• Title/Summary/Keyword: 토혈

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Manufacture of $\alpha-Al_2O_3$ from aluminous Shale (반토혈암으로부터 $\alpha-Al_2O_3$제조에 관한 연구)

  • 한오형;마동철;최경수
    • Resources Recycling
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    • v.3 no.3
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    • pp.21-26
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    • 1994
  • In present study an attempt has been made to extract the high purity $Al_2O_3$from domestic aluminous shale. The processes of the salt roasting with ammonium sulfate, extraction with sulfuric acid and calcination were adopted. In the extraction of alumina, the effects of the sulfuric acid concentration, the reaction time and the temperature has been investigated. The reaction products were analyzed by X-ray diffraction, DTA-TG, chemical analysis and SEM. The results are summerized as follows: 1)The pretreatment conditions were 0.6M-$(NH_4)_2SO_4$and $650^{\circ}C$ in sintering temperature. 2) The optimum extraction conditions were $10%-H_2SO_4$ and 240 minutes in acid treating time. 3)Physical properties of sintering materials were confirmed as $\alpha-Al_2O_3$ by X-ray diffraction method and the purity of $\alpha-Al_2O_3$ was 99.23%.

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A Case of Congenital Bronchoesophageal Fistula Accompanied with Hematemesis (토혈을 주소로 하는 선천성 식도기관지루 1례)

  • Oh, Jae-Cheol;Cha, Ki-Moon;Tchah, Hann;Park, Ho-Jin;Lee, Jung-Sang
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.1 no.1
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    • pp.115-119
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    • 1998
  • Congenital bronchoesophageal fistula associated esophageal atresia usually presents in the newborn period or infancy but those without esophageal atresia are more insidious in disease process. Symptoms which include cough, hemoptysis, choking on swallowing liquids, uncommonly dysphagia, and epigastric discomfort may not begin until adult life. Most of the cases are curative unless there are serious underlying conditions. The diagnosis is usually made by gastroesophagoscopy, esophagogram, bronchogram and bronchoscopy. And the most of the cases can be cured by fistulectomy and resection of involved pulmonary lobes. We experienced one case of congenital bronchoesophageal fistula which occurred in a 13- year-old girl who complained of paroxysmal cough and intermittent hematemesis for 3 years.

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Esophagoaortic Fistula Caused by Esophageal Tuberculosis-A Case Report- (식도 결핵에 의한 식도 대동맥류-1례보고-)

  • 이희성;이원진;최광민;안현성;홍기우
    • Journal of Chest Surgery
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    • v.34 no.3
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    • pp.256-259
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    • 2001
  • 식도 결핵은 아주 드문 질환으로 연하곤란과 흉통이 가장 흔한 증상이면 다량의 토형은 드문 것으로 되어 있다. 본원에서는 다량의 토형을 동반한 식도 결핵에 의한 식도 대동맥루를 가진 환자를 지험했다. 4세 남자 환자는 다량의 토혈로 응습실을 통해 입원했다. 내원 당시 응급으로 시행한 내시경 검사상 incisor로부터 25cm 하방에 0.7 cm의 풍부한 혈관성의 육아종성 병변을 발견하고, 응급개흉술로 식도의 종양성 병변에 대해 쐐기 절제술을 시행하였다. 식도의 종양성 병변부위는 대동맥과 심게 유착되어 있었고 식도에서 대동맥쪽으로의 식도루를 이중 결찰했다. 환자는 술후 8일째 갑작스런 흉관을 통한 다량의 출혈과 구토 후 토형이 있어 응급 재 개흉술을 시행하여 대동맥파열과 식도 문합부 파열을 확인하였으나 더 이상의 교정이 불가능하여 사망하였다. 이에 문헌고찰과 함께 보고하는 바이다.

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A Case of an Antral Web with a Gastric Ulcer due to Ibuprofen (Ibuprofen 사용 후 위궤양을 합병한 유문동 격막 1예)

  • Jung, Ji;Moon, Kyung-Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.13 no.1
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    • pp.66-69
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    • 2010
  • An antral web is an extremely rare gastric anomaly that disturbs the gastric outlet. The onset of symptoms will depend on the diameter of the aperture. Obstructive symptoms may not occur when the aperture is >1 centimeter in diameter. If the aperture is larger than 1 cm without significant symptoms, conservative treatment is sufficient. A case of an antral web with an ulcer and vomiting in a 7-year-old boy who received ibuprofen for 2 days is presented. The patient became symptom-free after medical treatment.

Treatment of Thoracoabdominal Aortic Aneurysm with Aortogastric Fistula -A Case Report- (위 누공을 동반한 흉복부 대동맥류의 치료 1례)

  • 양기완;장원채;오봉석
    • Journal of Chest Surgery
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    • v.36 no.1
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    • pp.26-29
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    • 2003
  • Aorto-gastric fistulas are relatively rare. Fistula formation between the aorta and the gartrointestinal tract is a serious condition that results in severe hemorrhage with a very high mortality rate, We present an unusual case of successful surgical treatment in Chonnam national university hospital ; of a patient with a aortogastric fistula into thoracoabdominal aortic aneurysm.

