• Title/Summary/Keyword: 기관 수술

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Analysis of Surgical Risk Factors in Pulmonary (폐국균종의 수술위험인자 분석)

  • 김용희;이은상;박승일;김동관;김현조;정종필;손광현
    • Journal of Chest Surgery
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    • v.32 no.3
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    • pp.281-286
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    • 1999
  • Background: The purpose of this study is to analyze the types of complications, the incidences of complications, and preoperative and postoperative risk factors affecting the incidence of the complication. Material and Method: Between August 1990 and August 1997 in Asan Medical Center, 42 patients(24 men and 18 women) underwent surgical resection for pulmonary aspergilloma. The mean age was 46.6${\pm}$11.5 years(range 29 to 69 years). Hemoptysis(90%) was the most common presentation. Pulmonary tuberculosis was the most common predisposing cause(81%). The associated diseases were bronchiectasis(n=11), active puolmonary tuberculosis(n=9), diabetes mellitus(n=8), lung carcinoid(n=1), and acute myeloblastic leukemia(n=1). Lobectomy was done in 32 cases(76%), segmentectomy or wedge resection in 4, pneumonectomy in 2, and lobectomy combined with segmentectomy in 4. Result: Operative mortality was 2%. The most common postoperative complication was persistent air leakage(n=6). The variables such as age, sex, pulmonary function test, amount and duration of hemoptysis, associated diseases(diabetes mellitus, active pulmonary tuberculosis), mode of preoperative management(steroid, antifungal agent, bronchial arterial embolization), and modes of operative procedures were statistically insignificant. The radiologic extent of infiltration to normal lung parenchyme was statistically significant(p=0.04). Conclusion: We conclude that the extent of the infiltration to normal lung parenchyme in preoperative radiologic studies should be carefully evaluated to reduce the postoperative complications in surgery for pulmonary aspergilloma.

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Primary Tracheal Tumor C (원발성 기관 종양)

  • 이종호;문석환;조건현;왕영필;곽문섭;김세화
    • Journal of Chest Surgery
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    • v.31 no.8
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    • pp.799-803
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    • 1998
  • Background: Tumors of the trachea are rare despite their histologic similarity to tumors of the main stem bronchus and lung. Materials and methods: Fourteen patients with tracheal tumor underwent surgical, radiational, or laser photocoagulation therapy from March 1981 to July 1996. Nine patients were malignant and five patients were benign. The most common malignant tumor was adenoid cystic carcinoma. Results: Age ranged from 10 to 65 years with mean age of 45.9 years. Most tumors were located middle and lower one-third of trachea. Surgery was done through collar incision, or collar incision with vertical partial sternal division, or left posterolateral thoracotomy, or sternal division with laryngeal release. Two patients died after operation, because of the disruption of anastomosis and airway obstruction,and laryngeal edema after suprahyoid release. Only one patient died after 8 month of diagnosis. The other patients were doing well during the follow-up period.

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Retroperitoneal Bronchogenic Cyst -A case report- (후복막강내 기관지 낭종 - 1예 보고 -)

  • Shin, Kyung-Wook;Kang, Jeong-Ho;Chung, Won-Sang;Kim, Hyuck;Kim, Young-Hak;Jeon, Seok-Chol
    • Journal of Chest Surgery
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    • v.43 no.2
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    • pp.221-223
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    • 2010
  • Bronchogenic cysts are usually located in the pulmonary parenchyma or in the mediastinum. When bronchogenic cysts are located in the mediastinum, they are usually near the bronchus or esophagus, and rarely located in the retroperitoneal space. It is difficult to differentiate between bronchogenic cysts and benign cysts prior to surgert. We report here on a patient for who had a mass in the retroperitoneum, with the preoperative diagnosis being a benign neurogenic tumor. Via left open thoracotomy, pathologic reports revealed that the mass was a bronchogenic cyst. We report here on the case of a bronchogenic cyst that was located in the retroperitoneal space of the diaphragm.

Status and Characteristics of Applying Medical Use Analysis of intervertebral Disc Disorder Patients - Focusing on cervical spinal disease (추간판 장애 환자의 의료이용 현황 및 특성 -경추질환을 중심으로-)

  • Seo, Young-Woo;Park, Cho-Yeal
    • Journal of the Health Care and Life Science
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    • v.9 no.1
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    • pp.103-115
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    • 2021
  • The purpose of this study is to understand the annual trend of patients with cervical vertebrae disability and improve their health service utilization in the general description (200 TABLE) of patients with cervical vertebrae disability.The main results of this study are as follows. All patients with cervical vertebrae disability were women aged 50 to 59. Compared to 2010, the proportion of patients with disease increased year by year in all subjects in 2018, with men under 30-39 years of age and women under 19 years of age increasing the highest.

