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Three Cases of the Foreign Bodies in the Trachea & Bronchus (최근에 경험한 기관 이물 3례)

  • 이용화;이동수;옥흥남;이선철
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.3.5-4
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    • 1978
  • Foreign body in the trachea & bronchus is considered as one of the frequently observed accidental cases in the field of E.N.T. and many cases & analysis of them are reported by many authors. We have, recently, experienced three cases of the foreign bodies in the trachea & bronchus and removed successfully through bronchoscopy under general anesthesia. Case A : a kind of plastic reed (2.2CM$\times$0.8CM$\times$0.8CM) was removed from the carina of trachea of a 7 year old female. Case B: a nail (4.9CM$\times$0.3CM$\times$0.3CM) was removed from the right main bronchus of a 2 year old male. Case C : a kind of plastic reed (2.0CM$\times$0.8CM$\times$0.8CM) was removed from the right main bronchus of a 7 year old female.

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The Benefit of Supplemental Cough Suppression Therapy for Chronic Refractory Cough (만성 난치성 기침에 대한 기침 억제 요법의 효과)

  • Yoo, Yong Jun;Park, Hye Jin;Han, Myung Woul;Kim, Ji Won
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.1
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    • pp.26-30
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    • 2022
  • Background and Objectives Cough suppression therapy (CST) is a physiotherapy that can be used for patients with chronic refractory cough (CRC). We aimed to investigate the efficacy of CST for CRC. Materials and Method A prospective randomized controlled trial was conducted in 27 patients with CRC. Participants were randomized to receive either standard mucolytic medications for CRC combined with supplemental CST (CST group) or standard medications alone (control group). CST consists of laryngeal hygiene management, humidification, cough suppression technique, breathing method, and counseling. We assessed the symptoms change at baseline and week 4 with the Leicester Cough Questionnaire (LCQ). Secondary efficacy outcomes included the degree of cough Visual Analog Scale (VAS) score (0 to 100 scale). Results From 2019 to 2021, 14 CST group patients and 13 control group patients were included. The improvement was significantly greater in the CST group than in the control group for cough VAS score (36.67 to 13.33 vs. 74.29 to 16.43, p<0.001). Patients in the CST group had a significant improvement in total (70.14 to 107.71, p=0.005), physical (31.42 to 43.86, p=0.015), psychological (23.57 to 40.14, p=0.003), and social (15.14 to 23.71, p=0.005) LCQ scores. However, there was not a significant pre- to post-treatment LCQ score improvement in control group. Conclusion CST might be an effective supplemental intervention for CRC.

Correlation of inhalant MAST on chronically coughing children (만성 기침을 하는 소아에서 호흡기 증상과 inhalant MAST의 연관성)

  • Yun, Jung Min;Roh, Eui Jung;Lim, Jae Woo;Choen, Eun Jung;Ko, Kyoung Og;Lee, Young Hyuk
    • Clinical and Experimental Pediatrics
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    • v.49 no.6
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    • pp.643-647
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    • 2006
  • Purpose : Recently, incidences of chronic cough with allergic disease have been increased. The identification of specific allergens for chronically coughing children is significant for diagnosis, proper treatment and prevention. The aim of this study was to identify significant contributors for sensitization in chronically coughing children. Methods : A total of 106 children, aged 1-6 years, visiting for chronic cough(>3 weeks), were tested for inhalant multiple allergosorbent assay(MAST), eosinophil count and total IgE. Parents completed a questionnaire on past history of atopy(infantile eczema) and bronchiolitis, family history of allergy, breastfeeding, smoking, pets and floor coverings at home. Results : Significant contributors for sensitization were : age(4-6 years), infantile eczema, positive family history of allergy and smoking by family. Conclusion : We were able to identify significant contributors for sensitization in chronically coughing children.

The significance of vascular endothelial growth factor(VEGF) in children with asthma and pneumonia (소아 천식과 폐렴에서 혈청 vascular endothelial growth factor 농도의 의의)

  • Choi, Seong Hwan;Shim, Jung Yeon;Yoo, Myung Hwan;Kim, Deok Soo;Shim, Jae Won;Jung, Hye Lim;Park, Moon Soo
    • Clinical and Experimental Pediatrics
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    • v.49 no.2
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    • pp.192-197
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    • 2006
  • Purpose : Vascular endothelial growth factor(VEGF) is a key cytokine for controlling vascular permeability and angiogenesis, which is one of the major findings in airway remodeling. However, it is not well known if it is associated with acute lower respiratory tract disease such as lobar pneumonia. The aim of this study is to compare serum VEGF levels in patients with asthma according to its severity and duration of cough, and to compare its levels with children with lobar pneumonia. Methods : Using a sandwich enzyme-linked immunosorbent assay, the serum VEGF levels were measured in 16 mild asthmatics, 14 moderate to severe asthmatics, six children with lobar pneumonia, and 22 control subjects. The asthmatics were also classified into three groups according to the duration of cough. Serum VEGF levels were compared in each group. Results : Serum VEGF levels were significantly increased in the children with moderate to severe asthma and lobar pneumonia compared to the children with mild asthma and control subjects. Serum VEGF levels were higher in children with chronic coughs of more than two weeks than in children with coughs lasting less than two weeks. Serum levels of VEGF showed positive correlations with blood platelet and white blood cell counts. Conclusion : VEGF increased according to the severity of asthma and duration of cough in children with asthma. It may play an important role not only in chronic airway inflammation, but also in the acute inflammation in children with lower respiratory tract disease.

