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최윤이 ( Youn I Choi ),김윤섭 ( Yun Seob Kim ),김주현 ( Ju Hyun Kim ),이성희 ( Seong Hee Lee ),신승각 ( Seong Gak Shin ),김연수 ( Yun Soo Kim ),최덕주 ( Duck Joo Choi ),최승준 ( Seung Joon Choi ),정동해 ( Dong Hae Chung ),권오상 ( 대한소화기학회 2018 대한소화기학회지 Vol.72 No.3
A primary benign schwannoma of the liver is extremely rare. Only 30 cases have been reported in the medical literature worldwide, and only one case has been reported in Korea previously. A 56-year-old man was admitted to Gil Medical Center with incidental findings of a hepatic mass by abdominal computed tomography. The computed tomography and magnetic resonance image revealed a 3×2 cm-sized solid mass in the left lobe of the liver. Histological examination confirmed the diagnosis of a benign schwannoma, proven by positive immunoreaction with the neurogenic marker S-100 protein and a negative response to CD34, CD117, and smooth muscle actin. We report a primary benign schwannoma of the liver and review the literature. (Korean J Gastroenterol 2018;72:150-154)
이동민 ( Dong Min Lee ),권오상 ( Oh Sang Kwon ),최윤이 ( Youn-i Choi ),신승각 ( Seung Kak Shin ),장승준 ( Seung Jun Jang ),서현정 ( Hyunjung Seo ),이종준 ( Jong Joon Lee ),최덕주 ( Duck Joo Choi ),김연수 ( Yun Soo Kim ),김주현 ( J 대한소화기학회 2018 대한소화기학회지 Vol.72 No.2
Simple hepatic cysts are common benign liver lesions that usually have no malignant capability. They are generally asymptomatic and are often found incidentally by abdominal imaging procedures. Treatment becomes necessary, however, when huge hepatic cysts cause symptoms and develop complications, such as hemorrhage, adjacent organ damage, and infection. Several therapeutic options have been performed for symptomatic and huge cysts, including the aspiration of cystic fluid, infusion of various sclerosing agents, and surgical intervention. The optimal management of huge hepatic cysts is controversial and each option has its complications and limitations. This paper reports a case of a 66-year-old woman diagnosed with a simple hepatic cyst 2 years earlier, who was referred to hospital due to abdominal pain. The diagnosis was a huge hepatic cyst with symptoms by abdominal imaging studies. During the follow-up period, the huge cysts resolved spontaneously without treatment. (Korean J Gastroenterol 2018;72:86-89)
최윤이,김소이,김성은,정혜경,김태헌 이화여자대학교 의과학연구소 2015 EMJ (Ewha medical journal) Vol.38 No.1
Objectives: The prevalence of constipation is high after stroke. Multiple factors such as long-term bed-ridden status, comorbidity, medical illnesses are combined in this condition. However, the change of bowel movement during the early stage of stroke remainsuncertain. Methods: Patients with first stroke who admitted in a single institute from 2008 to 2009 were reviewed retrospectively and 36 patients were enrolled. As a control group, 47 consecutive orthopedic patients needing bed rest without surgery in the same period were enrolled. Data of stroke associated factors, frequency of BM (bowel movement) during 5 weeks, use of gastrointestinal medications, and outcomes were collected from the medical records. Results: The cumulative incidence of decreased (<3/week) and severely decreased BM (<1/week) were 80.6% and 69.4% in stroke patients and 53.2% and 14.9% in control group (P<0.05). The cumulative incidence of increased BM (>3/day) was 38.9% in stroke and 14.9% in control group. In acute stroke, 58% of patient showed severely decreased BM in first week, and the proportion was rapidly decreased below 15% from second week. However, laxative use increased with hospital days. The occurrence of severely decreased BM in stroke patients was associated with National Institutes of Health Stroke Scale (NIHSS; P=0.004). Severely decreased BM was not associated with poor outcomes including death, morbidity, and stroke recurrence. Conclusion: Decreased BM is common in acute stroke. The occurrence of severely decreased BM is associated with NIHSS. However, the severe manifestation occurred mainly in the first week, and considered to be well controlled by laxatives.
Neisseria cinerea에 의한 급성 화농성 관절염과 피부 농양
손효문,이고은,임수경,최윤이,정은교,이미애,김재광,최희정 이화여자대학교 의과학연구소 2014 EMJ (Ewha medical journal) Vol.37 No.S
Neisseria 균주는 Neisseria gonorrhea와 Neisseria meningitidis 이외에는, 일반적으로 비 병원성 균으로 알려져 있다. 그러나 드물게 면역 저하자의 경우 N. gonorrhea와 N. meningitidis 이외의 Neisseria 종에 의해서도 기회 감염을 일으킬 수 있는 것으로 알려져 있다. 이중 N. cinerea는 일반적으로 비 병원성 균으로 알려져 있으며 호흡기계, 비뇨 생식기 및 눈에서 주로 동정된다[1]. N. cinerea가 일으키는 질병으로는 신생아 안염, 직장염, 폐렴, 복막투석 환자의 복막염, 심내막염, 뇌수막염 등이 보고 되었으며 패혈증을 일으키는 경우도 있었다[2-8]. 국내에서는 최근 뇌수막염이 보고되었고[6], N. cinerea로 인한 화농성 관절염과 피부 농양은 특별히 보고된 바가 없는 상태로, 균혈증을 동반한 손가락의 화농성 관절염과 피부 농양을 진단하고 치료하였기에 보고하는 바이다.