• Title/Summary/Keyword: Good death

Search Result 507, Processing Time 0.024 seconds

Surgical management of spontaneous pneumothorax (자연기흉의 외과적 치료 -310례의 임상고찰-)

  • 김삼현
    • Journal of Chest Surgery
    • /
    • v.17 no.1
    • /
    • pp.82-88
    • /
    • 1984
  • Total 310 cases of spontaneous pneumothorax in 281 patients were analyzed to review the results of surgical treatment for this condition. Clinical data on the age & sex distribution, recurrence, etiologic conditions and on the other aspects of spontaneous neumothorax were summarized. The results of surgical management of spontaneous pneumothorax are followings; 205 out of 310 cases[66.1%] were cured by closed thoracostomies. 82 cases[26.5%] were cured by thoracotomy. The indications of thoracotomy were 1] persistent air leakage, 2] history of recurrences, 3] blebs or bullae on thoracoscopy, 4] associated parenchymal lesion, 5] pneumothorax caused by paragonimiasis. Other reasons of thoracotomy were bilateral pneumothorax and inadequate expansion due to chronicity. Excision of blebs or wedge resection was performed in most cases with good result. Lobectomy [9 case] or pneumonectomy [3 cases] was carried out depending on the pathological involvement of the lung. There was no operative death and only one case showed recurrent pneumothorax during follow-up after thoracotomy.

  • PDF

Systemic-Pulmonary Shunts Using Microporous Expanded Polytetrafluoroethylene (Polytetrafluoroethylene 을 이용한 체-폐동맥 단락술)

  • Ahn, Hyuk
    • Journal of Chest Surgery
    • /
    • v.18 no.2
    • /
    • pp.314-319
    • /
    • 1985
  • Nineteen patients with various types of cyanotic congenital heart disease underwent systemic-pulmonary artery shunts with a microporous polytetrafluoroethylene [PTFE] graft between September, 1983, and April, 1985. Age ranged from 3 months to 18 years, and seven of them were less than 12 months old. There were seventeen Great Ormond Street type of modified Blalock-Taussig shunts, and two central polytetrafluoroethylene shunt [ascending aorta-right pulmonary artery]. There was one postoperative death [1/19=5.3%] in a 10 Kg child born with pulmonary atresia and ventricular septal defect associated with patent ductus arteriosus. He had another anomaly of imperforated anus. Relief from cyanosis was achieved in other eighteen patients with variable degree. Eighteen survivors have been followed up from 1 month to 19 months. Clinical status, auscultation, oxygen partial pressure of arterial blood, and hemoglobin have been used to establish shunt patency in all survivors. By above criteria, all survivors have good patent shunt.

  • PDF

Finite Element Analysis of an Orthogonal Cutting Process with Low Speed (2차원 저속절삭에 대한 유한요소 해석)

  • Kim, Kug-Weon;Ahn, Tae-Kil;Lee, Woo-Young
    • Journal of the Korean Society of Manufacturing Process Engineers
    • /
    • v.5 no.2
    • /
    • pp.10-15
    • /
    • 2006
  • An introduction to orthogonal cutting model by FEM is given, followed by a review of similar work. The cutting process is treated as quasi-static and strain rate insensitive, so the model is applicable only to low speed cutting operation. Chip separation is accomplished along a predefined cutting path by means of an element death procedure. Contact elements with friction capability are used to model the interaction between the tool and the workpiece. FEM results are compared with cutting experiments with low speed for brass, and good correlations are found.

  • PDF

Surgical Treatment of Bronchiectasis (기관지확장증의 외과적 요법)

  • 이영욱
    • Journal of Chest Surgery
    • /
    • v.15 no.1
    • /
    • pp.15-20
    • /
    • 1982
  • During the past ten years from 1972 to 1981, a total of 100 cases of bronchiectasis were treated by pulmonary resection at C.A.F.G.H. Pulmonary tuberculosis and frequent U.R.I. were the most frequent associated disease and encountered in 54% in this series. Various types of pulmonary resection were performed on 100 patients; left lower lobectomy in 40 cases, left lower lobectomy and lingular segmentectomy In 29 cases, right lower lobectomy in 12 cases, right middle and lower lobectomy in 12 cases, lingular segmentectomy in 3 cases, left pneumonectomy in 3 cases and both lower lobectomy in 1 case. Complications developed in 9 cases and 1 case among them died of sepsis following secondary opera-tion. Among complications of 9 cases, postoperative atelectasis showed in 4 cases, hemorrhage in 2 cases, bronchopleural fistula in 2 cases, pulmonary edema in 1 case. Complications were treated by conservative and secondary operative management with satisfactory result except one death. Remainders without complication showed good result without symptom in postoperative and follow-up periods.

  • PDF

위암(胃癌)의 처방(處方) 운용(運用) 및 화학요법(化學療法) 병행(竝行) 치료(治療)에 관(關)한 소고(小考) (1990년(年) 이후(以後) 중의학(中醫學) 잡지(雜誌)를 중심(中心)으로)

  • Seo, Yeong-Cheol;Im, Seong-U;Lee, Won-Cheol
    • THE JOURNAL OF KOREAN ORIENTAL ONCOLOGY
    • /
    • v.3 no.1
    • /
    • pp.193-206
    • /
    • 1997
  • Stomach cancer is one of the most important cause of death. So recently, the first consideration Chinese Medicine Journal(after 1990th) to study on stomach cancer treatment(Herb medicine) and side effect on chemical therapy after side effect rate studied. According to the literally study of journal, the results run as follow. Herb medicine use in combination therapeutic method on stomach cancer decreased reaction.(G-I trouble, marrow and hematisis system) We expect that herb medicine treatment effects give to good advantage on stomach cancer.

