• Journal of Chest Surgery
• /
• 제6권2호
• /
• pp.219-224
• /
• 1973

82 cases of esophageal stenosis due to lye solution in our hospital, which is surgicallly treated with retrosternal esophagoplasty were reported. female was 2 times more then male and average age is 30 years old. Dyphagia and precordial pain were chief complaint. In this technique, jejunum, right and left colon were substituted for constricted esophagus. Postoperative complication rate 14.6%, mortality rate due to other complication were 21.9% but had not seen in this operative technique.

• Journal of Periodontal and Implant Science
• /
• 제19권1호
• /
• pp.130.2-130.2
• /
• 1989

• Journal of Chest Surgery
• /
• 제27권2호
• /
• pp.166-169
• /
• 1994

Primary malignant tumors originating in the pulmonary artery are extremely rare. Recently, We experienced a case of primary leiomyosarcoma occurred on the main pulmonary artery and extended into the Rt and Lt pulmonary artery. The patient was 44 year-old woman and the chief complaint was severe exertional dyspnea. Emergency pulmonary arteriotomy to relieve the pulmonary artery obstruction was performed on cardiopulmonary bypass. The tumor was 6 x6 x4 cm in size and infiltrated into the main pulomary artery. The tumor in the pulmonary artery was removed without any difficulties. The patient was recovered without any specific problems. The tumor was confirmed to be leiomyosamoma histopathologically.

• The Korean Journal of Pain
• /
• 제13권2호
• /
• pp.224-231
• /
• 2000

Background: Currently, the number of patients visiting pain clinics is increasing with the augmented concerns of the patients about management of pain. We conducted this study in order to comprehend the characteristics of the patients visiting pain clinics and to find a method to further raises the public's awareness about pain treatment. Methods: We surveyed 497 new patients who had visited pain clinic of Kyungpook national university hospital from August 1998 to July 1999. We analysed these patients about their age, sex, chief complaint, duration of pain complaints, resident district, educational level and route of visiting pain clinic by use of questionnaire. Results: In age distribution, the largest proportion (29.8%) were in their 60's. Low back pain was the most common chief complaint (33.0%), the highest (43.7%) percentage of patients had complained of pain for over 6 months. Two thirds of the patients lived in urban area. Patients who were educated to only elementary school level made up the largest group with 35.3%. Referrals from former patients who had visited our pain clinic and had received treatment. Conclusions: As increasing patients who have pain complaints are related to social advanced age, it is prudent to consider the characteristics of age related pain complaints. And we have to guide the pain patients to have more earlier treatments using mass media because there is still insufficient general information about pain clinic and pain managements.

• 대한장애인치과학회지
• /
• 제11권1호
• /
• pp.1-4
• /
• 2015

본 증례는 뇌성마비가 있는 혼합치열기의 청소년에서 치간이개를 개선하는 다양한 방법을 모색해보았다. 그 중 복합레진을 이용한 보존적 치료는 이동에 어려움이 있는 뇌성마비 환아에서 최소한의 내원 횟수, 짧은 술식 시간, 경제적이며, 가역적이고 단순한 치료법이다. 이를 통해 높은 심미적 만족도와 발음 및 교합력 개선을 통해 본 환아의 삶을 질을 높일 수 있을 것으로 기대한다.

• Journal of Genetic Medicine
• /
• 제13권1호
• /
• pp.41-45
• /
• 2016

Marfan syndrome (MFS) is an inherited connective tissue disorder with a mutation in the fibrillin-1 (FBN1) gene. Fibrillin is a major building block of microfibrils, which constitute the structural component of the connective tissues. A 10-year-old girl visited our hospital with the chief complaint of precocious puberty. According to her medical history, she had a pulmonary wedge resection for a pneumothorax at 9 years of age. There was no family history of MFS. Mid parental height was 161.5 cm. The patient's height was 162 cm (>97th percentile), and her weight was 40 kg (75th-90th percentile). At the time of initial presentation, her bone age was approximately 11 years. From the ophthalmologic examination, there were no abnormal findings except myopia. There was no wrist sign. At the age of 14 years, she revisited the hospital with the chief complaint of scoliosis. Her height and weight were 170 cm and 50 kg, respectively, and she had arachnodactyly and wrist sign. We performed an echocardiograph and a test for the FBN1 gene mutation with direct sequencing of 65 coding exons, suspecting MFS. There were no cardiac abnormalities including mitral valve prolapse. A cytosine residue deletion in exon 7 (c.660delC) was detected. This is a novel mutation causing a frameshift in protein synthesis and predicted to create a premature stop codon. We report the case of a patient with MFS with a novel FBN1 gene missense mutation and a history of pneumothorax at a young age without cardiac abnormalities during her teenage years.

