• Tuberculosis and Respiratory Diseases
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• 제68권5호
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• pp.286-289
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• 2010

A 55-year old woman with advanced stage non-small cell lung cancer was admitted to hospital for the management of severe chest pain, which measured 7 out of 10 on a numerical rating scale (NRS). Despite palliative radiation and the application of multiple epidural blocks, she continued to experience severe cancer pain. We gradually increased the dose of transdermal fentanyl patches from $500{\mu}g/hr$ to $3,650{\mu}g/hr$, for 3 months without any significant side effects. Concomitantly, adjuvant therapy with antidepressants and anticonvulsants were added, decreasing the patient's pain to NRS 3~4 down from 7. After being transferred to a hospice clinic, her chest pain was well-controlled below NRS 4 by means of strong opioid medications, including the highest dose of transdermal fentanyl $4,050{\mu}g/hr$ for more than 16 months.

• Tuberculosis and Respiratory Diseases
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• 제44권3호
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• pp.692-697
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• 1997

A 62-year-old male was admitted for evaluation of a mass shadow on chest film. Chest PA showed $7{\times}5cm$ lobulated homogenous mass in right upper medial area of lung. On chest computed tomography, there was a large irregularly lobulated mass with central necrotic low density area in apical segment of right upper lobe. Right upper lobectomy of the lung was performed. Partial adhesion to parietal pleura of posterior mediastinum and severe adhesion to right upper apicoposterior segment was found during the operation. Microscopic and ultrastructural studies(including immunocytochemical stains) of the mass revealed malignant fibrous histiocytoma.

• Tuberculosis and Respiratory Diseases
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• 제56권3호
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• pp.297-301
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• 2004

저자들은 800 mL 정도의 흉막삼출액 관례적 천자 후 발생한 국소성 재팽창성 폐 부종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 지역사회간호학회지
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• 제5권2호
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• pp.181-202
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• 1994

This study was conducted in order to grasp the condition of the student's knowledge and attitude about tuberculosis. And to offer the basic materials for the prevent tuberculosis in elementary school. The objects were comprised 395 of volunteered 6th grade students who study in two elementary schools. The material of this study was the questionaire(chronbach $\alpha=.9016$) suited to the purposed of this research which has been made through studying references. All the questionaire were collected immediately without explanation. The data was collected from 13rd to 25th of May on 1994. Analysis of the data was done utilizing SPSS for percentage, mean, ANOVA and pearson-Correlation Coefficient. The Result are as follows; 1. General features of the objects of study. Sex distribution was similar. Salary of 1000-1500 thousand won were highest (40.2%), nuclear family was highest (87.1%), fathers of graduated high school were the highest(44.0%), mothers of graduated high school were the highest(56.8%). And there was nobody about tuberculosis patient in one's close relatives were highest(95.4%). 2. The conditions of attitude about tuberculosis. Having experience of tuberculin test were highest(59.0%). Less than 9mm indulation among the tuberculin tested group were 85.1%, more than indulation were 14.9%. Have a B. C. G. injection among the less than 9mm indulation were 83.2%. Leave alone among the more than 10mm indulation were 56.0%. Think it too much trouble to do not tuberculine test were 63.0%. Do not take a chest X-ray in the past were 60.3%. And take a chest X-ray in the past were 39.7%. Health educated group was 74.3%. If tuberculosis sign was developed, notified to parent was 73.8%. 3. The condition of knowledge about tuberculosis. When 5 points was given to 'very affiming' and 1 point was given to 'very deny', the total average was 3.54. And symptom of tuberculosis secion was 3.67, vaccination of tuberculosis section was 3.66, tuberculine test section was 3.56, epidemiology of tuberculosis section was 3.54, infection of tuberculosis section was 3.38. And every section showed affirmative correlation(P<.001). 4. Correlation between the general features and attitude variables. High incomed group may have more attitude on tuberculin test than low incomed group($x^2=16.$ 190, P<.01). High educated group may have more attitude on tuberculin test than low educated group(Father : $x^2=28.530$, P<.001, Mother: $x^2=26.060$, P<.001). High educated group may have more attitude on health education than low educated group(Father: $x^2=20.$ 767, P<.000, Mother: $x^2=10.639$, P<.05). Nuclear family may have more attitude on notify to parent than others($x^2=51.45$, P<.000). Tuberculosis patient in one's close associates have more attitude on notify to parent than others($x^2=51.$ 45, P<.000). 5. Difference between the general features and knowledge of tuberculosis. High incomed group were highest score in knowledge (F=3.99, P<.01). High educated group were highest score in knowledge(Father : F=8.81, P<.000, Mother: F=9.09, P<.000). 6. Difference between the attitude and knowledge of tuberculosis. Tuberculin tested group were highest score in knowledge(t=9.88, P<.000). Taken chest X-ray group were highest score in knowledge (t=2.07, P<.05). Received health education group were highest score in knowledge(t=6.83, P<.000). Notified symptoms to teachers and parent group were highest score in knowledge(F=3.89, P<.01).

