• Journal of Chest Surgery
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• 제15권4호
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• pp.422-427
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• 1982

A clinical analysis of 82 cases who were sustained the penetrating gun-shot wound in the chest by 8 bullets was done during 4~ year-period from January 1978 to August 1982 in the department of thoracic surgery, CA FGH. Among 82 cases, 61 cases [74.4%] of them were brought to the Hospital by ambulance, 21 cases [25.6%] were by Helicopter and 76 cases [92.7%] of them were admitted within 4 hours after wounding. Thirty eight [46.3%] patients were treated by closed thoracotomy only, 19 cases [23.2%]by open thoracotomy, 18 cases [22.0%] by primary closure with debridement, and 7 cases [8.5%] by vascular surgery. Causes of open thoracotomy were due to massive intrapleural bleeding in 16 cases, rupture of diaphragm in 2 Gases, and heart injury in one case. Among 25 cases of surgical complications, wound infection was most common in 16 cases [53.5%] and recurrent pneumothorax in 3 cases [10%], empyema in 3 cases [10%], and BPF in one case [3.3%]. Hospital mortality was seen in 6 cases due to hypovolemic shock and respiratory insufficiency in 4 cases, spinal shock in 2 cases due to spinal injury.

• Journal of Chest Surgery
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• 제24권10호
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• pp.1011-1018
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• 1991

From September, 1985 to March, 1991, 33 patients under went thoracotomy for treatment of pulmonary aspergilloma with Pulmonary tuberculosis on the department of Thoracic and Cardiovascular Surgery, National Kongju Hospital. 1. There were 25 male and 8 female patients ranging from 19 to 57 years old [mean age, 36.2 years]. 2. Hemoptysis was the most common symptom [recurrent minor hemoptysis: 24cases, severe hemoptysis [200cc /day]: 4 cases, massive hemoptysis [600/day]: 4 cases]. 3. In the chest X-ray films, intracavitary fungus balls [air meniscus sign] were noted in 20 cases [61%] and upper lobe involvements were 29 cases [88%]. 4. All cases had a history of treatment with antituberculosis drugs under diagnosis of pulmonary tuberculosis for an average of 10 years and 2 months. 5. The most common indication for operation was hemoptysis [32 cases] - hemoptysis with total destroyed lung or lobe: 12cases, hemoptysis with open AFB [t-] cavity: 6cases, recurrent or massive hemoptysis: 14 cases. 6. The operative procedures was as follows - - - lobectomy . 16 cases, pneumonectomy: 8 cases, bilobectomy, segmentectomy, cavernoplasty and lobectomy with segmentectomy: each 2 cases, lobectomy with cavernoplasty: 1 case. 7. 6 complications appeared postoperatively which included empyema with BPF [2 cases], empyema [2 cases] and wound infection [2 cases]. In conclusion, surgical resection is the treatment of choice in the management of pulmonary aspergilloma associated pulmonary tuberculosis.

• Journal of Chest Surgery
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• 제5권2호
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• pp.113-124
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• 1972

Clinical observations were performed on 150 cases of chest trauma, those were admitted and treated at the Department of Surgery, Korea University Woosok Hospital, during the past 8 years period from August 1965 to August 1972. 1. The ratio of male to female patient of chest trauma was 3.4:1 in male predominence and age from 20 to 50 occupied 62% of the total cases. 2. The most common cause of chest trauma was traffic accident in this series. Eighty-one cases[54%] were injured by traffic accident and total cases due to blunt trauma [non-penetrating injury] were 113 cases[75.4%]including the cases with traffic accident, and remaining 37 cases[24.6%] were due to penetrating injury including 25[16.6%] cases of stab wounds. 3. Hemopneumothorax were observed in 645/[96 cases] of the total cases, and etiologic distribution revealed 78.1% due to non-penetrating trauma and 20.8% due to penetrating injury. 4. Rib fracture was found in 50% of cases. Common injuries associated with rib fracture were lung, brain and liver. 5. Most common symptom was chest pain and respiratory difficulty, and common sign associated with chest injury was decreased respiratory sound and subcutaneous emphysema. 6. Conservative non-operative treatment was performed in 94 cases[62.6%] and 56 cases [37.4%] were treated with operative treatment including 31 cases[20.6%] with open thoracotomy. 7. Overall mortality was 9.3%[14 cases] and most common causes of death were due to brain edema,asphyxia and shock.

• 한국안전학회지
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• 제33권6호
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• pp.157-162
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• 2018

There have been 1,039 accidents in laboratory(National Research Safety Headquarters). Accidents in laboratory has increased by 71.5% from 158 cases in 2011 to 271 cases in 2016. Accident analysis results show that there has been no death accident after 2011 when 5 death accidents happened. The results also show that severe injuries have been 23 cases(2%) from 2011 to 2016(7 cases in 2011, 2 cases in 2012, 2013 and 2014, 3 cases in 2015, 7 cases in 2016). Minor injuries shows increasing trend from 151 cases in 2011(92.6%) to 294 cases in 2016(97.6%). Among the causes of accidents in laboratory, piercing injuries by injector were 69 cases(10.4%) for recent 3 years, i.e. 22 cases(12.6%) in 2014, 18 cases(14.2%) in 2015 and 29 cases(16%). Piercing injuries by injector with infection such as viral hepatitis and HIV/AIDS were identified in 10 cases in 2014, 5 cases in 2015, and 10 cases in 2016.Therefore, we would like to contribute to the safety of laboratories by suggesting a guideline for prevention and post management of laboratory accidents.