• Journal of Chest Surgery
• /
• 제19권3호
• /
• pp.443-448
• /
• 1986

Aortic dissection is a serious disease that mortality does not approach to zero despite of medical and surgical improvement. Recently two cases of aortic dissection were treated with good results by the two other methods. Case 1 [57-Y-0-Male]; Chief complaint was chest pain radiating to the back. Preoperatively he was controlled by Minipress, dichlotride, & sodium nitroprusside. Aortography showed DeBakey Type III aortic dissection extending from just below the Lt. subclavian artery to the proximal portion of the origin of the renal artery. Through the midline long incision Flow reversal & Thrombo-exclusion method was used, and bypass course was proximal anastomosis at the ascending aorta - through the Rt. thoracic cavity - midportion of the diaphragm - posterior to the liver, stomach, & pancreas - distal anastomosis at the abdominal aorta proximal to its bifurcation. Bypass graft was preclotted 20 mm Dacron Woven Graft, and the aortic arch between the Lt. subclavian artery & Lt. common carotid artery was divided and meticulously sutured. Control aortogram which was done at 4th postoperative month revealed obstruction of the false lumen by thrombosis, and complications were not noticed. Case 2 [53-Y-0-Male]; Chief complaint was chest pain radiating to the abdomen. DeBakey Type III aortic dissection which was similar to the case 1 was detected by the aortography, and involvement of the Lt. subclavian & common carotid arteries was suspicious. Through the Lt. posterolateral thoracotomy the Ringed Intraluminal Sutureless Graft, No. 22 mm, was inserted from just below the Lt. common carotid artery to the midportion of the descending thoracic aorta under total circulation arrest using a F-F bypass, and the Lt. subclavian artery was ligated. Postoperatively hospital course was uneventful with antihypertensive drugs, and any specific complications were not noticed.

• Journal of Yeungnam Medical Science
• /
• 제2권1호
• /
• pp.259-264
• /
• 1985

신경아세포종은 소아기에 발생하는 악성종양중 뇌종양 다음으로 흔히 발생하는 것으로 원발 혹은 전이된 부위에 따라 다양한 임상증상이 나타날 수 있으나 실명을 주소로 한 경우는 드물다. 본 증례는 4세된 남아의 복부에서 기원하여 사골동으로 원위전이하여 갑작스런 실명을 주소로 한 신경아세포종으로 cytoxan, vincristine, DTIC, adriamycin 및 VM-26의 병합요법으로 치료하여 실명은 그대로 있으나 복부와 사골동의 종괴는 현저히 감소하였고 환아는 건강이 양호한 상태이다.

• Child Health Nursing Research
• /
• 제14권1호
• /
• pp.5-13
• /
• 2008

Purpose: This study was done to describe utilization status of emergency medical service for children at one university affiliated hospital located in Seoul. Data were obtained from the medical records of patients under 13 years of age who visited the ER from January 1 to December 31, 2006. Method: Medical records missing the time of discharge were excluded in the analysis of waiting time, which resulted in 19,766 cases. Data were analyzed using SPSS WIN 14.0 version. Result: There were slightly more boys (58.4%), average age of the children was 3.97 years of age. More children at the aged 1 to 3 years (51.3%) visited the ER. Fever was the most frequent complaint: 5,180 cases (24.38%). The other complaints were head or facial laceration (10.55%), vomiting (9.63%), abdominal pain (8.06%), cough (7.67%), and painful limb swelling (6.34%). Average waiting time before the first medical examination was 17 minutes, and average ER stay time was 3 hours and 23 minutes. Conclusion: The results suggest the need to assign a nurse specialist for pediatric ER to provide more efficient care for the children. Also, extra staff assignment during the evening shift or extending office hours of local pediatricians should be considered.

• 한국임상수의학회지
• /
• 제31권2호
• /
• pp.90-94
• /
• 2014

본 연구는 응급실에 내원하는 개와 고양이의 흔한 주증과 원인을 파악하고, 응급진료를 제공하는 한국의 응급 동물병원에 필요한 최소한의 준비 사항을 제안하고자 실시되었다. 해마루 이차진료 동물병원의 응급실에 2012년 3월부터 2013년 8월 사이에 내원한 2,368마리의 개와 347마리의 고양이를 대상으로 진료 기록을 분석하였다. 그 중, 255마리의 개와 35마리의 고양이는 두 번 이상 응급실에 내원하였으며, 이들은 각각의 내원을 하나의 증례로 취급하였다. 따라서 개에서 총 2,784증례와 고양이에서 396증례를 분석하였다. 진료 기록에서는 품고, 주증, 진단, 입원 여부, 생존여부를 분석하였다. 개의 주증으로는 구토, 설사 혹은 두 가지 모두인 경우가 가장 많았으며, 다음으로는 호흡곤란, 외상, 발작, 기력저하 순이었다. 개에서 가장 많이 진단된 질환은 소화기계 질환이었으며, 그 다음으로는 신경계 질환, 심혈관계 질환, 호흡기계 질환, 비뇨기계 질환, 혈액 질환 순이었다. 고양이에서의 주증으로는 호흡곤란이 가장 많았으며, 다음으로는 구토, 설사 혹은 두 가지 모두, 외상, 배뇨곤란, 기력저하 순이었다. 고양이에서 가장 많이 진단된 질환은 비뇨기계 질환이었으며, 그 다음으로는 소화기계 질환, 호흡기계 질환, 감염성 질환, 심혈관계 질환 순이었다. 본 연구의 결과에 따르면, 구토, 설사 혹은 두 가지 모두와 호흡곤란, 외상이 개와 고양이 모두에서 가장 흔하게 접하는 주증이었으며, 이 세가지가 전체 증례의 주증 중에서 약 48.6%를 차지하였다. 하지만 흔히 진단되는 질환은 종간 차이를 보였다. 본 연구의 결과를 토대로, 응급한 환자를 진단하고 안정시킬 수 있는 적절한 응급 진료를 제공하기 위해서 필요한 최소 준비 사항은 충분한 지식을 갖춘 숙련된 인력과 응급 처치와 진단이 가능한 시설을 갖추는 것임을 확인할 수 있었다.