  • PDF

Induction of Apoptosis by 3-Methoxy-6-Allylthiopyridazine in Human Pancreatic Cancer Cells (3-메톡시-6-알릴치오피리다진의 사람 췌장암 세포 사멸작용)

  • Kang Young Shin;Suh Yeon Won;Kwon Soon-Kyoung;Jeong Choon Sik;Lee Yong Soo
    • YAKHAK HOEJI
    • /
    • v.49 no.4
    • /
    • pp.335-339
    • /
    • 2005
  • In this study we investigated the effect of 3-methoxy-6-allylthiopyridazine on cell growth in BxPC3 and PANC1 human pancreatic cancer cells. The treatment with 3-methoxy-6-allylthiopyridazine for 48h decreased cell viability and induced apoptotic cell death in a dose-dependent manner, assessed by using the MTT assay and the flow cytometry, respectively. These results suggest that 3-methoxy-6-allylthiopyridazine may be a good candidate for the therapeutic management of human pancreatic cancers.

Total Cavo Pulmonary Shunt: Report of two cases (총대정맥-폐동맥 단락술 수술치험 2례)

  • Park, Cheol-Hyeon;Lee, Sin-Yeong;Kim, Chang-Ho
    • Journal of Chest Surgery
    • /
    • v.23 no.6
    • /
    • pp.1263-1269
    • /
    • 1990
  • Two patients with uncorrectable cyanotic cardiac anomalies underwent total cavopulmonary shunt[modified Fontan operation]. Case I was a 14 years old male with dyspnea and cyanosis after birth. Aortogram showed TGA combined with overriding of aorta, pulmonary stenosis, complete atrioventricular septal defect, interruption of inferior vena cava, and situs inversus totalis. We had performed total cavopulmonary shunt using with 16 mm Gortex Graft in single atrium to bypass the hepatic vein to pulmonary artery. Postoperatively, patient sustained low PaCO2 and low cardiac output and then expired at 19th postoperative day. The cause of death of the patient would be low cardiac output. Case II was a 6 years old female with dyspnea and cyanosis after birth. Aortogram showed tricuspid atresia[Type IIb], transposition of great arteries, atrial septal defect, ventricular septal defect and pulmonary stenosis, We had performed total cavo-pulmonary shunt using intraatrial baffle[tunnel] with Goretex patch. The postoperative course of this patient was good without event.

  • PDF

Surgical treatment of the aortic aneurysm (대동맥류의 외과적 요법)

  • 신현종
    • Journal of Chest Surgery
    • /
    • v.22 no.1
    • /
    • pp.90-94
    • /
    • 1989
  • Ten patients underwent operation for aortic aneurysms from Jan. 1983 to April 1988 at the Department of Thoracic and Cardiovascular Surgery, Keimyung University Hospital. There were 7 males and 3 females in this series. The age ranged from 16 to 70 years with the mean age of 45 years. The cause of the aneurysm was atherosclerosis in 8 patients, mycosis in 1 patient and unknown in 1 patient. There were two patients with ascending aortic aneurysm treated by Dacron graft replacement, with no hospital death. One patient with aortic arch aneurysm was received Dacron graft replacement under cardiopulmonary bypass and died on the 21st postoperative day because of cerebral edema. There were three patients with descending aortic aneurysm. The aneurysm in two patients was successfully repaired by Dacron graft. One additional patient with ruptured aneurysm died at operation because of ventricular fibrillation. Four patients with abdominal aortic aneurysm were underwent Dacron graft replacement and the results were good.

  • PDF

Nedaplatin Salvage Chemotherapy for Cervical Cancer

  • Li, Wu-Ju;Jiang, Jia-ying;Wang, Xian-Lian
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.16 no.8
    • /
    • pp.3159-3162
    • /
    • 2015
  • Purpose: This systematic analysis was conducted to evaluate the efficacy and safety of nedaplatin based salvage chemotherapy for treatment of patients with advanced cervical cancer. Methods: Clinical studies evaluating the efficacy and safety of nedaplatin based regimens on response and safety for patients with cervical cancer were identified using a predefined search strategy. Pooled response rates (RRs) were calculated. Results: For nedaplatin based regimens, 5 clinical studies including 264 patients with advanced cervical cancer were considered eligible for inclusion. The analysis showed that, in all patients, pooled RR was 74.6% (197/264). Major adverse effects were leukopenia, thrombocytopenia and nausea/vomiting. No treatment related death occurred with nedaplatin based treatment. Conclusion: This systematic analysis suggests that nedaplatin based regimens are associated with good activity with acceptable tolerability in treating patients with advanced cervical cancer.

A Case Report of Wi syndrome Treated by the Way of Reinforcing Weakness of the Spleen and Stomach(脾胃虛弱) (원인불명의 보행장애를 비위허약형(脾胃虛弱型) 위증으로 판증(辦證)한 치험 1례)

  • Yoo, Jong-Ho;Koo, Byung-Soo;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
    • /
    • v.18 no.2
    • /
    • pp.133-142
    • /
    • 2007
  • Wi syndrome is the syndrome that reveals muscle relaxation without contraction and muscle relaxation occurs in the low or upper limb, in severe case leads to death. We experienced a 80year-old woman who had a Wi syndrome, and treated by the way of reinforcing weakness of the spleen and stomach(脾胃虛弱). After being treated, the patient showed that symptoms (gait disturbance, ptosis, dysphonia) was improved. This result suggests that oriental medical treatment has good effect on Wi syndrome.

  • PDF