• Tuberculosis and Respiratory Diseases
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• v.42 no.2
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• pp.250-255
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• 1995

Diffuse tracheobronchial amyloidosis is an uncommon form of pulmonary involvement, and causes prolonged cough, dyspnea, wheezing and repeated development of pneumonia. We report a case of diffuse tracheobronchial amyloidosis in 58-year-old woman that was traeted by repeated electrocautry under flexible fiberoptic bronchoscopy. The patient had a long-standing history of dyspnea and was admitted due to resting dyspnea, which was aggravated to impending respiratory failure after diagnostic procedures. We applied repeated electrocautry to the endobronchial amyloid tumors and successfully reduced bronchial stenosis and the pateint didn't feel dyspnea. We suppose that, in certain cases of tracheobronchial amyloidosis patients, endobronchial electrocautry would be a helpful procedure.

• Journal of Chest Surgery
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• v.40 no.4 s.273
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• pp.313-316
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• 2007

Negative pressure pulmonary edema (NPPE) during anesthetic recovery is a rare, but potentially serious complication for patients who are undergoing different surgical procedures. The proposed mechanism is the generation of high negative pressure during markedly respiratory effort and upper airway obstruction from glottis closure and laryngospasm, and this all leads to pulmonary edema. We report here on a case of a healthy 26-year-old male who immediately developed NPPE and hemoptysis following extubation after partial rib resection due to benign rib tumor; the patient was treated conservatively. We also include a review of the review literatures.

• Journal of Chest Surgery
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• v.41 no.4
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• pp.489-491
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• 2008

A 52-year-old man was taken to the emergency room following a motor vehicle accident. An echocardiogram showed moderate to severe tricuspid regurgitation due to rupture of the anterior chordae. An operation to repair the tarumatic tricuspid regurgitation was recommended; however, the patient refused because he was asymptomatic. Two years later, he developed mild generalized edema and dyspnea. The echocardiogram revealed progressive severe tricuspid regurgitation and annular dilatation. We treated the tricuspid regurgitation successfully using artificial chordae and ring annuloplasty.

• Tuberculosis and Respiratory Diseases
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• v.64 no.4
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• pp.314-317
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• 2008

We report the patient presented with a left-sided pleural effusion. Pleural fluid analysis revealed lymphocyte-dominant exudates with lower level of adenosine deaminase and negative cytologic malignancy. Thoracoscopic examination and histologic examination revealed metastatic nodules on pleurae, proven to be from the papillary thyroid cancer. There were no other sites of distant metastases. Though papillary thyroid cancer is characterized with slow progression and relatively good prognosis, metastatic pleural effusion as an initial manifestation of undiagnosed papillary thyroid cancer can be considered.

• 한국HCI학회:학술대회논문집
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• 2006.02b
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• pp.227-232
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• 2006

스마트 의류의 발달은 pc 를 분산, 부착한 웨어러블 컴퓨터의 연구로부터 진행되어 왔으며, 1990 년대 후반 이후 착용자 감성을 고려해 더욱 편안하며, 의복과 유사한 외관을 디자인 하려는 노력이 전개되고 있다. 스마트 의류는 엔터테인먼트, 비즈니스, 스포츠, 의료 분야에 적용 등 다양한 애플리케이션으로 연구, 개발되고 있으며, 최근 들어서는 생체신호 센서를 이용한 건강관리용 스마트 의류의 연구가 주목 받고 있다. 건강에 대한 관심과 라이프 스타일의 변화, 고령화 사회의 예상으로 인해 건강복지에 대한 필요성이 증가하는 최근 트렌드를 볼 때, 건강 관리용의 스마트 의류의 수요는 증가될 것으로 예상된다. 이에 본 연구에서는 기본적인 생체신호 뿐 아니라 심장 질환, 호흡기 질환을 측정할 수 있는 건강 개념의 스마트 의류 디자인을 개발하였다. 이 스마트 의류는 기존의 의복의 형태와 착용감은 그대로 유지하면서 의복 착장 시 생체 신호를 전송, 모니터링 할 수 있도록 설계하였다. 개발된 의복은 심전도, 체온 센서로 구성되어 있으며, 이를 통해 심전도, 호흡량, 맥박, 체온 등의 생체신호를 얻을 수 있다. 디자인 프로토타입의 기기 위치 선정은 선행 연구에서 제시한 '착용성 향상을 위한 웨어러블 컴퓨터 디자인 지침' 을 기반으로 설계하여 착장 시 기기로 인한 이물감이 느껴지지 않도록 하였으며 또한, 기기의 하중을 최소화 하였다. 의복의 디자인은 센서의 안정된 부착과 활동성, 센서의 정확한 측정을 고려하여 표피의 면적 변화를 고찰하여 디자인하였다. 이 스마트 의류는 노인, 건강 이상자, 통원 치료자에게 평상시의 건강을 체크 함으로써 보다 원활한 치료의 가능으로 의료 복지에 기여할 것으로 예상되며, 디자인 프로토타입의 개발을 통하여 센서기반 스마트 의류의 가능성을 제시했다는 점에서 이 연구의 의의가 있다.

