http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
김학산,남홍우,민경완,송형운,정경은 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
Spontaneou bacterial peritonitis is a serious problem in patients with cirrhotic ascites, with an incidence of 10% to 27% in hospital admission and mortality over 40%. The conventional method of ascitic fluid culture has a low sensitivity in detecting causative organism of spontaneous bacterial peritonitis. We have prospectively 1) compaired the sensitivity of two culture methods (conventional vs blood culture bottle method with thioglycollate broth) in cirrhotic patients with spontaneous bacterial peritonitis, 2) determined the optimal inoculation volume of ascites, 3) identified the causative organism of SBP. During the 12 month period,$quot;twenty two episodes of SBP occured in 46 patients with cirrhotic ascites. The conventional method grew an oirganism in 5 episodes whereas the blood culture bottle method did in 16 episodes (22.7% VS 72.7%, $lt; 0.05). Ten-mililiter inoculation of ascites into a blood culture bottle were superior to 5-mililiter inoculation in detecting organism, but not significantly (72.7%(59.0%, p$gt;0.05). We concluded that the inoculation of ascitic fluid to a blood culture bottle is more sensitive than the conventional method and shoule be used routinely for ascitic culture in cirrhotic patients.
토끼에서 Trinitrobenzene Sulfonic Acid ( TNBS ) 로 유발시킨 급성 대장 손상에 대한Warfarin의 영향
김학산,김동준,윤윤보,최은수,손행종(Haeng Jong Sohn),전원호(Won Ho Jeon),김광일 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
N/A Inflammatory bowel disease is a group of chronic inflammatory disorders of unknown etiolo- gy involving the gastrointestinal tract. Wakefield et al suggested that Crohns disease is medi- ated by multifocal gastrointestinal infarction and recently Gaffney reported that marked im- provement in the patients with ulcerative colitis were noticed during treatment with heparin. This study was performed to find out, whether intrarectal infusion of TNBS 50mg into t.he rab- bit causes acute colitis or not, and whether warfarin pretreatment. Prevent.s colonic damage in duced by TNBS or not. The rabbits were randomly assigned to one of two groups, warfar in pretreated(N=6) and non treated(N=6). Warfarin solution was infused through the ear vein of the rabbit and TNBS 50mg was instilled into the colon of the rabbit. The rabbits were sacri ficed and the degree of colonic damage was recorded as visual analogue scale and microscopic findings. The results showed that intrarectal infusion of TNBS 50mg caused acut.e necrotic co litis, but warfarin pretreatment did not prevent TNBS induced acute colitis.(Korean J Gastro- enterol 1994; 26: 458 464)
肺動脈 팻취利殖에 關한 實驗的硏究 : An Experimental Study
金鶴山 中央醫學社 1969 中央醫學 Vol.16 No.1
Macroscopic and histological studies were done on the patch graft of the main pulmomary artery trunk to expand the arterial lumen, utilizing crimped dacron vessel piece, homologous pericardium preserved in 70% ethlyalcohol, and fresh autogenous pericardium. Thirty dogs were grafted, among which there are one operative death and five short term survivors. The former expired due to laceration of the posterior aspect of pulmonary artery during dissection and most of the immediate post-operative deaths were due to infection, notably empyema. One, two, three, and four months post-operative long-term survivors were sacrificed to obtain specimens in each group respectively. The following observations were made in the long-term survivors. (A) Macroscopic findings: In one month specimens of the each group rough and thin loosely attached membrane on the vascular luminal surface of the patch was noticed but adventitial surface showed dense adhesion to the pericardium. Up to two months the intimal surface of the patch was rather rough in dacron and homopericardium, but in autopericardium it was smooth and glistening. In three months specimens, autopericardium patch showed completely smooth, glistening, and firm intimal surface which could hardly be differentiated from the imtima of the host's pulmonary artery. In dacron and