• Journal of Chest Surgery
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• v.20 no.3
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• pp.552-556
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• 1987

During the preantibiotic era, lung abscess carried a high mortality, however, with the introduction of penicillin and subsequently other antibiotics, significant improvement was resulted. Clinical review was performed on 27 cases of lung abscess, those were admitted and treated at the Department. of Thoracic and Cardiovascular Surgery, Chonbuk University Hospital, from 1979 to August, 1986. The following results were obtained. The most common age of occurrence was between the age of 40 and 60 [14 cases] and 22 cases were male patients. The common symptoms were cough, putrid sputum production, fever and chilliness. Numerous etiological factors may play a role in the formation of lung abscess; pneumonia [7 cases], aspiration [5 cases], bronchiectasis [2 cases], liver abscess [1 case] and broncholith [1 case]. The bacteriologic study revealed increased incidence of Enterobacteriaceae [15 cases]. The treatment methods were postural drainage [12 cases]. pneumonostomy [5 cases], lobectomy [8 cases], thoracostomy [2 cases].

• Journal of Korean Critical Care Nursing
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• v.2 no.1
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• pp.15-25
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• 2009

Purpose: This study investigated the effects of chest physiotherapies on intensive care unit patients mechanical ventilated. Methods: Good lung down position, chest percussion, postural drainage was applied to patients who admitted to ICU. Each patients divided into four groups and each group received different treatments. Sputum amount, lung compliance, tidal volume and oxygen saturation were measured before treatment and immediately, and time flowing. Data was analyzed with frequency, percentage, ANOVA and paired t-test using via SPSSWIN 12.0 program. Results: There were significant differences in variables each characteristics of subjects. Chest percussion increased tidal volume, static lung compliance for the mean time. Desaturation related to suction. Conclusion: Chest percussion influences on lung compliance. Based on this study results and limitation, this study suggests repeated studies in various groups

• Physical Therapy Korea
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• v.3 no.1
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• pp.40-47
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• 1996

Body position is known to have an effect on vital capacity(VC). The purpose of this study was to examine effect on VC of posture, sex and smoking, and the difference between predicted and measured values of VC. VC was measured in the standing and the $30^{\circ}$ head-down position in 40 healthy subjects (20 men and 20 women) in a random order of testing. When subjects changed from standing to head-down position, this VC decreased by 19.9%. In both positions, VC changes in men were significantly larger than in women. No statistically significant difference was found in men who smoked. There was no difference between the predicted and measured values in men. But measured values were larger than predicted values in women. Because VC can decrease by 19.9% in the head-down position due to the effect of gravity, attention should be paid especially to patients who are placed in the head-down position for postural drainage since they already have a decreased VC.

• Journal of Korean Physical Therapy Science
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• v.5 no.4
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• pp.831-836
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• 1998

Object: We evaluated the efficacy of chest physical therapy in pediatric patients with pneumonia. Method: Retrospective study was performed in 89 pneumonia patients admitted to pediatric unit. The subjects were divided into two groups: control group; treatment group. Control group included 42 patients who didn't receive chest physical therapy. Treatment group included 47 patients who received chest physical therapy. The chest physcial therapy employed were postural drainage, chest percussion, deep breathing training and enhancement of coughings. The efficacy was evaluated by x-ray outcome before discharge. Results: There were no significant difference in age, sex, type of pneumonia, and symptom duration between two groups. However the duration of fever after admission, duration of antibiotic use and hospital stay were longer in treatment group. In treatment group, longer the day to initiate chest physical therapy, longer the hospital stay. The final outcome was not different between groups. Conclusion: The results suggest that the referred patients for chest physical therapy tends to be of severe cases. Nevertheless, the result that the outcome was not different in two groups means that the chest physical therapy could be used as a effective treatment method in pediatric patient with pneumonia.

• Tuberculosis and Respiratory Diseases
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• v.43 no.4
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• pp.571-578
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• 1996

