• 제목/요약/키워드: Bronchial tree

검색결과 72건 처리시간 0.021초

Fogarty balloon catheter를 이용한 영유아 기관지 식물성 이물 제거술의 의의 (Evaluation of the safety and efficacy for the technique of removing VFB from the bronchial tree in infants and early childhood using Fogarty balloon catheter.)

  • 오천환;김장욱
    • 대한기관식도과학회지
    • /
    • 제7권1호
    • /
    • pp.14-18
    • /
    • 2001
  • Background and Objectives: Vegetable Foreign bodies (VFB) in the bronchial tree may be complicated by fragmentation, slippage and impaction during the removal with forceps. This study is to evaluate the safety and efficacy for the technique of removing VFB from the bronchial tree in infants and early childhood using Fogarty balloon catheter. Materials and methods : The subjects consisted of 18 infants and early childhood (7-22 months old) with VFB in the bronchial tree from January 1991 through October 1998. The authors first attempted removal of VFB with forceps and if that failed, removed VFB with Fogarty arterial embolectomy catheter under the ventilating bronchoscopy and general anesthesia. Results: We removed 6 VFB with forceps. could not remove anymore, and so removed 12 VFB with Fogarty catheter. In 8 VFB of less than 24 hours, we could remove 6 VFB with forceps and 2 VFB which could not be removed with forceps were removed with Fogarty catheter. In 10 VFB of more than 24 hours, we could not remove with forceps and removed with Fogarty catheter. Conclusions : VFB in the bronchial tree of infants and early childhood can usually be removed with forceps. But we think that Fogarty balloon catheter technique is a easy, safe method for the removal of bronchial VFB of more than 24 hours, fragmentation, impaction, lower bronchus and too round or slippery to remove with forceps in infants and early childhood.

  • PDF

합성수지주입법(合成樹脂注入法)에 의한 개내장(內臟)의 준조대해부학적(準粗大解剖學的) 연구(硏究) 제(第)1보(報) 폐(肺)의 기관분지(氣管分枝) 및 혈관분포(血管分布)에 관(關)하여 (Studies on the Subgross Anatomy of the Conine Viscera by the Vinylite-Corrosion Technique 1. The Distribution of Bronchial Branches and BloodVessels in the Lung)

  • 모기철
    • 대한수의학회지
    • /
    • 제6권1호
    • /
    • pp.57-75
    • /
    • 1966
  • This study was conducted to observe the condition of the ramifications of the bronchus and pulmonary blood vascular system by injecting the vinylite into the bronchial tree and pulmonary blood vessels in 100 normal adult dogs. The results obtained were summarized as follows: 1. Lungs of dog were composed of the same pulmonary territories as in lungs of human. 2. Cardiac lobe corresponding to R.medio-bassalis of human lungs was well developed and situated as a independent cardiac lobe, in ventral side of right lung. 3. Bronchial tree were in the patterns of axial divergency and blood vascular systems were (in general) branched along the bronchial tree, arteries lying near the bronchial tree but veins apart from it. 4. Among the branching patterns of bronchus pulmonary artery and pulmonary vein in each lobe, the type presented most frequently were noted, which were designated basic type by the author. 5. Pulmonary blood vessels were not always branched in accordance with bronchial tree, diverged inmore complex patterns, especially in venous vascular system. 6. Ramus anterior (lobe apicalis) was always observed in all casting specimen. 7. There was a case of peculiar variation patterns of the ramification in the bronchi directing into the left apical and cardiac lobe, arose respectivelly, at independent origin of bifurcation in the left bronchial stem, and a case of peculiar variation pattern of the artery entering left apical lobe and cardiac lobe, had a same origin of the bifurcation at rami pulmonary artery, and then divided respectivelly into the rami medi artery and rami left apical lobe artery. 8. In the classification based on the patterns of bronchial and blood vasculor divergencys, there were a lot of significant combination cases in their patterns.

