• 제목/요약/키워드: 1. Chest

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흉벽종양 16례의 임상적 고찰 (A Clinical Study of the Chest Wall Tumors: 16 Cases)

  • 이지원;한균인;이영
    • Journal of Chest Surgery
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    • 제13권4호
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    • pp.486-489
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    • 1980
  • 16 cases of the chest wall tumors that had been treated at the dept. of thoracic & cardiovascular surgery, Chungnam National University Hospital, for 3.5 years from Jan. 1977 to Jun. 1980 were analyzed. The results were as follows; 1. Generally the chest wall tumors were most frequent in the thirties, the youngest age was 2 years, and the oldest 65 years. The incidence rate of male to female was 1.3:1. The malignant tumors were common in the fifties & sixties, the incidence rate of male to female 5:1. 2. The common disease entities were rib tuberculosis [43.7%] and metastatic tumor [25.0%], and the another chondrosarcoma, osteosarcoma, fibrous dysplasia, chronic osteomyelitis, and granuloma accompanying with acute osteomyelitis by Klebsiella infection were 6.3%, respectively. 3. The common manifestations were local swelling [100.0%] and local chest pain [43.8%].

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기관지내 발생한 폐과오종 - 1례 보고 - (Endobronchial Hamartoma - 1 case -)

  • 문석환
    • Journal of Chest Surgery
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    • 제22권3호
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    • pp.473-477
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    • 1989
  • Pulmonary hamartoma has been considered as rare disease, which consists of lung tumor less than 1 %. Originally described by Albrecht in 1904, hamartoma is tumor like malformation-abnormal mixing of the normal components of organ-and is applied also to tumor found in many organs other than the lung. Lately, the major conclusions are that pulmonary hamartoma is neoplastic rather than developmental error in origin. Because pulmonary hamartoma frequently mimics lung cancer, especially in cancer-risk age groups, its clinical significance is great. Recently, we experienced 1 cases of endobronchial hamartoma which located at the right main stem bronchus. The patient was a 54 year old male who was admitted due to symptoms of fever 4 chilliness and dyspnea. Radiologic studies such as chest x-ray, chest tomogram and chest C-T scan revealed that the nearly total haziness of the right lung was caused by endobronchial tumor. The mass was considered as a benign by bronchoscopic exam, so we removed it surgically by tracheobronchotomy without pulmonary resection. Postoperative chest x-ray revealed satisfactory reexpansion of previous collapsed right lung. The patient discharged uneventfully.

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이동 중인 구조보트 내에서 수기가슴압박과 기계가슴압박의 질 비교 (A comparison of the quality of manual and mechanical chest compressions in a moving rescue boat)

  • 김황림;윤종근
    • 한국응급구조학회지
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    • 제24권1호
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    • pp.77-84
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    • 2020
  • Purpose: This study was conducted to determine effective chest compression methods that could be used when performing cardiopulmonary resuscitation in rocking boats. Methods: Tests were conducted for four minutes using manual and mechanical chest compressions on two mannequins, placed in boats, and moving at a speed of 35km/hours on calm sea surfaces with wave heights of 0.5m and wind speeds of 2-3m/s (testing for two minutes, followed by rest, then a second round of testing for two minutes). To compare the quality of the chest compressions, data were analyzed using mannequins (Resusci Anne Q-CPR, Laerdal, Norway) and then statistically processed. Results: When chest compressions were administered in the moving rescue boat, an accuracy analysis showed that the pressure speed of the hand and mechanical techniques were normal, h owever, the pressure depth accuracies were 49.04% for manual techniques and 0% for mechanical techniques. The relaxation accuracies during compressions were 2.07% for manual techniques and 95.4% for mechanical techniques. Conclusion: When administering chest compressions in rocking rescue boats, mechanical rather than manual techniques should be preferentially considered.

흉부손상의 임상적 고찰 (Clinical analysis of the chest trauma - 823 cases -)

  • 노태훈
    • Journal of Chest Surgery
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    • 제20권4호
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    • pp.715-722
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    • 1987
  • A clinical analysis was performed on 823 cases of the chest trauma experienced at department of thoracic & cardiovascular surgery, Kyung Hee University Hospital during the past 8 years from Jan, 1978 to Aug. 1986. 1. the ratio of male to female patient of the chest trauma was 3:1 in male predominance. 2. The common age groups were 3rd, 4th and 5th decades. 3. The most common causes of the chest trauma was traffic accidents [79.8%] were injured due to non-penetrating injuries and the remainders [166/823, 20.2%] were injured due to penetrating injuries 4. The frequently injured site of the chest trauma was left side of the chest [46%], and the right side was 42% 5. The most common injury from non-penetrating trauma was rib fracture [77.5%], and the incidence rate of flail chest was 59% of all cases of rib fractures. 6. The incidence rate of hemopneumothorax was 42.9% in non-penetrating traumas, and 84.3% in penetrating traumas. 7. The most common method of surgical treatment was closed tube thoracostomy [37.3%], and open thoracotomy was performed in 71 cases [8.6%]. 8. the overall mortality was 2.2%, and common causes of death were cerebral damage, respiratory insufficiency, and hypovolemic shock.