homopericardium groups the above mentioned patch capsule findings were noted in the four months groups. In four months specimens suture materials were conpletely incorporated into the host tissue. No aneurysmal dilatation nor thrombose were noted: .. , Shrinkage of the graft in the long-term survivors were most remarkable in dacron and least in preserved homograft groups. (B) Microscopic findings: One months groups showed acute inflammatory processes, mainly consisting of neutrophile polymorphnuclear leucocyte infection and small necrotic debris with scattered round cells. Two months groups showed mixed findngs of receding inflamatory reactioin and reparing process, with abundant small cells, fibroblasts, and fibrocytes in and around the patch. In three months group reparing process was dominant with many fibroblasts and fibrocytes showing connective tissue proliferation and scattered small round cells and large mononuclear cells. In four months group fibrous connective tissue surrounded the patch completely and incorporated into it firmly. Very slight or almost no cell infiltration was noted. Intimal surface. of this capsule was smooth and showed endothelialization which can not be differentiated from the host's intima. In autopericardium group connective tissue capsule and endothelializaiion was complete in three months group showing the above mentioned findings. Among these three kinds of patch groups dacron showed the most severe and autopericardium showed the least tissue reaction. The autopericardium group required shorter period of time for complete healing than dacron and homopericardium.
간 , 담도 및 췌장 : 간내담석증 진단에 있어서 정량적 99mTc - DISIDA 스캔의 의미
김학산(Hak San Kim),이은주(Eun Joo Lee),위상오(Sang Oh Wee),최덕주(Duk Joo Choi),박원(Won Park),김종순(Jong Soon Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
N/A To evaluate the usefulness of technetium99m-DISIDA scan for diagnosis of intrahepatic lithiasis, we studied 22 cases of normal subjects, 14 cases of intrahepatic stone (4 cases of right intrahepatic stone, 5 cases for left intrahepatic stone and 5 cases for bilateral intrahepatic stone), 7 cases of common hepatic and common bile duct stone, 7 of hepatitis and 17 cases of GB stone. The results are summarized as follows; 1) In normal control-group, the mean ratio+1s.d. was 0.47+0.18 for RRR, 0.54+0.17 for RRL and 0.91+0.24 for R/L DR. 2) The retention ratio was 0.85+0.52 in affected right lobe of right intrahepatic stone and 0.95+0.18 in affected left lobe of left intrahepatic stone. So ratio was significatnly increased in affected lobe when compared with that of the corresponding normal lobe (p<0.005). 3) The RRR and RRL of bilateral intrahepatic stone, common hepatic and common bile duct stone, GB stone and hepatitis were significantly increased than normal control groups (p<0.01). In conclusion, quantitative technetium-99mDISIDA scan was simple, objective, time-sparing and non-invasive method for screening intrahepatic stone.
김학산(Hak San Kim),이은주(Eun Joo Lee),김종순(Jong Soon Kim),최덕주(Duck Joo Choi),김관우(Kwan Woo Kim),김광일(Kwang Il Kim) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.3
N/A To evaluate the diagnostic value of ascitic lipid in liver cirrhosis, malignant neoplasm and tuberculous peritonitis, ascitic fluid concentration of cholesterol, beta-lipoprotein, triglyceride and protein were studied (25 with liver cirrhosis, 12 with malignant neoplasm and 5 with tuberculous peritonitis). The results were as follows: 1) The mean value for cholesterol, beta-lipoprotein, triglycerides and protein were significantly higher in malignant ascites compared to the mean for those in cirrhotics 2) The best discrimination values were 40mg per dl for cholesterol, 75mg per dl for beta-lipoprotein, 40 mg per dl for triglyceride and 2.5 gm per dl for protein. 3) Applying the discrimination value, efficiency were 94.0% for cholesterol, 91.0% for beta-lipoprotein, 75.2% for triglyceride and 86.7% for protein. We conclud that the level of cholesterol in ascitic fluid was the best parameter of differential diagnosis between liver cirrhosis and malignant neoplasm.