• Tuberculosis and Respiratory Diseases
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• 제46권1호
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• pp.142-146
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• 1999

A 55-year-old-female was admitted for the evaluation of mass shadow on chest film. She complained of fever, chilling, cough, and whitish sputum. She did not give any history of choking or coughing when she ate. The chest CT showed lung aoocess in right lower lobe with extension of infiltration and air shadow in mediastinum. The esophagoscopy and esophagography were performed to find the cause of mediastinal infiltration, and bronchoesophageal fistula was detected in esophagography. The patient complained of severe chilling and febrile sensation after esophagography, mediastinitis aggravated by thin barium was suggested clinically. So, surgical drainage of lung abscess and thin barium was done urgently. One month after operation, follow-up of esophagoscopy and esophagography were done, the bronchoesophageal fistula was not detected.

• Tuberculosis and Respiratory Diseases
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• 제53권2호
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• pp.202-208
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• 2002

A diffuse alveolar hemorrhage is a rare manifestation in microscopic polyangiitis. Recently we experienced a case of diffuse alveolar hemorrhage associated with microscopic polyangiitis, which was diagnosed with the typical clinical manifestations, ANCA and a renal biopsy. A 71 year old female was admitted complaining of coughing and dyspnea. A chest X-ray, HRCT and BAL revealed a diffuse alveolar hemorrhage. A diffuse alveolar hemorrhage was noted during a bronchoscopy. She also had proteinuria, microscopic hematuria and mild azotemia. The renal biopsy showed necrotic glomerulonephritis without immune complex deposits or granuloma. Under the diagnosis of microscopic polyangiitis, she was treated with steroid pulse therapy, and prednisolone with cyclophosphamide subsequently. She showed marked improvement in the clinical manifestations.

• Journal of Chest Surgery
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• 제25권2호
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• pp.194-199
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• 1992

Two patients with congenital bronchoesophageal fistula were treated with surgical division. The first case was a 56-year-old female patient complaining of aggravated coughing, fever and chest pain since 10 days before the visit. The above symptoms were mild and occurred intermittently since 17 years ago. After the fistula was confirmed on the eso-phagogram, it was treated with coil embolization. The coil had dislodged and couldn`t be found two months later on follow up chest film. The patient underwent a surgical division of the fistula and has been in good condition The bronchoesophageal fistula belongs to type II in Braimbridge`s classification. The second case was a 5 year-old-female patient who suffered with cough intermittently since 2 years old and had history of recurrent pneumonia in infancy. An esophagogram revealed a fistula between the esophagus and the right lower lobe of the lung. An aortogram showed an abnormal systemic arterial supply to the right lower lobe of the lung. The sequestrated rigth lower lobe was resected and the fistula was divided. This case may be the first case of type IV bronchoesophageal fistula in Korea. This case also had good operative result.

• Journal of Chest Surgery
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• 제30권11호
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• pp.1145-1148
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• 1997

폐탈출증은 근골격으로 구성된 흉곽 밖으로 폐실질이 빠져나와 돌출되는 것으로, 최근까지 문헌으로 보고된 예는 300 례 미만이다. 환자는 늑골 골절을 포함한 외상을 입었던 과거력을 가진 37세와 57세 남자 이며 주소는 전흉부에 무통성의 부드러운 종괴로 호기시나 기침시 그 크기가 증가하였고, 흡기시 혹은 조용한 호흡시에는 감소하였다. 수술은 흉벽 결손에 대한 일차 봉합술을 시행하였으며, 술후 재발은 아직 까지 관찰되지 않았다 저자들은 지금까지 국내 발생보고 예가 없는 후천성 폐탈출증 2례를 수술 치험하였기에 문헌고찰과 함께 보고하는 바이다.

• 대한기관식도과학회지
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• 제1권1호
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• pp.129-135
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• 1995

The superiorly based flap tracheostomy(SBFT) has been advocated as an new technique of tracheostomy to manage a wide variety of causes of upper airway obstruction. This technique has particular applicability in patients who require long term tracheostomy such as in bilateral vocal cord paralysis and severe obstructive sleep apnea. SBFT has numerous advantages such as shortening of the gap between the skin and trachea : construction of a self-sustaining tract ; circumferential mucocutaneous junction to reduce infection, granulation tissue, bleeding, and stenosis of the tract : avoidance of the laryngotracheal damage : easy placement of a tracheostomal stent to promote speech, coughing and swallowing. Most of all, this technique can reduces the suprastomal buckling by the support of the superiorly based tracheal flap, and thus prevents the stenosis of suprastomal airway. The disadvantage of SBFT is more time-consuming procedure than the conventional tracheostomy, A retrospective analysis of 8 patients undergoing SBFT between June, 1994 and March, 1995 in Dankook University Hospital was performed to present the surgical technique and com-plication rates. The average duration of follow up was 11 months. The complications were consisted of a wound infection and a sternal granulation. The other complications including wound dehiscence, tracheitis, pneumonia, tracheal granulation, sternal narrowing and subglottic stenosis were not experienced.