• Tuberculosis and Respiratory Diseases
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• 제41권2호
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• pp.144-151
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• 1994

연구배경 : 속립성 폐결핵의 임상양상의 변화를 살펴보고, 유발요인과 동반질환을 연구하여 조기에 속립성 폐결핵을 발견, 조기치료를 유도하고자 한다. 방법 : 1989년 3월부터 1992년 12월까지 한양대학병원에서 입원 치료한 속립성 폐결핵 환자 40예를 대상으로 하였으며, 연령 및 성별, 계절별 발생빈도, 발병기간, 선행요인, 임상증상, 생화학적 검사소견, 흉부방사선 소견, 수반된 전신결핵, 예후 및 사망율 등을 조사하였다. 결과 : 1) 남자 23예, 여자 17예로 남녀비는 1.4:1 이었고, 연령분포는 20대가 23%로 가장 많은 빈도를 보였다. 2) 항산성 간균에 대한 객담검사에서 양성으로 나타난 경우는 5예(13%) 이었다. 3) 임상증상은 오한과 발열 그리고 기침이 각각 47.5%로 가장 많았고 다음은 호흡곤란(32.5%)이었으며, 이학적 소견은 빈맥이 30%, 체중감소 27.5%, 뇌막증상 17.5%의 순이었다. 4) 선행요인으로 과다한 음주가 6예, 부신피질 호르몬제 사용이 3예, 임신 2예 등이었다. 5) 흉부방사선 소견상 속립상 단독이 40%로 가장 많았고 그 다음으로 폐염, 늑막삼출, 석회화 등의 순으로 동반되었다. 6) 폐 이외에 타장기 침범은 결핵성 뇌막염이 30%로 가장 많았고 골 및 관절 결핵(17.5%), 장결핵(15%) 등이었다. 7) 혈청학적 검사상 SGOT/SGPT증가 32.5%, alkaline phosphatase증가 32.5%, 혈청 알부민 저하 15%, 저나트륨혈증 15% 등이었다. 8) 치료 성적은 투약후 약 4-6주후 65%에서 임상 증상이나 흉부방사선 소견상 호전되는 소견을 보였고, 30%에서 불변 혹은 악화되는 소견을 보였으며 5%에서 사망하였다. 결론 : 속립성 폐결핵의 성공적 치료를 위해서는 속립성 폐결핵의 유발요인과 동반질환 등에 대한 관심을 높이고 가능한한 조기치료가 이루어질 수 있도록 세심한 노력이 필요하겠다.