Recurrent Bronchoesophageal Fistula after Endoscopic Treatment (내시경적 치료 후 재발한 기관지식도루)

  • Kim, Ji-Hoon;Chung, Won-Sang;Kang, Jeong-Ho;Kim, Young-Hak;Kim, Hyuck;Jeon, Seok-Chol
    • Journal of Chest Surgery
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    • v.43 no.4
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    • pp.462-465
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    • 2010
  • Acquired bronchoesophageal fistula rare. Conservative treatment such as endoscopy is widely used. The recurrence rate after endoscopic treatment, however, is not well known. We report here on a case of a 54-year-old female who presented with recurrent bronchoesophageal fistula after endoscopic treatment that filled the fistula tract with $Histoacryl^{(R)}$.

Reconstruction of Tracheobronchial Stenosis due to Endobronchial Tuberculosis - A case report - (결핵성 기관 및 주기관지 협착에 대한 재건술 - 1예 보고 -)

  • Do, Hyung-Dong;Lee, Jung-Cheul;Baek, Jong-Hyun;Lee, Jang-Hoon
    • Journal of Chest Surgery
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    • v.42 no.5
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    • pp.670-673
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    • 2009
  • A 20 year old woman had developed stenosis at the lower part of the trachea, right main bronchus, and right upper lobe bronchus as a complication of endobronchial tuberculosis. The patient had complained of severe dyspnea. Tracheobronchial stenosis was so extensive that we did reconstruction of the trachea and right bronchus with resection of the lower trachea and right main bronchus and right upper lobectomy. She has been doing well without any respiratory symptoms or complications.

Tracheoinnominate Artery Fistula -A Case Report- (기관 무명 동맥루 -1례 보고-)

  • 김맹호;김일현;김광택;김학제
    • Journal of Chest Surgery
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    • v.31 no.5
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    • pp.536-539
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    • 1998
  • Tracheoinnominate artery fistula is a rare complication that can happen after tracheostomy, the mortality rate is high and it reqiures urgent surgical management. The patient had received a left pneumonectomy 30 years ago and post-operative course was in uneventful. And tracheostomy was performed for acute respiratory failure due to trachea stenosis for 2 months in recent. She was improved in general condition and changed to a 11 mm silicone Montgomery T-tube. On the 3rd day after the tube changed, she had cardiac arrest due to the excessive hemorrhaging due to tracheoinnominate artery fistula. We report an successusful experience for control of bleeding by an innominate artery fistula division and the Utley maneuver for the tracheoinnominate artery fistula. We report the operation method of bleeding control.

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Adult Tracheoesophageal Fistula Incidentally Found on General Endotracheal Anesthesia - A Case Report - (전신마취 중 우연히 발견된 성인에서의 고립성 기관식도루 - 1례 보고 -)

  • 백완기;김현태;심상석;조상록
    • Journal of Chest Surgery
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    • v.31 no.4
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    • pp.413-417
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    • 1998
  • We describe a case of adult tracheoesophageal fisula incidentally found during laparotomy. A 41 year old male came to the emergency room due to multiple injuries from a car accident. An emergent laparotomy was given to the patient to rule out hemoperitoneum, and progressive distension of the stomach was noted with each positive pressure ventilation. The diagnosis of tracheoesophageal fistula was made via an intraoperative esophagogram. Detailed inquiry of the patient's history from his mother together with extensive destructive changes over the right upper lung field on the patient's chest X ray suggested that the fistula was longstanding and not of traumatic origin, obviating the need of urgent operation. The fistula was divided via the right thoracotomy 24 days later. Postoperative course was uneventful.

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레이저 안전관리와 필요성

  • Kim, Yeong-Sik
    • The Optical Journal
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    • s.105
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    • pp.27-29
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    • 2006
  • 레이저 광선이 가져다준 많은 장점과 편리함에 비하면 레이저의 위험성이라는 부정적인 요소가 차지하는 비중은 미미하다고 볼 수 있다. 그러나 우려되는 것은 레이저를 생산하거나 이용하는 공장의 작업장을 비롯하여, 수술 또는 치료용으로 사용하는 의료기관의 수가 지속적으로 늘어나고 있음을 감안할 때, 이러한 장소에서 레이저를 동작시키는 사용자를 포함한 주변사람이 레이저광선에 직접 또는 간접적으로 노출되어 사고를 당할 확률도 그만큼 높아지고 있다는 점이다.

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작물보호와 행정

  • Hyeon, Jae-Seon
    • The Science & Technology
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    • v.6 no.8 s.51
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    • pp.23-24
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    • 1973
  • 행정이란 Webster의 사전에 의하면 "장기적 안목에서 어떤 기관이 그 목적달성을 위한 활동의 계획, 조직, 그리고 통제하는 사무적 관리상을 말하며 이것은 흔히 수술적 응급대책과는 구별된다."라고 하고 있다. 따라서 작품보호행정은 작물보호가 무엇을 목적으로 하고 있는가를 명백히 인식하고 이론을 토태로 한 합리적이고 효율적인 목적달성을 위한 계획의 수립, 구체적 운영을 위한 기구의 편성, 그리고 이 조직의 합리적 운영등을 그 내용으로 하고 있다.

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