• 대한수의학회지
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• 제41권2호
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• pp.227-231
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• 2001

A 8-year-old, intact male Yorkshire Terrier Dog was presented with dark-black mass on the third digits of the left forelimb. Three months earlier, the dog had experienced an episode of digit amputation because of growing mass with ulcerated nodule of the same area. According to the owner, the recurrence of the mass appeared suddenly and was growing rapidly from the amputation site. The mass was more infiltrative than the first one and measured 1.5 cm in diameter. The clinical signs were anorexia, coughing, respiratory distress, exercise intolerance, cardiac murmurs, and cyanosis on the oral mucous membrane. Plain radiographic findings revealed multiple, various-sized(0.5 to 7 cm in diameter), slightly firm-nodules on the thoracic region but digital bone lysis was not seen. These lesions on the thoracic cavity were considered likely to be metastatic from the digit and the dog was naturally died after 3 weeks from the time. Histologically, the digital mass confirmed the diagnosis of metastatic malignant melanoma that was composed of round melanocytic neoplastic, anaplastic, and melanin-containing cells. This report records clinical information and gross and light microscopic features of metastatic malignant melanoma in a dog.

• Child Health Nursing Research
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• 제10권3호
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• pp.272-281
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• 2004

Purpose: To investigate the prevalence of smoking behavior among elementary students which may serve as basic data for developing a smoking prevention program. Method: Questionnaires were given to 734 fourth, fifth, and sixth graders in five elementary schools in U county, North Chungcheong Province. Data were collected from 8 to 20 December, 2003; and analyzed using SPSS/PC for descriptive and chi-square statistics. Result: Of these students, 19.9％ reported that they had smoked and 0.8％ answered they are current smokers. They reported that the first smoking started during third grade (26.0％), at their homes (38.4％), and out of curiosity (74.0％). They reported severe coughing when they first smoked (56.2％). Smoking experiences were significantly related to grade, gender, and academic performance. Similarly, environmental characteristics such as residential area, parental status, father's job, parental attention, home atmosphere, and smoking siblings or friends were significantly related to smoking behavior. Among non-smokers, 86.4％ intended not to smoke and 1.4％ would like to smoke in the future. Conclusion: Certain school and environmental characteristics were associated with smoking experimentation. Therefore teachers and parents should use this information to develop and guide smoking prevention programs.

• Tuberculosis and Respiratory Diseases
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• 제49권2호
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• pp.225-230
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• 2000

기관지내 발생하는 신경초종은 매우 드물며 임상 증상과 방사선적 영상으로 진단하기가 어려워 기관지 내시경을 이용한 생검술이 필요하다. 저자들은 임상적으로 진단하기 어렵고 드문 기관지내 신경초종을 경험하였기에 보고하는 바이다.

• Journal of Yeungnam Medical Science
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• 제2권1호
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• pp.253-258
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• 1985

H type의 기관식도루 특히 성인에서 발견된 경우는 아주 드물다. 최근 영남대학교 의과대학 흉부외과학교실에서는 식도폐쇄를 동반하지 않은 선천성 기관식도루 1예를 수술치험하여 양호한 성적을 얻었기에 문헌고찰과 함께 보고하는 바이다.

• 대한기관식도과학회지
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• 제6권1호
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• pp.90-95
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• 2000

Isolated(H-type) tracheoesophageal fistula without esophageal atresia occurs in approximately 4% of esophageal anomalies, and represents the least form of abnormal laryngotracheo-esophageal communication. Its symptoms such as coughing and choking The during the feeding, abdominal distension and recurrent pneumonitis usually start from birth. Diagnosis is made between 4 days to 4 years using the contrast esophagography and/or tracheoscopy. In case of diagnostic delay the postoperative mortality is not negligible and the most common cause of mortality is respitatory problems(infection, respiratory distress). So early diagnosis is essential in the newborn period with high index of suspicion. We report a case of H-type TEF in which operative repair was successful with references to recent literature.