented. There were 28 male and 20 female patients ranging from 3 years to 77 years old. Malignant effusion; Twenty patients had underlying malignancy. These etiologies were lung ca[8 patients, 40%], breast ca[7 patients 35%], lymphoma[2 patients, 10%], esophageal ca[1 patients, 5%], stomach ca[1 patient, 5%], ovarian ca[1 patient, 5%]. Uremic effusion; 15 patients with renal failure required surgical intervention. Traumatic effusion; 7 patients had traumatic pericarditis. These etiologies were stab wound [5 patients, 71.4%] and aspiration[2 patients, 28.6%]. Pyogenic effusion: 6 patients had pyogenic pericarditis. These etiologies were empyema thoracis[3 patients, 50%], liver abscess[2 patients, 33.3%], pneumonia[1 patient, 16.7%]. The patients were treated by pericardiocentesis, subxiphoid tube drainage, pericardiectomy: 4 of them underwent pericardiocentesis; 37, subxiphoid tube drainage; 5, pericardiectomy. We conclude that subxiphoid tube pericardial drainage was effective for treatment of pericardial effusion.

      • 재태연령별 신생아 체중에 관한 연구

        김기영,서정식,이언기,조용균,최훈,김복린,이홍균 인제대학교 1993 仁濟醫學 Vol.14 No.3

        출생시 신생아 체중과 재태연령은 신생아 유병율 및 사망율을 평가하는 중요한 요소이다. 이에 본원에서 1989년 8월부터 1992년 12월까지 분만된 재태연령 32주에서 43주까지의 신생아 10,916례에서 재태연령별 출생시 신생아 체중의 평균치 및 표준편차를 구하고 10, 25, 50, 75, 90 백분위로 각각 산출하였다. 이 결과는 향후 자궁내 발육지연아 및 거대아의 판정기준으로 이들에 대한 적절한 관리 및 치료를 시행하는데 기여할 것으로 사료된다. The birth weight and gestational age are two important factors in assessing the neonatal morbidity and mortality. The birth weight for gestational age was elaborated through the establishment of birth weight-gestational age tables in 10,916 Korean newborn infants at 32 to 43 weeks of gestation who were born at Sanggye Paik Hospital from August, 1989 until December, 1992. Mean, standard deviation and 10th, 25th, 50th, 75th and 90th percentiles were calculated. We found that the increment of birth weight was rapid till 38 weeks of gestation and then was slow. The male infants at 37 to 42 weeks of gestation were about 100mg heavier than the female and first baffles were lighter than subsequent babies at all stages of gestation. These data will be expected to be contributed as the parameter to define the growth retarded infants and macrosomia.

      • 포상기태의 임상적 연구 : 서울 백병원을 중심으로

        김복린,전명권,김호성,이홍균 인제대학교 1989 仁濟醫學 Vol.10 No.4

        서울백병원 산부인과에서 1981년부터 7년간 진단 치료 및 추적 관리를 시행하였던 48예의 포상기태 환자를 대상으로 환자의 발생 빈도, 연령, 임신력, 증상, 치료 방법 및 그 결과에 대하여 분석 조사하였다. Korea is one of the areas with high incidence of gestational trophoblastic disease. Forty-eight cases of H-mole were analized at department of obstetrics and gynecology, Seoul Paik hospital from January, 1981 to December, 1987 and the results were as follows ; 1) Incidence of H-mole at our hospital was one per 205 deliveries (0.49%). 2) Among 48 cases with follow-up, age group of 26 to 30 was most frequent (47.9%) and the most frequent group according to parity was nulliparous group (45.8%). 3) Antecedent pregnancies prior to H-mole were artificial abortion (39.6%), term pregnancy (31.3%), spontaneous abortion (6.2%) and Molar pregnancy (4.2%). 4) Most frequent symptom was vaginal spotting and bleeding (77.1%) and hyperemesis (6.3%), abdominal discomport (4.2%) and enemia (2.1%) were noted. 5) Among 48 cases of R-mole patients, 45 patients (93.7%) were treated with D & E and 3 patients (6.3%) were treated with hysterectomy initially. Among 45 patients treated with D & E, 39 patients (81.2% of cases) were treated with D & E only, 5 patients (10.4%) were treated with D & E and chemotherapy. Among 3 patients treated with hysterectomy initially, 2 patients (4.2%) were treated with hysterectomy only and 1 patient (2.1%) was treated with hysterectomy and chemotherapy.

