• Tuberculosis and Respiratory Diseases
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• 제43권5호
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• pp.792-797
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• 1996

59세의 여자 환자가 반복되는 폐렴 및 흉수를 주소로 내원하였다. 흉부 전산화 단층촬영상 우폐하엽 기저분절에 기관지 확장을 동반한 폐허탈 및 염증성 침윤소견이 관찰되었으며, 기관지내의 종괴소견은 관찰되지 않았다. 굴곡성 기관지경 검사상 우하엽 기저분절 기관지 입구에 점액성의 백색 표면을 보이는 돌출성 종괴가 관찰되었고 관강은 좁아져 있었으며 감자 생김상 세기관지 폐포암으로 확진되었다. 환자는 우하엽 절제술을 시행받았으며 수술후 증상없는 상태로 12개월째 추적관찰중이다. 세기관지 유두종은 극히 드문 양성 폐종양으로 알려져 있고 국내에는 아직 보고된 바가 없어 문헌 고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제71권3호
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• pp.221-224
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• 2011

Poncet's disease is an aseptic polyarthritis developing in the presence of active Tuberculosis occurring elsewhere, and is not due to direct involvement of joints but to an immunological reaction to tuberculoprotein. We experienced a case of Poncet's disease accompanying erythema nodosum in a 55-year-old female patient with pulmonary tuberculosis. She had multiple tender erythematous nodules on both lower limbs for 3 months and a cough and sputum from one month ago. She felt severe pain in both knees and ankles with swelling one week before admission. Her chest X-ray, computed tomography (CT) scan and positive sputum AFB stain results revealed that she had active pulmonary tuberculosis accompanying erythema nodosum and aseptic polyarthritis. Her arthritis and erythema nodosum were dramatically improved within four weeks after anti-tuberculosis therapy. We report a case of Poncet's disease in pulmonary tuberculosis accompanying erythema nodosum.

• Tuberculosis and Respiratory Diseases
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• 제64권6호
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• pp.466-470
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• 2008

저자들은 저자들은 폐색전증이 발생한 환자에서 기저질환을 조사하던 중 Factor VII 활성도 저하를 관찰하였고, 이 환자에게서 Factor VII 유전자의 프로모터 -401의 단염기 치환($G{\rightarrow}A$)을 발견하여 보고하며, 국내에도 Factor VII 유전자 다형성이 존재함을 밝히며, Factor VII 활성도 감소와 폐색전증이 동반된 환자를 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제62권1호
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• pp.62-66
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• 2007

A bronchial artery aneurysm is a rare condition, which needs optimal treatment due to the possibility of a life-threatening hemorrhage by rupture. The surgical removal of the aneurysm is the standard treatment. However, there are a few reports of coil embolization with a transcatheter. A 69 year-old man was referred for a further evaluation of a mass in the right hilum on chest radiography. He denied any respiratory symptoms. A chest CT scan showed a $3{\times}3{\times}4.5cm$ sized vascular mass with strong contrast enhancement on the right hilar area that originated from the bronchial artery. On the angiogram, the bronchial artery originated from the descending thoracic aorta at the T8 level. A bronchial artery aneurysm was catheterized selectively. and embolized successfully with a coil. After coil embolization, the selective bronchial arteriography confirmed complete occlusion. We report this case of bronchial aneurysm that was treated successfully with coil embolization.

• 대한임상독성학회지
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• 제13권1호
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• pp.36-39
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• 2015

Copper sulfate is a copper compound used widely in the chemical and agriculture industries. Most intoxication occurs in developing countries of Southeast Asia particularly India, but rarely occurs in Western countries. The early symptoms of intoxication are nausea, vomiting, diarrhea, and abdominal cramps, and the most distinguishable clue is bluish vomiting. The clinical signs of copper sulfate intoxication can vary according to the amount ingested. A 75-year old man came to our emergency room because he had taken approximately 250 ml copper sulfate per oral. His Glasgow Coma Scale (GCS) score was 14 and vital signs were blood pressure 173/111 mmHg, pulse rate 24 bpm, respiration rate 24 bpm, and body temperature $36.1^{\circ}$ .... Arterial blood gas analysis (ABGa) showed mild hypoxemia and just improved after 2 L/min oxygen supply via nasal cannula. Other laboratory tests and chest CT scan showed no clinical significance. Three hours later, the patient's mental status showed sudden deterioration (GCS 11), and ABGa showed hypercarbia. He was arrested and his spontaneous circulation returned after 8 minutes CPR. However, 22 minutes later, he was arrested again and returned after 3 minutes CPR. The family did not want additional resuscitation, so that he died 5 hours after ED visit. In my knowledge, early deaths are the consequence of shock, while late mortality is related to renal and hepatic failure. However, as this case shows, consideration of early definite airway preservation is reasonable in a case of supposed copper sulfate intoxication, because the patients can show rapid deterioration even when serious clinical manifestation are not presented initially.