• Journal of Chest Surgery
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• v.37 no.11
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• pp.929-932
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• 2004

The estimated relative incidence of primary pulmonary sarcoma to lung cancer is 0.4%. Furthermore, osteogenic sarcoma of the pulmonary artery is extremely rare. We report a case of a 63-year-old woman who visited our emergency room with the chief complaints of chest pain, dyspnea and dizziness. On echocardiography, right heart failure due to acute pulmonary artery embolism was diagnosed and we performed emergency operation. After opening the main pulmonary artery trunk, we found a mass attached to the arterial wall and massive thrombi around the mass. The mass was diagnosed as primary pulmonary artery osteosarcoma through postoperative evaluation. The patient received chemotherapy and radiotherapy. The patient is alive without specific symptoms 16 months postoperatively.

• Journal of Chest Surgery
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• v.37 no.8
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• pp.718-721
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• 2004

Chylothorax is defined as an extravasation of chylous fluid to the pleural cavity due to various causes, and a spontaneous chylothorax associated with primary lymphedema is an exceedingly rare condition. We report a case of the chylothorax associated with lymphedema. A 14-year-old boy was admitted to our hospital for chest pain and dyspnea. He had been on medical treatment for lymphedema and his chest roentgenogram on admission revealed left pleural effusion. The diagnosis of chylothorax was confirmed by chemical analysis of the pleural fluid. The patient was treated successfully by ligation of the thoracic duct using video assisted thoracoscopic technique.

• Tuberculosis and Respiratory Diseases
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• v.53 no.3
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• pp.344-348
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• 2002

Acute mediastinitis is a life threatening disorder that causes severe morbidity in affected patient. We experienced a case of acute mediastinitis in a 56 year-old man as a result of swallowing a fish bone (order Perciformes, Family Pomacentridae). Conservative treatment, including starvation therapy and the injection of antibiotic drugs, were successful in treating this patient. Although the optimal treatment for acute mediastinitis remains controversial, it is important to choose the appropriate strategies when encountering cases of acute mediastinitis.

• Tuberculosis and Respiratory Diseases
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• v.46 no.4
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• pp.586-590
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• 1999

Tracheobronchial rupture is one of the less-common injuries associated with blunt chest trauma. The diagnosis of tracheobronchial rupture is not easy, but failure to diagnosis may lead to death or long-term disability. Early diagnosis and appropriate management can reduce the mortality and morbidity. Bronchoscopy is the diagnostic method of choice for patients with tracheobronchial rupture. We report a case of tracheal rupture after blunt chest trauma. A 40-year-old man was transferred to our hospital for dyspnea after blunt chest trauma. He was promptly diagnosed as tracheal rupture by fiberoptic bronchoscopy and chest computed tomogram. He was successfully managed by thoracotomy and primary repair.

• Tuberculosis and Respiratory Diseases
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• v.46 no.1
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• pp.89-95
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• 1999

Bronchiolitis obliterans organizing pneumonia (BOOP) preceding polymyositis is rare. In this report, a 40-year-old patient with fever, chillness, generalized myalgia and progressive exertional dyspnea, had bilateral interstitial infiltrates on chest radiograph. High-Resolution CT showed subpleural and peribronchial distribution of airspace consolidation. Open lung biopsy was consistent with BOOP. Prednisolone therapy led to improvement, but during tapering of prednisolone for 3 months to 30 mg, he complained of weakness of both lower legs. One month later, prednisolone was tapered to 15 mg a day, fever. chillness and generalized myalgia were recurred. He complained of weakness of both arms. The creatine kinase (CK) with MM isoenzyme, lactate dehydrogenase (LDH) and aspartate aminotransferase (AST) were elevated. Anti-Jo1 antibody was positive. Vastus lateralis muscle biopsy was compatible with polymyositis. After injection of methylprednisolone for 1 week, the patient became afebrile, the dyspnea resolved, the pulmonary infiltrates decreased, and the muscle strength improved. The serum CK, LDH, AST levels declined significantly. Patients with idiopathic BOOP should have follow-up for the possible development of connective tissue disorders including polymyositis.