• Title/Summary/Keyword: 흉부 손상

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전폐절제술후의 합병증

  • Moon, Gwang-Deok;Son, Sang-Tae;Kim, Beong-Il;Kang, Jeong-Ho;Kim, Young-Hak;Jeong, Won-Sang;Kim, Hyeok;Ji, Haeng-Ok
    • Proceedings of the KTCVS Conference
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    • 1996.10a
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    • pp.98-98
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    • 1996
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Aortobronchial Fistula After Chest Trauma (흉부수상후에 발생한 대동맥기관지루)

  • 김재현;문상호;김삼현;서필원;임수빈;박성식
    • Journal of Chest Surgery
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    • v.35 no.2
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    • pp.141-143
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    • 2002
  • Few patients with traumatic aortic laceration remain undiagnosed and survive long enough to develop a chronic aneurysm. Such aneurysms are frequently asymptomatic: alternatively, they may manifest chest pain, dysphagia, bronchial irritation, or sudden death. A case of aortobronchial fistula secondary to a chronic post-traumatic aneurysm of the aortic isthmus is presented. Hemoptysis was the main sign. The affected segment of the thoracic aorta was repaired with a Hemashield patch and a left upper lobectomy was performed.

Endobronchial Lipoma Diagnosed by Chest CT - A Case Report - (흉부컴퓨터 단층촬영으로 진단된 기관지내 지방종 -1례 보고-)

  • 박찬범;김환욱;조덕곤;안명임;송소향;김치홍;유진영;조규도;이선희
    • Journal of Chest Surgery
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    • v.36 no.1
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    • pp.39-42
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    • 2003
  • Endobronchial lipomas are rare benign tumors that arise from the lung. They partially or totally obstruct the bronchial lumen, producing a variable degree of collapse, irreversible bronchiectasis, and pulmonary damage. Although bronchoscope, CT and MR are reported to be helpful in establishing the diagnosis, CT is highly specific and sensitive in detecting fatty tumor. They may be removed by endoscope or thoracotomy or lobectomy. We present a case of endobronchial lipoma completely obstructing the right middle lobe and postobstructive irreversible pulmonary change with review of literatures.

Analysis of Predicting Factors for Cardiovascular Injuries in Sternal Fractures (흉골 골절 환자에서 심혈관계 동반 손상의 예측 인자의 분석)

  • 김찬웅;조대윤;손동섭;양기민
    • Journal of Chest Surgery
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    • v.34 no.12
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    • pp.937-943
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    • 2001
  • Background: The aims of this study are to determine the predicting factors related with cardiovascular injuries in sternal fractures and to suggest the indication of emergency echocardiography. Material and Method: A retrospective review of the Ewha Womans University Mok-Dong Hospital trauma registry revealed 40 patients, that visited the hospital with a sternal fracture a over 5-year period. We analyzed 4 factors as predicting factors; 1) presence of restraint, 2) presence of associated injuries, 3) presence of a past medical history involving cardiovascular system, and 4) Revised Trauma Score(RTS). We, also, assessed the utility of conventional study methods involving cardiovascular injuries, such as ECG, chest X-ray, and enzyme level. Based on the methods, we inferred an indication for emergency echocardiography in sternal fractures. Result: Statistically significant predicting factors were the presence of a past medical history involving cardiovascular system and abnormal RTS on admission. Usage of emergency echocardiography depended upon the predicting factors and the results from conventional evaluations. We can now suggest the indications of emergency echocardiography in sternal fractures as 1) if more than two studies reveal abnormality without any significant predicting factors, and 2) if more than one study reveals abnormality with any significant predicting factors. Conclusion: The past medical history involving cardiovascular system and initial vital signs imply the presence of cardiovascular injuries in sternal fractures. And if needed, emergency echocardiography should be performed.

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Acute Extrapericardial Tamponade Caused by Blunt Chest Trauma -2 case reports- (흉부 둔상으로 발생된 급성 심낭외 압전 - 2예 보고 -)

  • Seo, Hong-Joo;Seo, Min-Bum;Im, Jin-Soo
    • Journal of Chest Surgery
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    • v.43 no.2
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    • pp.188-190
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    • 2010
  • Sternal fracture is relatively common after blunt chest trauma, and this usually resolves without complication. But acute extrapericardial tamponade caused by sternal fracture and injury to the internal mammary artery secondary to blunt chest trauma is very rare. We report here on two cases of acute extrapericardial tamponade that were caused by blunt chest trauma.

One Case of Tracheal Rupture after Blunt Chest Trauma Diagnosed Early by Fiberoptic Bronchoscopy (기관지경검사로 조기 진단된 비관통성 흉부손상에 의한 기관 파열 1예)

  • Park, Byung-Kyu;Kim, Do-Gyun;Ko, Won-Ki;Ahn, Sang-Hoon;Yang, Dong-Gyoo;Kim, Sung-Kyu;Lee, Won-Young;Kim, Kil-Dong
    • 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.

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