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추현광,신언수,오세진,황일순,김주현,박현철,전형식 대한감염학회 1994 감염 Vol.26 No.4
저자들은 장티푸스에 흉수와 복수가 합병된 2예의 환자중 한명의 환자 복수에서 Salmonella typhi가 배양된 경우를 치료한 경험을 하였기에 문헌 고찰과 함께 보고한다. Typhoid fever is an acute systemic febrile disease caused by Salmonella typhi. Salmonella infection involves a variety of multiple organs. But ascites with pleural effusion has rarely been reported to occur as a complication of typhoid fever since the medical use of chloramphenicol in Korea. We report two cases of typhoid fever complicated with ascites and pleural effusion and in one of two cases S. typhi was isolated in ascitic fluid.
스테로이드 치료없이 금식과 비경구 영양법으로 회복된 호산구성 복막염 및 위장염
장환준(Hwan Joon Chang),신언수(Eun Soo Shin),박혜영(Hye Young Park),한인수(In Soo Han),정숙향(Sook-Hyang Jung) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.6
Eosinophilic gastroenteritis is a rare disease characterized by eosinophilic infiltration of vari- ous areas of gastrointestinal tract with gastrointestinal symptoms such as abdominal pain, vomiting, diarrhea and rarely ascites. Although its pathogenesis and natural course was not well defined,the main stay of treatment has been steroid administration with or without sur- gery. We experienced a case of diffuse eosinophilic gastroenteritis and serositis with massive ascites, which showed complete remission after conservative management such as NPO and TPN without steroid. This case suggests a speculation of pathogenesis in relation to the food allergy and self limited natural course of eosinophi)ic gastroenteritis. (Korean J Gastroente- rol 1994; 26: 1029 1033)
장기간 투석치료중인 만성 신부전 환자에서의 후천성 신 낭성 변화
이종호,한인수,김종호,이홍규,김종유,박혜영,신언수,장환준,양달모,정효선 대한신장학회 1994 Kidney Research and Clinical Practice Vol.13 No.1
Background: Acquired cystic kidney disease in long-term hemodialysis patients was first described by'Dun- nill et al in 1977. The incidence of cystic changes are reported to be related to the time on dialysis and malignant neoplasm is reported to be associated with acquired cystic kidney disease. Methods: To investigate cystic changes in long-term dialysis patients, 20 patients who were on dialysis more than 5 years were examined by computed tomography and their c@linical characteristics were analyzed. Results: 1) There were 9 men and 11 women and mean age was 43.9 (men: 38.2, women:48.5). Mean duration of dialysis was 69.2 months. 2) Nine patients (6 men and 3 women) had more than 5 cysts (group A), eight patients (3 men and 5 women) had 1 to 4 cysts (group B), and three-all women-showed no cystic changes (group C). There were no differences in incidence and number of cysts between two sexes. 3) The largest diameter of cyst in each patient ranged from 0.5 cm to 2.5 cm. 4) Mean duration of dialysis was 67.9±8.3 months in group A, 67.3±4.4 months in group B, and 78.3±11.5 months in group C. (p $gt; 0.05). 5) Mean size of kidney was 6.1±0.7 cm in group A, 5. 5±1.2 cm in group B and 4.8±0.7 cm in group C. Mean size of group A was significantly greater than that of group C. (p$lt;0.05). 6) Mean predialysis blood urea nitrogen level (BUN) was 82.4±21.8mg/dl in group A, 107.1±23.6mg/dl in group B, and 111.7±24.5 mg/dl in group C. (p$gt;0.05). 7) Clinical symptoms were not found in most patients Colclusions . Acquired renal cystic changes were noted in 85% of long-term dialysis patients. Kidney size was increased in patients with more than 5 cysts.
박성혜,김주현,박현진,박현철,남상민,신언수,황일순,백선흠,윤성균 대한소화기내시경학회 1993 Clinical Endoscopy Vol.13 No.4
A 44-year-old woman who comlpained of dizziness and generalized weakness was admitted. The hemoglobin was 6.6g/dL, hematocrit 25.5%, and serum ferritin 2.14 ng/mL Stool occult blood was positive and microcytic hypochromic anemia was found on periyheral blood smear. Gastroscopic examination showed about 2 x 1 cm sized hemispherical sebmucosal tumor on antrum. The patient underwent operatioh for confirmatory diagnosis and treatment. The final pathologic diagnosis of the resected lesion was hemangioma of stomach. Cavernous hemangioma of stomach is a rare disease.Mostly, it has a benign course clinically, but early diagnosis is important because massive hemorrhage and anemia by chronic blood loss can occur. We report a case of hemangioma of stomach with review of literature.
한인수,이홍규,박혜영,강문호,김종호,김종유,신언수,장환준,박흠례,우병완 대한내과학회 1995 대한내과학회지 Vol.48 No.1
Cavernous hemangiomas of the adrenal gland are rare, and no cases of them seem to have been reported in Korea. We report a case of adrenal hemangioma which was incidentally found in a patient with rectal cancer. The clinical presentation, rediographic characteristic, and management are also reviewed. Although rare, a hemangima should be considered in the differential diagnosis of a adrenal neoplasm.
한인수,이홍규,박혜영,강문호,김종호,김종유,신언수,장환준 대한내분비학회 1993 Endocrinology and metabolism Vol.8 No.4
Pachydermoperiostosis is a rare condition of unknown etiology, characterized by digital clubbing, periosteal new bone formatin and thickening of skin as a traid. Enlarged fingers and coarse facial features with thick, furrowed and oily skin often give fise to appearances simulating acromegaly. We describe three brothers with pachydermoperiostosis, one of whom had been misdiagnosed as having acromegaly and received hypophysectomy. The clinician should pay attention to the true diagnosis by the presence of clubbing and periosteal new bone formation and the lack of growth hormone excess despite the diagnostic pitafall dud to the gross features mimicking acromegaly. (J Kor Soc Endocrinol 8: 439~444, 1993).