      • 자궁외 임신의 임상적 연구

        이홍균,김복린,이원재,김용봉 인제대학교 1989 仁濟醫學 Vol.10 No.1

        자궁외 임신은 산부인과 영역에서 응급수술을 요하는 질환 중 하나이다 최근, 의학의 발달에도 불구하고 자궁의 임신의 발생 빈도는 감소되지 않고 오히려 증가하는 경향을 보이고 있다. 저자들은 1984년 1월부터 1987년 12월까지 4년간 서울백병원 산부인과에서 입원 치료한 자궁의 임신 환자 120례를 대상으로 임상적 관찰을 시도하였다. This study was undertaken for the clinical evaluation and statistical analysis on the 120 patients with ectopic pregnancy who had been treated at the Seoul Paik Hospital from Jan. 1, 1984 to Dec. 31, 1987. The results obtained were as followings : 1.The incidence of ectopic pregnancy was 1 in 39 deliveries. 2.The most frequent age group was in 26-35 years of age and the mean age was 31.5 years. 3.The patients had experienced artificial abortion more than once in 72.5%. 4.In past histories, 19.2% of the patients had previous laparotomy. Among them, repeated ectopic pregnancy was found in 7.5%. 5.Ectopic pregnancy following laparoscopic tubal sterilization occurred in 9.2%. 6.The most frequent interval between last menstrual period and the onset of symptoms was less than 6 weeks in 45.8%. 7.Lower abdominal pain and vaginal spotting were the most frequent symptoms. 8.The most frequent site of ectopic pregnancy was the tube. Of the tubal pregnancies, ampullary portion was involved in 70%. 9.In operative managements, 92.5% of the patients was treated by salpingectomy and salpingo-oophorectomy. 10.There was no fatal case in 120 ectopic pregnancies

      • Vitamin AD₃및 高壓酸素가 骨折治癒 에 미치는 影響

        張京鎭,鄭柄鉉,崔錫和,이홍균 건국대학교 동물자원연구센터 1991 動物資源硏究誌 Vol.16 No.-

        This study was designed to compare the therapeutic effects of vitamin AD₃ combination or hyperbaric oxygen for the healing of experimental fracture in rats. The rats were orally administrated with vitamin AD₃combination(0.125mg/kg body weight) or exposured under 2 atmospheres oxygen(50% or 100%) for 21 days. The effect of vitamin AD₃combination and hyperbaric oxygen were evaluated by roentgenographic and histological examination at 5, 10 and 21 days after treatment. 1. Roentgenographically, the initial healing sign of fractured bone was appeared at 21 days after treatment in rats treated orally with vitamin AD₃combination as well as rats exposured to 2 atmospheres oxygen(100%) but at 10days in rats exposured to 2 atmospheres oxygen(50%). 2. Hisologically, primary callus formation was evident at 21 days in rats administrated orally with vitamin AD₃combination. While tissue deficits were completly replaced by fibrous tissue at 5 days followed by change of fibrous cartilage tissues into osteoidal tissues at 21 days in rats exposured to 2 atmospheres oxygen(50%). In rats exposured to 2 atmospheres oxygen(100%), cartilage and osteoidal tissues were appeared and ossification was enhanced from 5 days after treatment.

      • 산전 태아 사망의 원인 분석 평가

        전명권,김복린,이홍균 인제대학교 1991 仁濟醫學 Vol.12 No.4

        산전 태아 사망 원인을 첫째 불분명한 원인, 둘째 불가피한 원인, 셋째 가급적 피할 수 있는 원인 등으로 구분하여 그 중에서 가급적 피할 수 있는 원인을 분석하여 앞으로 산전 태아 사망을 감소시켜 보고자 한다. In order to reduce the prenatal death, we reviewed the causes of late abortions and stillbirths. For each cause an assessment of potential avoidability was made using the following definition : If any factor was identified that might have altered the outcome, the case was judged potentially avoidable. All other mortality was classified as either unavoidable or undetermined (if sufficient data were not avililable). We experienced 91 cases of prenatal deaths and the common causes were as follows in order: Unexplained IUFD, Idiopathic preterm delivery, IUGR, congenital malformation, preeclampsia, cord complication, and abruptio placenta. In 31.9% of prenatal deaths, at least one potentially avoidable factor could be identified that might have altered the outcome, while 69.4% was unavoidable and 6.6% undetermined. The causes of the potentially avoidable deaths(31 cases) were the incorrect viability assessment/management plan, 4(12.9%); asphyxia, 13(41.9%); IUGR, 9(29%); syphilis, 3(9.7%); and hypovolemic shock, 2(6.5%). We hope that a better obstetrical care program will be provided with the suggestion of the patterns of potentially avoidable prenatal death.

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