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급성 심근경색증에 동반된 승모판 폐쇄부전증의 임상적 특징
정상만,조영일,조화상,유광하,송기호,인행환 건국대학교 의과학연구소 1997 건국의과학학술지 Vol.7 No.-
The early detection and proper management of mitral regurgitation(MR) associated with acute myocardial infarction(MI) is very important to improve the clinical course and outcome of disease. The change of left ventricular shape and regional function, papillary muscle rupture are major determinant of the existence and severity of MR. We performed 2D and M mode echocardiography of 28 patients at the early stage of acute MI to evaluate the existance and degree of MR and its pathogenetic factor. Significant MR occured in 12 (42.9%) patients. In the group of MI with MR, the inferior MI was frequent (7 case) than anterior MI (5 case) comparing to the patient group of MI without MR (inferior MI : 6 case, anterior MI : 10 case) (p<0.01).The left ventricular end diastolic dimension(LVEDD), end systolic dimension (LVESD) and left atrial dimension (LAD) were significantly increased in MI with MR than MI without MR (LVEDD : 57.3 ±8.6 vs 46.4 ±9.2, p<0.05 ; LVESD : 52.9 ±9.2 vs 38.3 ±7.4, p<0.01 ; LAD : 45.4 ±3.8 vs 37.7 ±3.7, p<0.05).However, the ejection fraction was not different between two group two groups. These datas showed that MR was more frequent in inferior MI and the hemodynamic derangement was more serious in acute MI with MR.
인행환,김경수 건국대학교 의과학연구소 1998 건국의과학학술지 Vol.8 No.-
Emphysematous pyelonephritis is a serious, acute suppurative infection of the kidney characterized by production of intrarenal and, occasionally, perirenal gas. The disease is considered rare, but life-threatening. We report a case of emphysematous pyelonephritis with intrarenal gas collection caused by E. coli in a 45 years old woman with diabetes mellitus. The patient was successfully managed with intensive medical treatment only.
Helicobacter pylori 감염에 의한 위염의 병리조직학적 양상 및 박멸치료 후의 호전
조영일(Young Il Jo),박형석(Hyung Seok Park),송기호(Ki Ho Song),인행환(Haeng Hwan In),윤성욱(Seong Yuk Youn),김예리(Yei Lee Kim),이재동(Jae Dong Lee),진춘조(Choon Jo Jin),윤상애(Sang Ae Yoon) 대한내과학회 1998 대한내과학회지 Vol.54 No.2
N/A body and fundus. A signi6cant, positive correlation was noted between HP score and the score for inflammation, for activity, and for mucus depletion. After eradication of HP infection, significant improvement in activity, chronic inflammation, and mucus depletion was detected in responders with a successful HP eradication; the activity return to normal in follow-up, and chronic inflammation and mucus depletion was decreased significally in severity in responders(p<0.05%). No significant reduction in severity of gastritis and mucus depletion was detected in the non-responders with persistent HP infection following anti-HP triple therapy. Conclusion: The eradication of HP results in a rapid, significant histopathological improvement in the gastritis scores and epithelial damage in gastric mucosa.
송기호(Ki Ho Song),송광선(Kwang Seon Song),김현준(Hyun Jun Kim),왕준호(Joon Ho Wang),인행환(Haeng Hwan In),진춘조(Choon Jo Jin),용석중(Suk Joong Yong),신계철(Kye Chul Shin) 대한내과학회 1997 대한내과학회지 Vol.53 No.5
N/A Objectives: Organophosphates make their clinical effects after absorbed through gastrointestinal tract, lungs and skin. We commonly see the gastrointestinal tract and lung as routes of organophosphates (OP) intoxication, but there have been few reports that said the skin as a route OP intoxication. We have experienced many patients that showed OP intoxication symptoms during or after the control of pine gall midge. So we analyzed the clinical characteristics of the patients and evaluated the route of OP intoxication. Methods: We analyzed retrospectively 26 cases who were diagnosed as 'OP intoxication after control of pine gall midge' from June 1 1995 to July 31 1996. Results: 1) The mean age of the cases, mean duration of work and mean initial cholinesterase level were 52 years, 11.9 days, 318.2U/L respectively. And the over all ratio of male to female was 11:15. 2) All cases were engaged in drug injection and 7 cases (32%) weared mask. Face and upper body were excluded from protective clothings. 3) The cardinal symptoms were diarrhea and dizziness followed by nausea, vomiting, headache, anorexia, paralysis in order of frequency. 4 Directly contributing factors to symptom onset were rain, excessive sweating due to hot weather and direct contact. 5) Most of cases (92%) were recovered completely. 2 cases died during hospitalization due to acute respiratory failure and sepsis. Mechanical ventilation were applied in 4 cases for mean 12 days. In 2 cases, there were neurobehavioral changes as delayed neurologic sequelae. Conclusion: We have concluded that the route of organophosporus intoxication after the control of pine gall midge was skin (transdermal absorption). Sufficient education and protective measures should be done for preventing organophosporus intoxication in the control of pine gall midge.