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조남중,박세원,김세종,윤종만 ( Nam Joong Joh,Sei Won Park,Sei Jong Kim,Chong Man Yoon ) 대한소화기학회 1980 대한소화기학회지 Vol.12 No.2
Clonorchiasis is the common disease of liver fluke found in east asia including korea. In clonor- chiasis, obstruction of bile duct occur by adult ivorm, biliary stone and adenomatous hyperplasia of ductal epithelium. Bile stasis occur due to obstructed bile dct. And cholangitis and pyogenic abcess are easily complicated. Obstructed and dilated bile duct could often make the retention cyst. The cyst usually contains ova and occasionally adult iorms are aspirated ivithin the cystic fluid. A 53 years-old man with clonorchiasis having retention cvst is reported. The patient I-as admitted to hosptal with epigastralgia and weakness. Nontender, smooth and moderate hard liver was palpated as about 2finger breadth below the right coastal margin. Ova of clonorchis sinensis in stool and skin test for clonorchiasis were positive. L.F.T. were within normal limit. On liver scan with 198 Au colloidal gold on admission, a large single cavity was shown on the posteroin- ferior site of the right lobe. On percutaneous transhepatic cholangiography, nonvisualization of the right hepatic radicle, tapering dilation of the left hepatic radicle with mulberry like cvstic dilatation of small to medium sized bile duct of the left lobe and faint visualization of the common bile duct were shown. Eight adult worm of colonorchis sinensis were aspirated by liver neeedle aspiration. On 30th admission day, first operation was done. 2cm X 3cm sized retention cyst was found on the posteroinferior site of the right lobe with diffuse scattered pyogenic abscesses. Second operation was done I month later the first operation due to obstructed jaundice. Severe dilatation of superficial intrahepatic bile ducts and 2cm X 3cm X 2cm sized hard mass on the bifurcation of the common hepatic duct were found, the latter was histologically confirmed as extrem fibrosis of the wall of bile duct with lymphocytic infiltration without any evidence of malignancy. By operation and biopsy, we confirmed a clonorchiasis with retention cyst and complete obstruc- tion of common hepatic duct due to fibrotic granuloma.
조남중(Nam Joong Joh),김현종(Hyun Jong Kim),강형근(Hyung Geun Kang) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.2
Splenic infarction is usually caused by occlusion of splenic artery due either to emboli from valvular vegetation or from mural thromhi on the left side of the heart or to local thrombosis associated with polyarteritis nodosa, lymphoma, sickle cell anemia, etc. In recent year splenic infarction caused by complication of transcatheter embolization or intra-aortic balloon counterpulsation have been increased. Diagnosis of splenic infarction is importannt, chiefly to rule out other causes of left upper quadrant pain, such as splenic rupture, perforation of viscus or ruptured aortic aneurysm. Splenic infartion is not uncommon disease, but in our knowledge, no case was reported in our nation. Here we report a case of splenic infarction caused by emboli from mitral valve vegetation which shows typical finding of septic infarct by ultrasonography, computerized tomography, angiography and histology, with the brief review of literature.
曺南仲,裵明,朴世鍾,姜亨求,尹鍾晩 대한감염학회 1982 감염 Vol.14 No.1
Clinical analysis of widal test was done on 105 cases of typhoid fever, 55 cases of paratyphoid fever and 50 cases of non-typhoid fever treated at Chonnom National University from January 1978 to June 1981. The following results were obtained. 1) of 435 patients suspected as typhoid fever clinically, who received both blood and stool culture, 105 cases of typhoid fever and 55 cases of paratyphoid fever(52 cases: paratyphoid A, 3 cases: paratyphoid B) were4 confirmed bacteriogically. 2) Of 105 cases of confirmed typhoid fever, organism was isolated by blood culture in 82 cases(78%) and stool culture in 25 cases(24%) in which 2 cases are confirmed both culture. 3) Widal test as a O titer was significantly positive in 42 cases, in which 22 cases(53%) during first week of illness, 13 cases(31%) during second week, 6 cases(14%) during third week and 1 cases(2%) during the forth week. 4) Of the 105 patients studied, 61 cases(58%) had an significant abnormal H and/or O titer (over 1:160), in which 42 cases (40%) had abnormal O titer, 50 cases (48%) abnormal H titer, 11 cases (10%) abnormal O titer only and 19 cases (18%) abnormal H titer only. In 44 cases (42%) widal test was normal.