  • PDF

기관지에 발생한 선양 낭성암종의 세포학적 소견 - 1례 보고 - (Cytopathologic Features of Primary Bronchial Adenoid Cystic Carcinoma - A Case Report -)

  • 이지신;김종순;양복숙;이민철;박창수;정상우
    • 대한세포병리학회지
    • /
    • 제6권1호
    • /
    • pp.67-70
    • /
    • 1995
  • Adenoid cystic carcinoma arising from the submucosal glands of the trachea and bronchial tree is rare. The histopathology and natural history of bronchial adenoid cystic carcinoma have been well documented, but detailed descriptions of its cytomorphology are few. We report a case of primary bronchial adenoid cystic carcinoma in a 20-year-old female, diagnosed by bronchial brushing cytology. The cytologic specimens showed large clusters of small cells arranged around cystlike spaces containing globular basophilic material.

  • PDF

기관지 천식 환자의 치료에 성상신경절 차단 효과 -3예 보고- (Effects of Stellate Ganglion Block for the Treatment of Bronchial Asthmatic Patients -3 cases report-)

  • 서재현
    • The Korean Journal of Pain
    • /
    • 제8권2호
    • /
    • pp.331-335
    • /
    • 1995
  • Asthma is a disease of the airways that is characterized by increased responsiveness of the tracheobronchial tree to a multiplicity of stimuli. A number of causes have been postulated for the increased airway reactivity of asthma is conservative as beta-adrenergic agonist, methylxanthines, glucocorticoids, anticholinergics and mast cell stabilizing agent. Stellate ganglion block for the treatment of bronchial asthma has its controversies. Stellate ganglion block was performed for the treatment of 3 patients with bronchial asthma. After stellate ganglion blocks, dyspnea, coughing and wheezing was markedly reduced. Lung function test improved with 1 st case. Two asthma cases were able to discontinue medication for asthma. No severe aggrevation of bronchial symptoms were noted after stellate ganglion blocks. It suggested that stellate ganglion block can be safely performed on bronchial asthmatic patients.

  • PDF

외상성 기관지 파열의 수술 치험 -3례 보고- (Surgical treatment of bronchial rupture by chest trauma -3 cases report-)

  • 김성준
    • Journal of Chest Surgery
    • /
    • 제24권5호
    • /
    • pp.480-484
    • /
    • 1991
  • Traumatic rupture of the main bronchus is comparatively very rare. With the advent of widespread mechanization and high-speed era, the incidence of traumatic rupture of the tracheobronchial tree has been increased considerably. Rupture of the bronchus is an unusual result of nonpenetrating trauma to the chest. Early recognition of bronchial rupture and emergency thoracotomy and management is essential for reducing of morbidity, mortality and late complications. We experienced 3 cases of bronchial rupture caused by nonpenetrating chest trauma with or without rib fracture. Patients were suffered from dyspnea and chest pain. After closed thoracostomy, corrective surgery was performed. Postoperative courses were uneventful and discharged without any complication.

  • PDF

심장외 도관을 사용치 않고 시행한 우심실 성형술 (Roconstruction of the Pulmonary Outflow Tract withou Proshetic Conduit)

  • 김진국
    • Journal of Chest Surgery
    • /
    • 제21권6호
    • /
    • pp.1124-1136
    • /
    • 1988
  • Massive hemoptysis, usually rapid flooding of tracheobronchial tree and asphyxia, is associated with high mortality. We have controlled massive hemoptysis in two cases with use of bronchial artery angiography & selective bronchial artery embolization with Gelfoam particle. One case was inoperable case that was confirmed as TOF c severe pulmonary artery hypoplasia with massive hemoptysis due to hypertrophied bronchial artery and its collaterals. Another case was congenital ASD with pulmonary Aspergillosis, postop. empyema and BPF associated with massive bleeding due to erosion of hypervascular bronchial artery. We experienced dramatic improvement of general condition and cessation of massive hemoptysis for above two cases. No other problems and complication were noted during postop. hospitalization and follow-up period.