• Journal of Chest Surgery
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• 제18권2호
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• pp.334-340
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• 1985

The results of the clinical observations on the bronchogenic carcinoma of forty-five cases treated in the Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, during the period of 6 years from June.1978 to Aug. 1984, are as follows: 1. Of 45 cases, 44 cases were over 40 years of age and the sex ratio was 4.6:1 in male`s favor. 3. Among 50 cases, 45 cases were confirmed histopathologically. Of these, 30 cases [66.7%] were squamous cell carcinoma, 8 cases [17.8%] adenocarcinoma, and 7 cases [15.6%] undifferentiated cell carcinoma. 4. The thoracotomy was performed in 31 cases [68.9%] of 45 cases and the resection of the lesion in 16 cases [51.6%]. The empyema and bronchopleural fistula developed in 2 cases.

• Journal of Chest Surgery
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• 제15권3호
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• pp.274-277
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• 1982

A Clinical analysis of 59 patients of thoracic empyema was done who were received surgical intervention at dept. of thoracic surgery of the C.A.F.G.H. in the period of 2.5 years from January 1979 to June 1982. Occurrence ratio of Left and Right side pleural cavity of empyema was 1: 1.4. The predisposing factors of empyema were pulmonary Tbc. [49%], Chest pain [25%], Cough [8%], in order. B.P.F. was associated with empyema in 5 cases. The pleural cavity empyema was treated with several surgical procedures and conservative measures. Among of the 59 cases, the 30 cases [50%] were treated with decortication, 12 cases [20%] with closed thoractomy drainage, 9 cases with frequent thoracenteses, 5 cases with partial decortication and thoracoplasty and 3 cases with open thoracostomy tube drainage. Among of the 59 cases thoracic empyema, the full recovery were in 32 cases [54%], partial recovery in 20 cases [34%], not improved in 3 cases [5%] and 3 cases were died. The mortality rate was 5% and the recovery rate was 89%.

• Journal of Chest Surgery
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• 제25권10호
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• pp.1025-1029
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• 1992

We experienced eleven cases of pulmonary aspergllosis treated surgically in the period from 1981 to 1992. There were 5 men and 6 women, ranging in age from 28 to 64 years [mean age 40.4 years]. The most common chief complaint of the patients was hemoptysis and blood tinged sputum[7 cases, 63.6%], On preoperativechest film, the case of cavity with fungus ball[7 cases] and only cavity[4 cases] were seen. The location of the lesion were both upper lobe[6 cases] and lower lobe[5 cases]. The underlying disease were tuberculosis[5 cases], bronchiectasis[2 cases], tuberculosis and bronchiectasis[1 case], pneumonia[1 case] and none[2 cases]. The operative procedures of pulmonary aspergillosis were lobectomy[8 cases], cavernostomy[1 case] and thoracoplasty[2 cases]. The postoperative complications were postoperative massive bleeding[reoperation, 2 cases], wound infection[2 cases] and no operative mortality.

• Journal of Chest Surgery
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• 제24권3호
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• pp.271-279
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• 1991

From May 1977 to April 1990, 1000 cases of open heart surgery were performed under the cardiopulmonary bypass. There were divided into group A[500 cases, from May 1977 to June 23rd 1986] and group B[500 cases, from June 23rd 1986 to April 1990] which were analyzed, summarized, and compared. Of 1000 cases of open heart surgery, 677 cases[67.7%] were congenital heart diseases, and 323 cases[32.3%] were acquired heart diseases. In 677 cases of congenital heart disease, there were 545 cases with acyanotic congenital heart anomaly[A: 279, B: 266] and 132 cases with cyanotic congenital heart anomaly[A: 87, B: 45]. In 323 cases of acquired heart disease, most cases were valvular heart disease[315 cases, A: 133, B: 182] in which 357 valves were implanted. The operative mortality of congenital R acquired heart disease was 7.8% & 8.0%, and then overall mortality was 7.9%. The operative mortality was markedly decreased. [about half] from 10.0% of A group to 5.6% of B group.

• 한국한의학연구원논문집
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• 제3권1호
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• pp.321-333
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• 1997

Clinical studies were performed on 119 cases who had HIVD and chronic back pain cured by chuna treatment from August 1984 to June 1997. The results were as follows 1. In 119 cases of HIVD and chronic back pain, 39 cases(32.8%) were male and 80 cases (67.2%) were female. 2. In 119 cases of HIVD and chronic back pain, 19 cases were under the age of 30 and 30 cases were under the age of 40 and 42 cases were under the age of 50 and 28 cases were older than 60 years old. 3. On Duration of Treatment in a Step, 29 cases were taken I -step treatment and 53 cases were taken II -step treatment and 31 cases were taken III -step treatment. 4. In 119 cases of HIVD and chronic back pain, recurrent rate was 12.6%.

• 한국임상수의학회지
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• 제19권2호
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• pp.272-275
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• 2002

A retrospective analysis was performed with 30 cases of canine urolithiasis presented in the period between January and December 2001 The miniature schnauzer (6 cases), maltese (5 cases) and Shih Tzu (4 cases) had higher incidences than other breeds. Canine urolithiasis occurred from one year till 12 years, but the most prevalent age was 3 years. Urinary calculi occurred more often in males (63%) than females. The most prevalent anatomic locations of calculi were urinary bladder (8 of 22 cases) and urethra (13 of 22 cases) in males and urinary bladder (10 of 18 cases) in females. The major mineral component of calculi was struvite (72%). In male dogs, out of 15 cases, 10 cases were struvite and 5 cases were calcium oxalate uroliths. And, in female dogs, 8 of 10 cases were struvite. In some cases, mineral composition and urine pH was not matched. In conclusion, in the dogs with predisposing factors for urolithiasis, regular examination or proper diet should be added to prevent the disease. And the mineral composition of calculi should not be predicted solely by the pH or crystal component of urine.