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      • SCOPUSKCI등재

        위 (胃) 에 발생한 평골근아세포종 (平滑筋亞細胞腫)

        정을순(Eul Soon Chung),이상종(Sang Jong Lee),이만호(Man Ho Lee),오동주(Dong Joo Oh),안현택(Hyun Taek Ahn),주영만(Young Man Joo),김명석(Myung Sook Kim) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1

        In 1960 Matein first described an unusual type of smooth muscle tumor of the stomach and 1962 Stout found the each tumor microscopically consisted of round or polygonal cells frequently containing of perinuclear vacuole or clear zone instead of the usual spindle cells as seen in the common leiomyoma and addressed this intramural tumor as a leiomyoblastoma. Since Stout reported a series of 69 cases, many clinical studies on this tumor have been published. In Korea Oh et al first reported a case of leiomyoblastoma of stomach in 1973 and thereafter two cases have been reported to date. 43-year-old housewife was admitted to this hospital because of dull pain on epigastrium and left upper abdomen with duration of two days last october 1985. Her condition was suspected as mesenteric cyst probably arising between stomach and pancreas. Whereas, surgery of the mass proved as epitheloid leiomyoma of stomach. As leiomyoblastoma has different clinical behavior and prognosis from leiomyosarcoma, special attention should be paid to this relatively rare tumor.

      • KCI등재후보

        급성 약물중독에 관한 임상적 고찰

        천종철(Jong Cheol Chun),권형각(Hyong Gak Kwon),주영만(Young Man Joo),송갑영(Kap Young Song),강진경(Jin Kyung Kang) 대한내과학회 1989 대한내과학회지 Vol.37 No.2

        N/A Clinical observations were made on 24 cases of acute drug itoxication who were admitted to the Department of Internal Medicine, Pusan Adventist Hospital from January 1984 to December 1987 and the following results were obtained. 1) The total number of cases of acute drug intoxication was 274 which was 0.94% of the total patients of the emergency room. 2) The ratio of male to female was 1:1.8 The age incidence was highest in the 3rd decade age group (38.7%). 3) The incidence was highest in May and during the spring season. 4) The motive for intoxication was suicidal attempt in 87.3% and accidental poisoning in 21.8% of cases. 5) The most common drug of intoxication was sedatives (26.6%) and the others were rodenticides, pesticides, and miscellaneous unknown drugs in order. 6) Most cases complained of impairment of conscious- ness. Vomiting, abdominal pain and convulsion were frequently observed. Physical examination revealed increased pules, increased blood pressure, sweating, increased bronchial secretion and miosis of the pupil, Such symptoms and physical signs were more prominent in pesticide intoxication. 7) Leukocytosis was common in pesticide intoxication (54.0%). 8) The overall mortality rate of total cases was 4.7% and the mortality rate was highest in pesticide intoxication.

      • KCI등재후보

        종격기종을 유발한 Mallory-Weiss 증후군 1 예

        김창덕,현진해,주영만,황일순,천종철,김현위 대한내과학회 1989 대한내과학회지 Vol.36 No.2

        Mediastinal emphysema may arise spontaneous or result from trauma. Esophageal perforation is the most common and important cause of mediastinal emphysema. Esophageal perforation may rarely occur in Boerhaave`s syndrome and Mallory-Weiss syndrome after vomiting. We experienced one case of Mallory-Weiss syndrome causing esophageal perforation and mediastinal emphysema. The patient was a 45-year-old male, who complained of vomiting, hematemesis and epigastric pain one day before admission. The gastroendoscopy revealed a deep hemorrhagic laceration (length, about 3㎝) in the mucosa of esophagogastric junction. The bleeding lesion was electrocoagulated. Two hours after electrocoagulation, he complained of dyspnea and retrosternal pain. So the roentgen examination (chest P-A and lateral view) was performed and revealed mediastinal emphysema and subcutaneous emphysema. He was transferred to chest surgery department and emergent operation was performed. So we report this case with review of literature.

      • KCI등재후보

        복부 초음파로 의심된 단순신낭종의 임상적 관찰

        이성훈,이만호,이상종,정을순,오동주,주영만,안현택 대한내과학회 1986 대한내과학회지 Vol.31 No.4

        Not all renal cystic diseases cause symptoms or signs. The simple or solitary cyst, for example, may remain silent during life, to be found incidentally during the course of routine postmortem examination in the past time. The recently wide applications of abdominal sonography seems to be found relatively high incidence of the simple renal cyst. There were a few cases reports with the simple renal cyst in this country. Herein is reported observations on 346 cases suspecting with simple cyst of kindey among the total of 24,845 subjects received the abdominal sonography for purpose of the mediscreen testing or the diagnostic approach of the patients in this hospital from January 1982 to May 1985. 1) The incidence of simple renal cyst among the all subjects received the abdominal sonography was 1.39 percent. 2) The rate of the simple renal cyst in the male group was 1.59 percent, but 1.11 percent in the female. The peak age group of this observation was sixth decade(34.1%). 3) Two hundred ninty-nine cases(86.4%) in this observation was the solitary cyst found mostly (93.6%) in the unilateral kidney. No significantly different occurence in both site of kidneys was seen. 4) Concomitant occurence of the liver cyst was 2,3o in this series. Cases 3.0cm in diameter of the renal cyst was 53.8% but only 2.9% above 5.0 cm in diameter. 5) Most cases with the simple renal cyst was asymptom except someone complaining fatigue or urinary frequency. Urinary abnormalities of proteinuria and/or microscopic hematuria, and slightly elevated blood urea nitrogen or blood creatinine level were demonstrated in a few cases of this observation. The similar findings of the renal mass was also found in 7 cases performed intravenous pyelography. 6) Only a case associated with hydronephrosis required operation in this observation.

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