Aorta-esophageal Fistula That Developed after Endovascular Stent-grafting of a Mycotic Aneurysm - A case report- (감염성 대동맥류에 혈관 내 스텐트 삽입 시행 후 발생한 대동맥-식도루 - 1예 보고 -)

  • Nam, Jin-Hae;Park, Kay-Hyun;Yoo, Jae-Suk;Lee, Jae-Hang;Lim, Cheong;Jheon, Sang-Hoon
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.781-784
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    • 2010
  • A 74-year-old woman presented at our hospital with hemoptysis. Three months ago, she had endovascular stent-grafting done by a general surgeon for a saccular thoracic aneurysm that was found accidentally following an episode of fever and chills. Despite a lasting fever after the procedure, she was discharged without further treatment and follow-up. She was subsequently admitted to the hospital for evaluation and several exams were performed. Chest CT scans and an esophagoscopy identified an aorto-esophageal fistula at the level of the aorta that was covered by a previous stent-graft. After extensive administration of antibiotics, surgery was done - esophagectomy, cervical esophago-gastrostomy and replacement of the thoracic aorta. She was later discharged uneventfully.

Upper Gastrointestinal Bleeding in Full-Term Infants (만삭아에서 발생한 상부위장관 출혈에 대한 임상적 고찰)

  • Choi, Hyon Ju;Kim, Jae Seon;Yoon, Hye Sun;Bae, Sun Hwan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.2
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    • pp.164-171
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    • 2005
  • Purpose: The aim of this study was to evaluate the clinical characteristics, endoscopic findings and risk factors related to the upper gastrointestinal bleeding (UGIB) seen in full-term infants. Methods: A clinical analysis for 9 cases with UGIB confirmed by endoscopy was carried out retrospectively. Patients were admitted to the Department of Pediatrics, Eulji Hospital, from January to December 2003. Results: UGIB from gastric or duodenal mucosal lesions has been seen in 0.13% in newborns infants. All patients were full-term AGA neonates without asphyxic findings at birth. Hematemesis, melena or recurrent vomiting developed within $4.4{\pm}3.8days$ after birth. Vital sign and laboratory test was normal on admission. Endoscopic findings showed hemorrhagic gastritis in 6 cases and peptic ulcers in 3 cases. All patients were successfully managed by medical treatment for $18.6{\pm}5.0days$. On treatment, clinical symptoms improved within $0.9{\pm}0.3days$. Follow-up endoscopy was not performed because there was no recurrence of symptoms in all patients. Case mothers had no history of gastritis, ulcer or anti-ulcer medications before and during pregnancy. Conclusion: If the healthy full-term infants express UGIB within a few days after birth, it is necessary to take careful history of family, mother and delivery process and to practice endoscopy for mucosal lesions of the patients. A follow-up endoscopy dose not seem to be necessary if the infant is clinically well.

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Endoscopic Management with Ethanol Injection in a Child with Gastric Dieulafoy Lesion (Dieulafoy 병변 소아의 내시경적 치료 1례)

  • Kim, Hyun-Jin;Shin, Jee-Seon;Seo, Jeong-Wan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.6 no.2
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    • pp.187-191
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    • 2003
  • The Dieulafoy's lesion is a rare cause of recurrent massive gastrointestinal bleeding in children. The bleeding results from an abnormally large submucosal artery that protrudes through a small mucosal defect. The lesion is commonly found on proximal stomach. Surgical intervention was believed to be the best treatment in the past, but recent advancement in endoscopy has made effective hemostasis possible. We report a case of a 9-year-old boy with underlying mycoplasma pneumonia with effusion who presented with massive upper gastrointestinal bleeding. Bleeding was controlled with endoscopic treatment by epinephrine and ethanol injection and the patient was successfully treated.

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A case of echinostomiasis with ulcerative lesions in the duodenum (십이지장 궤양을 동반한 호르텐스극구흡충 감염증례)

  • 채종일;홍성태
    • Parasites, Hosts and Diseases
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    • v.32 no.3
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    • pp.201-204
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    • 1994
  • Echinostomiasis is an endemic intestinal trematodiasis of humans in Korea We observed a human case of Echinostomn honense infection who had ulcerations on the duodenal mucosa. A 55-year old man living in Hamyang-gun, Kyongnam, complained of epigastric pain with hematemesis In April 1994. Endoscopy revealed lesions of early gastric cancer and duodenal ulcerations. A penetrating parasite into the duodenal mucosa was picked out, and identified as E. honense. As the patient was treated 10 praziquantel 10 mg/kg single dose,3 more E. hofene and 7 Metogonimw worms were recovered. This case demonstrates that echinostomiasis causes gross ulcerations in the duodenum.

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Dissecting Intramural Hematoma of the Esophagus - A case report - (박리성 벽내성 식도 혈종 - 1예 보고 -)

  • Choi, Jin-Wook;Lee, Sung-Soo;Choi, Ho;Moon, Jong-Hwan;Chung, Sang-Ho
    • Journal of Chest Surgery
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    • v.41 no.6
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    • pp.782-786
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    • 2008
  • Dissection intramural hematoma of the esophagus (DIHO) is a rare, but well-documented condition that is part of the spectrum of, acute esophageal injuries; these include the more common Mallory-Weiss tear and Boerhaave's syndrome. This disorder is predominantly seen in women during their sixth or seventh decade and the disease has various etiologies, but the pathogenesis has yet to be clarified. The triad of symptoms for this disorder includes retrosternal pain, hematemesis and odynophagia. It is important to differentiate esophageal submucosal dissection form other disorders that have a similar appearance, such as Mallory-Weiss syndrome and esophageal perforation because the prognosis of DIHO is excellent with conservative therapy and these other diseases require surgical treatment. We report here on a case of a dissecting intramural hematoma of the esophagus that was preoperatively misdiagnosed as the submucosal tumor of the esophagus preoperatively, and it was confirmed by Video-assisted thoracic surgery.