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흉선 지방종[1례 보고] (Thymolipoma - One Case Report -)

  • 이상권
    • Journal of Chest Surgery
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    • 제25권3호
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    • pp.325-329
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    • 1992
  • The thymolipoma is rather rare benign tumor of the thymus. One case of huge thymolipoma, seen in a 11-year-old boy, is presented. It is about 2.16kg. He had some chest discomfort. The chest film showed homogeneous haziness fills the left hemithorax, On chest CT scan, multiple small amorphous soft tissue densities were recognized as islands within a large fatty mass. Tumor resection was performed through left anterolateral thoracotomy. The mass was yellowish soft, measured 29x19Xllcm, 12X7.5x3.5cm, 7.0X3.0X1.0cm. Microscopically, the tumor was comprised of abundant mature adipose tissue and normal thymic tissue.

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이중 프로젝션 필터를 이용한 흉부 X-선 영상의 복원 (Restoration of Chest X-ray Image Using Dual Projection Filter)

  • 이태수;민병구
    • 대한의용생체공학회:의공학회지
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    • 제13권1호
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    • pp.25-32
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    • 1992
  • A new restoration method of chest X -ray image (dual project filter) was proposed to improve SNR(signal to noise ratio) characteristics. In this method, a priori Information of system and anatomical structure and statistics of projected object are used in the design of filter. Dual projection filter varies its parameters, adapting to the local regions of chest(lung region, mediasternum, subdiaphragm) and the structure of chest (bone, tissue, blood vessel, bronchia). The performance of Dual Projection Filter was 0.1-0.2dB better than Dual Sensor Wiener Filter, which was used for initial estimate of Dual Porjection Filter.

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폐실질내 기형종 -1례 보고- (Intrapulmonary teratoma -Report of a case-)

  • 박도웅
    • Journal of Chest Surgery
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    • 제22권1호
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    • pp.158-162
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    • 1989
  • This paper reports a case in a 16-year-old female of intrapulmonary teratoma located in the right upper and middle lobes of the lung. The initial symptoms were high spiking fever, cough and chest pain. Initial chest X-ray revealed large homogenous mass in the right upper and middle lung fields. So intercostal tube drainage was done under the impression of the lung abscess. But mass density was remained on the follow-up chest X-ray, the patient had resection of the right upper and middle lobes of the lung. The gross and microscopic findings of the resected specimen revealed characteristic findings of the intrapulmonary teratoma. The patient is asymtomatic at present and living a normal life.

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흉부외상 811례 의 임상적 고찰 (A Clinical Evaluation of 811 Chest Traumas)

  • 조규도
    • Journal of Chest Surgery
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    • 제18권2호
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    • pp.352-359
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    • 1985
  • A clinical evaluation was performed on 811 cases of chest trauma who were admitted and treated at the department of thoracic & cardiovascular surgery, Catholic Medical College, during the past 19 years from Jan. 1966 to Dec. 1984. 1. The overall incidence rate of male to female was 3:1. 2. The common age groups were 4th, 5th, and 3rd decades. 3. The most common cause of chest trauma was stab in penetrating wound and traffic accidents in non penetrating wound. 4. The most common injury from non penetrating chest trauma was rib fracture [81.3%], and the incidence rate of flail chest was 14.5% of all cases of rib fractures. 5. The incidence rate of hemo-pneumothorax was 50.4% in non penetrating wounds, and 55.2% in penetrating wounds. 6. The most common method of surgical treatment was CTD [33.5%], and open thoracotomy was performed in 67 cases [8.3%]. 7, The overall mortality was 3.3% [27 cases], and common causes of the death were shock and respiratory insufficiency.

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흉벽에 발생한 악성 임파종 [Non-Hodgkin`s lymphoma] 수술 치험 1예 (Malignant lymphoma [non-Hodgkin`s lymphoma] at left posterior chest wall)

  • 김송명
    • Journal of Chest Surgery
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    • 제16권1호
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    • pp.176-182
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    • 1983
  • Malignant lymphoma in chest wall is a rare form of extranodal variety as occasionally localized tumor. The primary site is suggested from rib or soft tissue, but the incidence in rib is higher than soft tissue. The patient, a male, aged 32, noted a swelling and pain over the left lower posterior chest from 3 months prior to admission. Roentgenograms revealed bony destruction in left 9, & 19th ribs posteriorly and associated chest wall mass which was ill defined uncleared margination. Under diagnosis of malignant tumor, the operation was performed and the tumor mass resected widely with en bloc technique than the fascia lata was grafted at chest wall defect. The histology of specimen was disclosed as malignant lymphoma, non-Hodgkin`s diffuse lymphocytic poorly differentiated form. The radio-and chemotherapy were combined post-operatively and the complete remission is acquired.

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Nodular Fasciitis of the Chest in a Young Woman

  • Seo, Hong Joo;Ryu, Sang Wan;Lee, Mi Ja;Kim, Dong Hun;Kim, Hyung Ho
    • Journal of Chest Surgery
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    • 제49권1호
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    • pp.67-69
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    • 2016
  • Nodular fasciitis is a benign reactive proliferation that usually involves the deep fascia. Although it is relatively common in the adult population, it is often misdiagnosed as sarcoma due to its rapid growth and pathological features. It rarely presents as a chest wall tumor in young patients. Here, we report a case of nodular fasciitis involving the chest wall of an 18-year-old woman and its surgical management. This case underscores the need to consider nodular fasciitis in the differential diagnosis of chest wall tumors in young patients.