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김동립(Dong Lip Kim),정현철(Hyung Cheol Chung),노재경(Jae Kyung Roh),최진혁(Jin Hyuk Choi),박용준(Yong Jun Park),이화영(Wha Young Lee),김원호(Won Ho Kim),장준(Joon Chang),이상인(Sang In Lee),김승민(Seung Min Kim),서창옥(Chang Ok Suh 대한내과학회 1989 대한내과학회지 Vol.37 No.6
N/A We reviewed 10 cases of leptomentingeal car cinomatosis seen at the Yonsei Medical Center and Yonsei Cancer Canter from August 1987 to April 1989. The primary diseases of meningeal metastasis were stomach cancer (5 cases), lung cancer (3 cases) and breast cancer (1 cases). In one case, the primary site was not identified. Signs and symptoms were classified as involving the brain, cranial nerves, or spinal nerves. Most patients had symptoms or signs in more than one area. On initial spinal fluid examination of 7 patients, 4 patients had cytologic evidence of leptomeningeal metastasis. Repested spinal fluid assay yielded a positive cytology in anjother 2 patients. Eight patients were treated by intrathecal methotrexate administration and/or brain radiotherapy. Five of them experienced improvement or stabilization of neurologic sympoms; median survival was 40 days (27~45 days) after diagnosis. Median survival of the remaining 3 nonresponders was 17 days (15~18 days) after diagnosis. We concluded that active treatment of leptomentingeal carcinomatosis with intrathecal methotrexate and brain irradiation may increase the quality of life, and further-more, may prolong survival in some patients.
십이지장궤양치료에 있어서 Misoprostol < Cytotec ( R ) > 의 효과
최흥재(Heung Jai Choi),박인서(In Suh Park),이상인(Sang In Lee),한광협(Kwang Hyub Han),오광제(kwang Je Oh),김동립(dong Lip Kim) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.2
N/A For the evaluation of clinical efficacy of misoprostol, a synthetic prostaglandin E1, analogue, in patients with duodenal ulcer, thirty patients with endoscopically proved active duodenal ulcer were admitted to this trial. Thirty patients were treated with misoprostol 200 ㎍ q. i. d. upto 4 week or 6 week in the patients who were not complete]y healed during 4 weeks. 1) The complete healing rate of duodenal ulcer by endoscopic examination at 4 and 6 week were 83.3% and 100% respectively. 2) Abnormal laboratory findings after treatment were not found. 3) Diarrhea was present in one patient and two patients complained of loose stool but these symptomes were mild and tolerable. In conculsion, this study demonstrates that misoprostol 200 ㎍ given q. i. d. for four or six weeks is effective, well-tolerated and safe in the treatment of duodenal ulcer.
1995년 국군병사에서 발생한 국내감염 말라리아 환자 87명에 대한 역학적 및 임상적 분석
강문원,임현우,오상용,임채승,김동립,서지영,안영수 대한감염학회 1996 감염 Vol.28 No.3
목적: 한국에서는 1980년대 중반이후 토착형 말라리아 발생이 없었으나, 1993년 새로이 말라리아가 발생한 후 비무장지대 부근에서 근무하는 장병에게서 말라리아환자가 지속적으로 급증하고 있다. 방법: 저자들은 반복되는 고열로 1995년도에 국군수도병원에 내원한 환자중 말라리아로 확 진된 87명의 환자를 대상으로 임상적 및 역학적자료를 분석하였다. 결과: 모든 환자에서 해외여행 경험이 없어 국내감염으로 사료되었다. 62명의 환자(71.3%)에서 증상발현시 비무장지대 근무를 하였거나 혹은 근무를 수행하고 있었다. 환자발생은 6월부터 10월까지 발생하였으며 온도상승과 함께 발생이 증가하여 무더운 8월에 가장많이 발생하였다. 말초혈액 검사상 모두가 삼일열 말라리아로 진단되었으나, 발열의 주기가 48시간을 보인 환자는 61명(70.1%)뿐이었고, 24시간은, 10명(11.4%), 불규칙 주기가 16명(18.4%)이었다. 13명에서 치료약제의 투여 없이 증상의 자연소실을 보였으며, 그중 5명에서 2∼4주후 재발되었다. 치료로 hydroxychloroquine과 primaquine을 투여하였으며, 치료후 대부분이 24시간내, 늦어도 48시간내에 발열의 증세가 소실하였다. 현재까지 재발된 환자는 없었다. 결론: 1995년 비무장지대의 서부전선에서 삼일열 말라리아가 집단 발생하였다. 경기도 파주군 및 연천군지역에 말라리아 박멸을 위하여 포괄적인 말라리아 대책이 어루어져야 할 것으로 사료된다. Background: Republic of Korea(ROK) has been free from endemic malaria since the mid-1980s, but malaria infections have been increasing steadily in the soldiers serving near the western part of Demilitarized Zone(DMZ) since its first resurgence in 1993. Methods: We analyzed epidemiologic and clinical data of 87 malaria patients seen at Capital Armed Forces General Hospital in 1995. Results: All patients had never been outside of Korea, and were thought to have contracted the disease indigenously. Many of patients (62 patients, 71.3%) had served or were serving at the DMZ at the onset of the disease. Occurrence of patients was distributed from June to October with the number of patients increasing as the weather became hot and humid peaking in August. Peripheral blood smears showed various forms of Plasmodium vivax in all patients. Fever pattern was typical in 61 cases(70.1%) with 48 hr interval, but atypical in 10 cases(11.4%) with 24 hr interval and in 16 cases(18.4%) with irregular pattern. Some patients(8 cases) even had spontaneous remission of fever before treatment and 5 cases had a history of simillar episode of fever 2 to 4 weeks before, Patients were treated with hydroxychloroquine and primaquine showing rapid clinical and hematologic responses. No relapse has been found up to the present. Conclusion: An outbreak of P. vivax malaria was found near the western part of DMZ in 1995. In order to eradicate malaria, a proper surveillance system is needed in the areas.