• 대한한의학회지
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• 제19권2호
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• pp.59-74
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• 1998

Clinical observation was done on 272 cases of patients who were diagnosed as CVA with brain CT, TCD, MRI scan and clinical observation. They were hospitalized in the oriental medical hospital of Kyung-Won University from 1st January to 31st December in 1997. 1. The cases were classified into the following kinds: cerebral infarction, cerebral hemorrhage. and transient ischemic attack. The most case of them was the cerebral infarction. 2. There is no significant difference in the frequency of strokes in male and female. And the frequency of strokes was highest in the aged over 50. 3. In cerebral infarction the most frequent lesion was the territory of middle cerebral artery, and in cerebral hemorrhage the most frequent lesion was the basal ganglia. 4. The most ordinary preceding disease was hypertension. and the next was diabetes. 5. The rate of recurrence was high in cerebral infarction. 6. The cerebral infarction occurred usually in resting and sleeping, and the cerebral hemorrhage in acting. 7. The common symptoms were motor disability and verbal disturbance. 8 The average time to start physical therapy was 1l.3rd day after stroke in cerebral infarction and it was 15.2th day after stroke in cerebral hemorrhage. 9. The common complications were urinary tract infection, pneumonia, myocardial infarction. 10. Hypercholesterolemia and hypertriglyceridemia are usually found more frequently in cerebral infarction than in hemorrhage. 11. In acute or subacute stage, the methods of smoothening the flow of ki(順氣), dispelling phlegm(祛痰), clearing away heat(淸熱) or purgation(瀉下) were frequently used. and in recovering stage, the methods of replenishing ki(補氣), tonifying the blood(補血) or tranquilization(安神) were frequently used.

• Tuberculosis and Respiratory Diseases
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• 제46권3호
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• pp.420-425
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• 1999

저자들은 심한 청색증을 동반한 만성 간질환에서, 폐 내 동정맥 단락과 동맥혈 저산 소혈증을 보인 간폐증 후군 1예를 경험하였기에 문헌고찰과 함께 보고한다. 단순흉부 X-선 사진에는 망상결절이 하엽 기저부에 주로 분포하였고 고해상 전산화 단층영상에서 확장된 폐혈관이 늑막까지 연장되어 보이고, 특히 비정상적으로 증가된 폐혈관종말지의 확장이 늑막하 폐에 분포하였다. 핵의학 관류검사 및 조영 심초음파 검사를 통해 폐내 단락을 진단하여 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제64권5호
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• pp.369-373
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• 2008

결절성경화증은 유전성 신경피부 증후군으로 피부, 뇌, 신장 등의 여러 장기에 과오종을 형성하는 질환이다. 결절성경화증의 폐 침범은 드물지만 다발성 미세결절의 소견을 보이는 경우, 정확한 진단을 위해서는 고해상 흉부 전산화 단층 촬영 및 조직 검사가 필요하겠으며, 다발성 미세결절폐세포증식증을 감별 진단으로 고려해야 할 것이다. 이 질환의 임상적 의의 등 아직 알려진 것이 많지 않으나 현재까지의 보고로는 특별한 치료는 없으며 예후는 좋은 것으로 알려져 있다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제14권1_2호
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• pp.135-142
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• 1992

This study was performed to define the anatomical position of the mandibular canal and the findings during the sagittal split ramus osteotomy of the mandible. The mandibles of 20 adult Korean were used. The dimension of mandibular canal from the mandibular foramen to the 1st molar was measured at 4 specific coronal-sectional location by CT scan. The results were as follows ; 1. The distance from the mandibular canal to the medial aspect of the buccal cortical plate was greatest($4.5{\pm}1.1mm$) at 2nd molar area and was not significantly greater than at any other section. 2. Buccal cortex was thickest($3.8{\pm}0.9mm$) at 2nd molar and thinnest ($2.5{\pm}0.3mm$) mandibular foramen um 3. The distance from the mandibular canal to the medial aspect of the lingual cortical plate was not significant at any sections. 4. The distance from the mandible canal to the inferior border of mandible was greatest at the mandibular foramen($20.7{\pm}3.9mm$). The canal was located more closely to the inferior border at 1st, 2nd molar area 5. The diameter of the mandibular canal was between $2.5{\pm}0.3mm$ and $2.8{\pm}0.6mm$. 6. The total mandibular thickness was greatest($21.1{\pm}2.6mm$) at 2nd molar area and narrowest($17.2{\pm}3.2mm$) at mandibular foramen area.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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• pp.99-99
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• 1993

비인강은 이비인후과적으로 관찰이 쉽지 않은 부위이며 따라서 비인강질환 특히, 악성종양의 진단에 있어서는 이 부위의 X-선 검사가 중요한 역할을 하고 있다. X-선 검사중 비인강 단순 촬영은 단층 촬영등을 시행하는 근간에도 비인강 종양이 의심시 될때 우선적으로 시행하는 검사중 하나이다. 비인강 종양에 있어서는 정도의 차이는 있으나 이 부위의 연부 조직의 비후를 가져오므로 이 부위의 병리 (비후)유무를 아는 것이 중요하다. 본 연구는 비인강 연부조직의 관찰에 많이 이용되는 경부측면 사진을 이용하여 각 부위 연부조직의 정상치를 계측하여 연부조직 비후 유무를 판정하는데 기준을 마련하고져 하였다. 그 결과 인두 천개두께, 비인강 후벽두께, Cl-인두후벽, C2-인두후부간격의 정상치 및 정상범위를 연령별, 성별로 계측하였고 연령증가에 따라 연부조직 두께가 감소하여 남자가 여자보다 항상 큰 값을 보였고 인두 천개두께는 비인강 후벽의 두께보다 항상 작았다.