• Journal of Korean Neurosurgical Society
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• 제51권5호
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• pp.316-319
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• 2012

A 24-year-old man presented with mental change, fever, abdominal pain, tenderness and palpable mass on the lower abdomen. He was a non-Korean engineer and did not accompany a legal guardian, so medical history taking was difficult due to his mental status. Brain magnetic resonance imaging showed multiple rim-enhanced lesions of the brain, and abdominal computed tomography showed huge paraspinal abscess. Chest X-ray and computed tomography showed poorly defined nodular opacities. We initially thought that this patient was infected with toxoplasmosis with typical cerebral image finding and immunoglobulin laboratory finding of cerebrospinal fluid and serum study. The abdominal abscess was confirmed as tuberculosis through the pathologic finding of caseous necrosis. We used anti-tuberculosis medication and anti-toxoplasmosis medication for almost 4 months, and then his clinical state and radiological findings were considerably improved.

• Journal of Chest Surgery
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• 제25권8호
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• pp.856-862
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• 1992

The author reviewed 50 cases of positive sputum AFB patients following pulmonary resection of pulmonary tuberculosis [total 617 cases] operated on at the National Kongju Hospital during 6 years period, from January, 1985 to December, 1990. 1. There were 36 male and 14 female patients ranging from 20 to 50 years old[mean age, 33.8 years] 2. An average duration of pulmonary tuberculosis history was 7.5 years. 35 cases[76%] had many drug resistance of tuberculosis [above 5 drugs]. 3. The majority indication for pulmonary resection were persistent positive sputum AFB with cavity or destroyed lung or hemoptysis. 23 cases[46%] underwent pneumonectoy and 13 cases[23%] lobectomy. The postoperative complications occured in 19 cases [38%]. 4. 34 cases[68%] occured sputum AFB positive following operation unitil 6 months, and 6 cases[12%] occured 2 years later 5. 21 cases[42%] got conversion to negative sputum, and then 29 cases[58%] remained persistent positive sputum.

• Journal of Chest Surgery
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• 제41권1호
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• pp.137-140
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• 2008

폐 랑거한스 세포 조직구증은 랑거한스 세포 조직구증의 제한적 인 형태로 매우 드문 질환이다. 특히, 폐 랑거한스 세포 조직구증이 폐결핵과 동반되어 보고된 경우는 극히 드물다. 극심한 호흡곤란으로 입원한 환자가 객담 AFB 도말 검사로 활동성 폐결핵으로 진단되었다. 입원 후 시행한 고해상도 컴퓨터 단층 촬영에서 다수의 미세 결절과 작은 낭종들이 관찰되었다. 개흉 폐생검을 시행하였고 폐 랑거한스 세포 조직구증의 동반이 확인되었다.

• Tuberculosis and Respiratory Diseases
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• 제39권6호
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• pp.554-558
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• 1992

A 38 years old man had been treated as a pulmonary tuberculosis by the positive result of acid fast stain of bronchial washing from the focal infiltrative lesion at left lower lobe. On radiologic examination after one year treatment, there was an aggravation of lesion at left lower lobe with moderate amount of pleural effusion at the same side. After 11 weeks, follow up chest film disclosed bilateral pleural effusion. The pleural fluid of both side was pus in gross appearance with low pH, high LDH, low glucose and high protein. Pleurodectomy was performed to remove the loculated empyema with the thickened pleura of right thorax. This pleuro-pulmonary lesion can be easily misdiagnosed as a tuberculous lesion if it is not taken into consideration as a possible diagnosis.

• Journal of Chest Surgery
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• 제32권12호
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• pp.1140-1143
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• 1999

Acquired pulmonary artery stenosis which is secondary to tuberculosis is so rare that only a few scattered cases have been reported. We report one case of pulmonary stenosis caused by pulmonary tuberculosis.l A 50 year old man who gradually developed dyspnea was diagnosed as bilateral pulmonary stenosis, he underwent bypass surgery between the main diagnosed as bilateral pulmonary stenosis. he underwent bypass surgery between the main pulmonary artery and the right pulomonary artery with a 13mm Gortex ringed straight graft. The left pulmonary artery was too small to restore the perfusion. The patient was discharged on the 33rd day after the operation. Acquired pulmonary stenosis could be treated successfully with one-side pulmonary arery reconstruction.