Background : Long abscess is an accumulation of pus within a destroyed portion of the lung. Antibiotic therapy and postural drainge has proven to be an effective method of treatment for the majority of patients with pyogenic lung abscess. When medical therapy fails, thoracotomy and pulmonary resection are the current therapies. empyema is pus in the pleural space, and this term is deserved for effusions on which the Gram stain of the pleural fluid is positive. Initially, such collection may be drained via chest tribe. Recently, in patients who are judged to be unsuitable for surgery are in poor condition, percutaneous drainage using pig-tail catheter has been performed. We report out experience with 10 cases of lung abscess and 23 cases of empyema who were treated by percutaneous pit-tail catheter drainage. Subjects and Methods : Our study included 10 patients with lung abscess and 23 patients with empyema who were treated by percutaneous pig-tail catheter drainage, from January, 1990, to May, 1996, at Hanyang University then a pig-tail catheter was inserted into the abscess or the site of empyema under fluoroscopic and ultrasonograpic guidance. Following aspiration, the catheter was sutured into the skin, and connected to the suction tip. Catheter drainage was discontinued when the abscess of empyema was resolved in radiologically and clinically. Results : There were 2 cases of lung abscess caused by Staphylococcus aureus and Klebsiella pneumoniae and 14 cases of empyema caused by M. tuberculosis. The others were unknown. The duration of drainage was 1-2 weeks in 7 cases of lung abscess and 14 cases of empyema. In the 29 of 33 patients, percutaneous drainage were carried out successfully 20 of the 29 Gases rapidly improved. Conclusion : Percutaneous drainge is effective and relatively saute for management of lung abscess or empyema refractory to medical therapy or poor candidates for surgical treatment.

• Journal of Chest Surgery
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• v.12 no.4
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• pp.312-317
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• 1979

1] During the period of Jan. 1959, to Aug. 1979, 47 patients of paragonimiasis have been treated in the department of Chest Surgery. 2] The total number of patients who has been admitted and treated in the department of Chest Medicine are 262 and annual distribution of number of patients has been decreased. However, since 1964, the number of patients has been stationary. On the other hand, the total number of patients who has been admitted and treated surgically in the department of Chest Surgery are 47 and the annual distribution of number of patients has not been decreased. 3] The peak age incidence lies in fourth decade [34%], and over halves of patients is in third to fifth decade. Male to female is 8.4 to 1. 4] The symptoms, which are mainly cough, chest pain, dyspnea and blood tinged sputum, developed mostly in two to five years after infestation by Paragonmius westermani. 5] Sputum tests for eggs of Paragonimus westermani were positive in 16 out of 43 patients [37%]. The 93% of patients were positive in skin test for Paragonimus westermani. The patients with negative skin test were 7%, but sputum or stool examination for Paragonimus westermani`s eggs were positive in these negative group of skin test. 6] Chest roentgenogram revealed pleural effusion [41 cases], hydropneumothorax [1 case], atelectasis [1 case] and mediastinal mass [1 case]. 7] All patients were preoperatively treated with Bithionol. The mode of surgery were decortication only [31 cases], pleuropneumonectomy [3 cases], decortication & lobectomy [2 cases], decortication & closure of bronchial fistula [1 case], thoracentesis [1 case] and postural drainage [1 case]. 8] Paragonimiasis is primarily medical disease and well treated by the administration of Bithionol. But the delayed diagnosis and missed diagnosis, especially as pulmonary tuberculosis, make the disease aggravated and chronic. Subsequently, surgical treatment is infrequently required. Chronic empyema due to Paragonimus westermani is much benign than tuberculous empyema thoracis.

• Journal of The Korean Society of Integrative Medicine
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• v.9 no.4
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• pp.85-89
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• 2021

Background : Klippel-Trenaunay-Weber syndrome (KTS) is a rare congenital medical condition characterized by complex vascular malformation. KTS consists of a classic triad of capillary malformation (hemangioma), venous malformations and bone or soft tissue hypertrophy causing limb asymmetry. The aim of this report is to describe management for gait disturbance and foot pain in a Patient with KTS using custom-made total contact insole. Case presentation : A 32-year-old man with KTS presented with a 3-year history of gait disturbance on hard surface due to right first toe pain and Achilles tendon tightness. The patient had soft tissue hypertrophy, varicose veins and port-wine stains over the right lower limb associated with KTS. True leg length discrepancy was 2 cm. We prescribed custom-made total contact insole to protect his deformed foot and correct leg length discrepancy. The insole of right side included wedge shaped heel lift and the insole of left side included full length lift to add extra support on unaffected side. Also, we provided compression stocking and physiotherapy including manual lymphatic drainage for lymphedema and stretching exercise for tightness in right lower extremity. At 3 years follow-up, postural alignment including pelvic obliquity was improved using a custom-made total contact insole. The degree of scoliosis and foot pain were also reduced. Conclusion : An individualized and multidisciplinary approach is essential regarding the complexity of comorbidities in patients with KTS. For patients with KTS, orthotic management should be considered to prevent and correct deformities related to KTS. Active orthotic management, compression stocking and physiotherapy can enhance the quality of life and function in patients.