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중증감염후 일시적인 자연관해를 보인 성인 급성백혈병 1예
임상복,황효주,우종욱,홍대식,박희숙,김원배 대한내과학회 1990 대한내과학회지 Vol.38 No.3
Spontaneous remission of acute leukemia, first described by Eisenlohr in 1878, is very rare but well-documented in the literature. Spontaneous remission in these cases was a associated with systemic infections, even though in some instances transfusion of blood products and termination of pregnancy were also implicated. Recently, we observed a spontaneous complete remission of 18 weeks duration in a 24-year-old female with acute lymphocytic leukemia. The remission occurred after pneumonia and a skin infection on the extremities.
간의 Fibrinogen 합성능력 평가방법에 대한 연구
곽준구,오도연,황효주,정성환,양동호,조주영,홍세용 순천향대학교 1990 논문집 Vol.13 No.3
The purpose of this study was to seek more sensitive method to evaluate the hepatic fibrinogen production. We measured the plasma fibrinogen and ESR from healthy control group and variable liver disease groups. The fibrinogen level was 359±100(range 250-760) in healthy control group, 478±155(range 257-155) in infection control group, 367±126(range 240-720) in gastritis control group. In liver disease it was 502±148(range 340-694) in acute viral hepatitis, 306±642(range 212-395) in CAH, 313±52(range 225-360) in CPH, 437±150(range 267-720) in CH and 276±144(range 162-630) in liver cirrhosis. The plasma fibrinogen was higher in infection control group(p≤0.0005) than health control group but it was lower in liver cirrhosis group(p<0.0005), From the relation between the plasma fibrinogen and ESR in healthy control group, we attempted to predict the fibrinogen level depending on the ESR in various liver diseases and the other control group of infection and gastritis and peptic ulcer. From the regression of fibrinogen level and ESR, the equation(Y=6.97X+270) was driven. From the distribution of the difference between the real and predictive fibrinogen in normal control group, we defined the range of lower 5% zone by Z score. X+0.05 (Z=95%=-1.64=----------), X=-91.3 55.7 Prevalence rate of imparied fibrinogen production lesser than that of lower 5% range(less than-91.3) in the distribution of normal control group was 9%(3/33) in infection control group, 10%(10/100) in gastritis control group, 25%(2/8) in acute hepatitis group, 50%(3/6) in CAH, 20%(1/5) in CPH, 20%(2/10) in CH and 60%(12/20) in liver cirrhosis group. Our result show that we can predict the fibrinogen level in reference to the ESR and this method provide more sensitive method to evaluate the hepatic fibrinogen production in liver disease patients.
ERBD 후 배액관 기능 평가에 대한 초음파촬영술의 의의
이문성(Moon Sung Lee),황효주(Hwo Joo Hwang),정성환(Seong Whan Jeong),김진홍(Jin Hong Kim),조성원(Sung Won Cho),심찬섭(Chan Sup Shim) 대한내과학회 1989 대한내과학회지 Vol.37 No.4
N/A Nonsurgical drainage of alignant obstructive jaundice is an interesting altenative to surgical drainage in the palliative treatment of pancreaticobiliary neoplasm. Biliary drainage by endoprosthesis is as effective and better supported than percutaneous external drainage, but more hard difficult to control. Forty-two cases with biliary or pancreatic carcinoma treated by endoprosthesis, ERBD, were followed up by ultrasonogram. Ultrasonic monitoring was useful in the demonstrations of the effectiveness of drainage and the detection of the endoprosthetic dysfunction. Consequently the ultrasonogram may be considered as a valuable method to complement the biochemical tests in the monitoring of biliary endoprosthesis.
조성원(Sung Won Cho),심찬섭(Chan Sup Shim),황효주(Hyo Joo Whang),함승원(Seung Won Ham),조종근(Jong Geun Cho),김익수(Ik Soo Kim) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
Mirizzi syndrome is obstruction of the common hepatic duct secondary to pressure from an impacted stone, either in the cystic duct or the neck of the gallbladder. We experienced of a 61-year-old female patient, whose clinical symptoms v:ere progressive jaun- dice, loss of appetite, pain on right upper quadrant abdomen, and fever with chill and ultrasonogram and ERCP revealed dilatation of common hepatic duct and intrahepatic duct with impacted stone on lateral wall of common hepatic duct.