  • PDF

합성수지(合成樹脂) 주입법(注入法)에 의(依)한 돈폐(豚肺)의 기관지(氣管枝) 및 맥관계(脈管系) 분지(分枝)에 관한 연구(硏究) (Studies on the Bronchus and Pulmonary Blood Vascular System in the Swine by the Vinylite Corrosion Technique)

  • 모기철
    • 대한수의학회지
    • /
    • 제6권1호
    • /
    • pp.76-81
    • /
    • 1966
  • This study was conducted to observe the condition of the ramification of the bronchus and pulmonary blood vascular system by injection of vinylite into the bronchial tree and pulmonary blood vessels in normal adult swines. The results obtained were summarized as follows. 1. Lungs of swine were composed of the same pulmonary territories as in lungs of human and dog. 2. Bronchial tree of swine also were axial divergency in the patterns. 3. Ramification of the left and right apical lobes are especially complex patterns but cardiac and diaphragmatic lobes are a little monotonous. 4. Intermediate lobe corresponding to mediobasalis branch of human lungs formed only one lobe in swine lung. 5. Pulmonary artery of right apical lobe was mono branch form in all case by authors observation. 6. $B._2$ streched into the seg. dorsalis of the right apical lobe was especially developed compare to $B._1$, $B._3$ of the seg, apicalis and seg, ventralis.

  • PDF

Web 양상으로 발현한 외상성 기관지 파열 1예 (A Case of Chest Traumatic Bronchial Rupture, Manifested by Bronchial Web in Bronchoscopy)

  • 심재정;한승환;이진구;조재연;인광호;김광택;유세화;강경호
    • Tuberculosis and Respiratory Diseases
    • /
    • 제41권5호
    • /
    • pp.574-578
    • /
    • 1994
  • 저자들은 폐쇄성 흉부외상 1년 후, 경미한 호흡 곤란으로 내원한 환자에서 단순 흉부X-선상 폐실질에는 이상이 없고 기관지 내시경 검사상 기관지 web형태로 발현한 외상성 기관지 파열을 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

  • PDF

X선 CT영상으로부터 인체의 기관지 모델의 개발 (Development of Physical Human Bronchial Tree Models from X-ray CT Images)

  • 원철호;노철균
    • 센서학회지
    • /
    • 제11권5호
    • /
    • pp.263-272
    • /
    • 2002
  • 본 논문에서는 X선 컴퓨터 단층 촬영으로부터 획득된 기관지의 3차원 영상으로부터 기관지의 구조 및 형태 정보를 추출할 수 있는 가능성을 조사하고, 분진 침착 모델의 수학적인 개발과 실험적인 검증에 사용될 수 있는 물리적인 공동 주형 모델을 개발한다. CT로부터 획득된 영상으로부터 수학적 모폴로지 기법에 의하여 폐의 기관지 영역을 검출한다. 검출된 폐의 기관지 영역의 체적 데이터를 3차원 공간상에서 나타낼 수 있는 표면 데이터를 STL(streolithography) 파일로 변환한 후에, 고속 프로토타입 기기에 입력하여 3차원 입체 형상을 제작한다. 이때 기존의 기관지 팬텀과 실제 정상인으로부터 획득된 CT 영상으로부터 각각의 공동 주형 모델을 제작하게 된다. CT 스캔하여 얻어진 원래의 영상과 제작된 공동 주형 모델을 CT 스캔하여 얻어진 영상에서의 기관지 영역의 단면 직경을 비교하여 생성된 폐 기관지 모델의 유용성을 검증하였다.

기관지의 과립세포종 1예 (A Case of Bronchial Granular Cell Tumor)

  • 박태병;송영구;구성현;고영윤;황성철;이이형;주희재
    • Tuberculosis and Respiratory Diseases
    • /
    • 제43권2호
    • /
    • pp.243-250
    • /
    • 1996
  • Granular cell tumor(GCT) of tracheobronchial tree is a rare neoplasm comprising approximately 6-10% of all GCT and about 1.6% of all benign tumors of the tracheobronchial tree. Since the first observation of GCT in the bronchus by Kramer in the late 1930s, less than 100 cases have been reported in tracheobronchial tree, and probably no such case have been published in Korea yet. Here we report an experience concerning 53 year-old women with an active pulmonary tuberculosis, who also was diagnosed to have a bronchial GCT on bronchoscopy and immunohistochemistry of the specimens.

  • PDF