• Journal of Chest Surgery
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• 제14권1호
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• pp.77-82
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• 1981

The esophageal perforation is the most rapidly fatal and most serious perforation of the gastrointestinal tract. The 53 year old male patient was admitted because of substernal and epigastric pain altar esophageal bougienage for the indigestion and the difficult swallowing before about 18 hours. On esophagogram, there was the extravasation of contrast media at the right side of the lower esophagus [retrocardiac segment]. The emergency thoractotomy, debridement and suture closure with drainage were performed. But after 7 days the esophageal leakage was complicated again with pus discharge, although primary repair was done. On the 13th hospital day, the temporary cervical esophageal fistulation with dual drainages was made under general anesthesia. On the 38th day after this procedure, the esophageal leakage was closed spontaneously. On the 63rd hospital day the cervical fistulation was repaired and ever since the esophageal passage was good without leakage or swallowing difficulty.

• Journal of Chest Surgery
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• 제37권3호
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• pp.279-281
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• 2004

베체트병은 구강 생식기의 궤양, 안구와 피부 병변을 주 증상으로하고 심혈관계, 호흡기계, 소화기계, 중추신경계, 비뇨기계를 침범하여 다양한 증상을 나타낼 수 있다. 베체트병에서 경동맥류와 장천공의 동반은 드문 경우로, 병리소견과 병력상 베체트병으로 진단 받은 환자에서 상기 병증에 대한 수술을 시행하였기에 보고하는 바이다.

• 한국실내디자인학회:학술대회논문집
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• 한국실내디자인학회 2004년도 춘계학술발표대회 논문집
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• pp.112-115
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• 2004

The government is in progress the traditional retail market redevelopment and remodeling due to atrophy of the traditional retail market in accordant to opening of the circulation market and changing of the consuming patterns. However, it seemed that primitive project was limited to the environment improvement scope. As the shopping environment which is comfortable to the consumers is provided and the design which considers a traditional retail market specific quality is applied from business plan early. It will be useful for the management normalization of traditional retail market actually. The spatial factors were analyzed as follows. 1. The circulation of consumer should be secured to make boundary line of the pass way. 2. The display booth should be standardized for the security of sight. 3. The signage panel should be consolidated in according to the plan. 4. The street vendor's handcart and tent should be arranged for circulations and the vision line.

• Journal of Chest Surgery
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• 제15권1호
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• pp.35-39
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• 1982

Cold blood potassium cardioplegia, by two types of the infusion systems, was used in 45 patients who were undergone the open cardiac operation. Method A [in 25 patients] was the syringe infusion system and method B [in 20 patients] was the pump infusion system. Cold blood potassium cardioplegic solution was used less amount on method B than method A. Serum potassium was often increased significantly on method A as a result of excessive infusion of cold blood potassium cardioplegic solution. But method B, excessive infusion of cold blood potassium cardioplegic solution was prevented by reperfusion of the previous infused cold blood potassium cardioplegic solution through the recirculation system. Alteration of infused rate and concentration of potassium in cold blood potassium cardioplegic solution during infusion [which might be suggested on the method A] could be controlled on method B.

• Journal of Chest Surgery
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• 제23권6호
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• pp.1067-1073
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• 1990

To clarify the changes of left ventricular function under normothermia, the time interval between the onset of ischemia and the beginning of contracture of left ventricle[TIC] were recorded in newborn piglet. Myocardial performance was assessed using intraventricular balloon to determine compliance and systolic function after 5 to 10 minutes interval per-fusing normothermic substrate free Krebs solution as a perfusate. The time to onset TIC was 29.5\ulcorner1.7 minutes and peak ischemic contracture was 46.7\ulcorner4.0 minutes[p<0.01]. In myocardial performance, systolic function of left ventricle[defined as cardiac contractility] was kept until 25 minutes of perfusion, but was decreased abruptly after 30 minutes of perfusion[p<0.0018] and diastolic function of left ventricle[defined as diastolic compliance] was kept until 15 minutes of perfusion, but was decreased after 20 minutes of perfusion [p=0.00\ulcorner9]. This study demonstrated maximal time of the tolerance to normothermic global ischemia and functional changes of left ventricle using Krebs perfusate under the same condition.

• Journal of Chest Surgery
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• 제28권4호
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• pp.401-403
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• 1995

Recently we experienced coronary artery bypass graft in two patients over 70years of age. Among them, one case was 74 old year male and the other case was 73 old year male. The coronary artery diseases of them were angiographically diagnosed to triple vessel diseases. We only used great saphenous vein as graft vessel in two patients. The postoperative courses were good except mediastinal bleeding in 1 case. They were discharged with good results. They were still healthy 40 months in one and 30 months in the other after coronary artery bypass grafting.

• Journal of Chest Surgery
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• 제21권2호
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• pp.403-407
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• 1988

Primary tumors of the diaphragm are very rare, From a clinical point of view, they do not present a specific symptomatology and the radiologic aspect is not characteristic. Their etiology is often obscure. The authors experienced one case of primary neurofibroma of the diaphragm. The patient was 52 year old male, and detected preoperatively abnormal round mass shadow in the middome portion of the left diaphragm in routine chest X-ray. A left posterolateral thoracotomy through the 7th ICS was performed. The mass and surrounding tissues were completely removed, and diagnosed as a primary neurofibroma by the histopathologic findings. Postoperative course was uneventful.

• Journal of Chest Surgery
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• 제36권1호
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• pp.26-29
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• 2003

흉복부 대동맥류에서 대동맥-위누공의 형성은 매우 드문 합병증으로 발생시 누공을 통한 다량의 출혈로 인해 사망률이 매우 높은 질환이다. 본 전남대학교병원 흉부외과에서는 흉복부대동맥류와 위기저부 사이에 발생한 누공으로 인해 다량의 토혈이 있었던 환자에 대해 수술적 치료를 시행하여 이 증례에 대해 보고하고자 한다.

• Journal of Chest Surgery
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• 제16권2호
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• pp.164-169
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• 1983

The patient in whom corrected transposition of the great vessels is an isolated congenital anomaly has a physiologically normal circulation. A 19 year old male was perforemd with surgical correction for congenitally corrected transposition of great arteries (SLL) associated with ventricular septal defect (type I) and severe pulmonary stenosis. After right sided ventriculotomy, ventricular septal defect was repaired with Dacron patch and to provide adequate relief of severe valvar stenosis of pulmonary artery, valvulotomy was done. On immediate postoperative period, complete heart block and lower cardiac output state were ocurred, but adequate blood pressure could be maintained under using of inotropic agent and temporary pace-maker.

• Journal of Chest Surgery
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• 제19권3호
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• pp.470-474
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• 1986

In the treatment of the acute respiratory failure, ventilatory support with endotracheal intubation or tracheostomy is a life saving procedure in many cases but the development of postintubation tracheal stenosis is a very serious complication. Recently we have experienced one case of postintubation tracheal stenosis which occurred in the region of cuff site. Preoperative tracheogram showed a concentric stricture 3.0 cm in length located 4.0 cm proximal to the carina. Under the general anesthesia, the stenotic segment was resected and end-to-end anastomosis was performed successfully through the right posterolateral thoractomy. Her postoperative course was uneventful and the patient has remained well till now.