Clinical Characteristics of Pertussis Epidemic in Changwon (창원에서 유행한 백일해의 임상적 특징)

  • Jang, Joon Weon;Kang, Jin Han;Choi, Jae Won;Lee, Hak Sung;Ma, Sang Hyuk
    • Pediatric Infection and Vaccine
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    • v.24 no.1
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    • pp.37-43
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    • 2017
  • Purpose: Pertussis can be prevented with a vaccine. Despite this, there have been an increasing number of cases worldwide, and also in Korea. This study aimed to investigate the epidemiology and clinical characteristics of the recent outbreak in the Changwon area. Methods: Patients who visited Changwon Fatima Hospital from July 2015 to March 2016 with respiratory symptoms, including spasmodic cough, cough induced vomiting, inspiratory 'intake' sound (whooping), and a night-time cough for >1 week were included in this study. Respiratory specimens were collected from patients and a polymerase chain reaction (PCR) and detected anti-pertussis immunoglobulin G enzyme-linked immunosorbent assay kit test were performed. Patients with underlying diseases, or those who had received a DTaP or Tdap vaccination in recent 1 year were excluded. Results: Pertussis was diagnosed in 37 of 50 patients, two patients were positive according to the PCR, and 37 patients were positive according to serologic tests. The age distribution of the patients was 1 month to 15 years. After administering antibiotics, all patients recovered without complications. Conclusions: A pertussis outbreak occurred in Changwon in 2015 and 2016. This data can provide the basis for further study on the epidemiology of pertussis in Korea.

결핵균의 위기, 비결핵항산균의 등장

  • Park, Jae-Seok
    • 보건세계
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    • v.53 no.4 s.596
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    • pp.35-39
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    • 2006
  • 폐결핵이 발생한 환자가 기침할 때 나오는 결핵균들은 새로 태어난 사람들을 포함하여 결핵균에 감염되지 않았던 다른 사람들을 새롭게 감염시키면서 인류 사회에 깊숙이 침투해서 번창하여 왔다. 그러나 1940년대에 접어들면서 인류는 결핵균에게 치명적인 무기들을 하나씩 개발하고 결핵균의 전략을 파악하면서 대대적인 반격을 시작하였다. 세월이 흘러 결핵퇴치사업이 성과를 보이면서 선진국들을 중심으로 결핵균의 세력이 급격히 위축되면서 위기를 맞고 있다.

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연간 특별기획-제3편 천식

  • Go, Jin-A
    • 건강소식
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    • v.32 no.4 s.353
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    • pp.6-13
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    • 2008
  • 환절기만 되면 발작적 호흡곤란 때문에 고생을 하는 사람이 있다. 이들은 곤히 잠든 새벽녘에 천식발작을 일으켜 숨이 차서 밤을 꼬박 새우기도 한다. 천식은 기관지가 정상인보다 민감해서 작은 자극에도 쉽게 반응을 하기 때문에 생기는 병이다. 숨을 쉴 때 휘파람을 불 듯‘휘휘’소리가 나는 천명, 호흡곤란, 기침이 천식의 3대 증상이다. 발작이 일어나면 숨을 제대로 못 쉬기 때문에 안색이 창백해지고 입술이 파랗게 되는 등 고통이 심하지만 발작이 끝나면 거짓말처럼 깨끗이 낫는 게 특징이다.

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지혜 깊어지는 건강_활기찬 실버 세대 - 으라차차 시니어는 '소변' 때문에 괴롭지 않다

  • Mun, Gi-Hyeok
    • 건강소식
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    • v.35 no.10
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    • pp.24-25
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    • 2011
  • 나이가 들수록 '소변' 때문에 어려움을 겪는 사람들이 있다. 소변을 볼 때 통증을 느끼거나 하루에 소변보는 횟수도 부쩍 늘어 8회 이상 소변을 본다. 또한, 참지 못할 정도로 긴박한 요절박 현상을 겪고 있을 뿐만 아니라 소변을 보더라도 시원한 느낌이 들지 않는 방광염 증상이 나타나기도 하고, 더욱이 웃을 때나 기침할 때 가끔 소변이 나와 냄새가 나지 않는지 걱정이 되는 요실금 증상이 나타나기도 한다.

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만성적 염증성 질환, 천식

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.31 no.8 s.345
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    • pp.30-31
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    • 2007
  • 천식은 기도가 수축하고 염증이 생기는 흔한 만성 호흡기 질환이다. 천식은 평소에도 기관지에 염증이 존재하므로 가벼운 자극에도 쉽게 기도가 좁아지게 되어 천명음(숨쉴 때 쌕쌕거리는 소리), 기침, 가슴이 답답함, 호흡곤란 등의 증상이 나타나게 된다. 만일 치료를 하지 않고 그대로 방치한다면 오랫동안 폐 기능이 감소된다. 아직까지 천식을 완치할 수 있는 치료법은 발견되지 않았지만, 올바른 방법으로만 하면 성공적으로 관리할 수 있는 질병이다.

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