• Tuberculosis and Respiratory Diseases
• /
• 제49권1호
• /
• pp.99-104
• /
• 2000

폐혈관종증은 그 원인이 알려지지 않은 매우 드문 질환으로 폐와 그 주위 조직을 침범하는 미세혈관들의 증식을 특징으로 한다. 조직학적으로는 모세혈관 혈관종증과 해면상 혈관종증으로 나뉘는데, 많은 환자들이 보고되었다. 저자들은 우측어깨의 통증을 주소로 내원한 21세 남자 환자에서 해면상 폐혈관종증을 진단하고 1년간의 interferon alfa-2a치료를 시행하여 임상적, 방사선학적 호전을 경험하였다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권17호
• /
• pp.7785-7788
• /
• 2015

Utilization of high energy photons (>10MV) with an optimal weight using a mixed energy technique is a practical way to generate a homogenous dose distribution while maintaining adequate target coverage in intact breast radiotherapy. This study represents a model for estimation of this optimal weight for day to day clinical usage. For this purpose, treatment planning computed tomography scans of thirty-three consecutive early stage breast cancer patients following breast conservation surgery were analyzed. After delineation of the breast clinical target volume (CTV) and placing opposed wedge paired isocenteric tangential portals, dosimeteric calculations were conducted and dose volume histograms (DVHs) were generated, first with pure 6MV photons and then these calculations were repeated ten times with incorporating 18MV photons (ten percent increase in weight per step) in each individual patient. For each calculation two indexes including maximum dose in the breast CTV ($D_{max}$) and the volume of CTV which covered with 95% Isodose line ($V_{CTV,95%IDL}$) were measured according to the DVH data and then normalized values were plotted in a graph. The optimal weight of 18MV photons was defined as the intersection point of $D_{max}$ and $V_{CTV,95%IDL}$ graphs. For creating a model to predict this optimal weight multiple linear regression analysis was used based on some of the breast and tangential field parameters. The best fitting model for prediction of 18MV photons optimal weight in breast radiotherapy using mixed energy technique, incorporated chest wall separation plus central lung distance (Adjusted R2=0.776). In conclusion, this study represents a model for the estimation of optimal beam weighting in breast radiotherapy using mixed photon energy technique for routine day to day clinical usage.

• 대한한의학원전학회지
• /
• 제22권3호
• /
• pp.79-95
• /
• 2009

Background : Eye diseases refer to a wide range of disconveniences from conjunctivitis, pterygium, glaucoma to even blindness. Acupuncture has been widely used in Korea throughout the history and provides an efficient method in the treatment of them. Objectives : Establish a distinctive and efficient acupuncture method for the treatment of eye diseases based in literature research. Method : We reviewed four Korean medical literature, "Guide to Swollen Sore Treatment[治腫指南]", "Treasured Mirror of Eastern Medicine[東醫寶鑑]", "Experiential Prescriptions of Acupuncture and Moxibustion[鍼灸經驗方]", and "Essential Rhymes on Acupuncture and Moxibustion by Master Saam[舍岩鍼法]", and analyzed the therapeutic characteristics in the treatment of eye diseases. Result : 1. According to "Guide to Swollen Sore Treatment[治腫指南]", various methods were applied in the treatment of eye diseases. We can cite salt water washing method after needling, pricking bloodletting method using three-edged needle, surgery method using bent needle and lance needle, or sore treatment using sliced bean-curd and ground Aristolochiae Fructus among others. Acupuncture points like GV20[百會], BL1[睛明], EX-HN5[太陽], GB20[風池], GV24[神庭], GB1[瞳子髎], and GB15[臨泣] were mostly needled. 2. In "Treasured Mirror of Eastern Medicine[東醫寶鑑]", pricking bloodletting method were most frequently used in comparison to single acupuncture or moxibustion methods. Applied points were GV20[百會], BL1[睛明], LI4[合谷], EX-HN5[太陽], GB37[光明], BL18[肝兪], GB20[風池], BL2[攢竹], GB1[瞳子髎], and ST36[三里]. Also selections of adjacent points were considered important. 3. In respect to treatment methods "Experiential Prescriptions of Acupuncture and Moxibustion [鍼灸經驗方]" has some similarity to "Treasured Mirror of Eastern Medicine[東醫寶鑑]" as pricking bloodletting method were mostly used. Also focused on normal Qi flow through meridian. Points like BL18[肝兪], BL1[睛明], LU5[尺澤], EX-HN5[太陽], LI4[合谷] were used. 4. "Essential Rhymes on Acupuncture and Moxibustion by Master Saam[校勘舍岩道人鍼法]" considered visceral pattern identification method fundamental in the diagnosis and treatment of eye diseases. Specifically, Liver, Heart, Stomach, Lung, Kidney identification methods are presented. Combined both corresponding and connecting meridians supplementation and draining methods according to mother-child relation. Also Saam master's own experiential prescriptions are noted. Conclusions : After previous study on stroke, we could also find various efficient methods according to eye diseases, through literature research of korean medical classics. This study will concurrently result in establishing distinctive therapeutic method characteristic of Korea.

• 대한핵의학회지
• /
• 제29권4호
• /
• pp.526-532
• /
• 1995

두경부의 악성 종양의 진단에서 $^{99m}Tc$-(V)-DMSA 영상술은 비교적 높은 양성율을 보여 주었고 (Planar 65%, SPECT 90%), 원격 전이부위의 영상진단에도 도움이 되었다. 그러나 $^{99m}Tc$-(V)-DMSA는 두경부의 양성 병변에도 섭취가 될 수 있어, 판독 시 임상검사 및 다른 영상소견과의 비교검토가 필요할 것으로 판단된다.

• 대한물리치료과학회지
• /
• 제9권1호
• /
• pp.45-52
• /
• 2002

This study was intended to observe the relationship of pain alleviation between the group with needle electrode electrical stimulation applied on bach of head, lung, nasalis internae, shen-men, pharynx & larynx, and internal secretion which are the pants to regulate smoking and that, with no treatment of the kind among smokers and con-smokers with chronic low back pain. It also aimed to conduct a research of applying different treatment methods according to smoking, thus ultimately providing basic data needed by clinic therapists and to help achieve appropriate treatment effects considering the characteristics of each patient. The subject criteria were men who were in their 40's or 50's, smoking or non-smoking and came to the physical therapy of the hospital to cure the chronic low back pain which had lasted more than three months. The total 24 subjects were randomly divided into four groups according to smoking; the group of smokers with needle electrode electrical stimulation applied, that of smokers with no application of such treatment, that of non-smokers with the action of such treatment, and that of non-smokers with no application of such treatment Each group was measured in terms of four pain assessment methods of visual analogue scale(VAS), verbal rating scale(VRS), McGil pain questionnaire(MPQ), endorphin. And the results were as follows: 1. In terms of the effects of the needle electrode electrical stimulation in the auricular therapy on pain had by the smokers with low back pain, there was a statistical significance in VAS, VRS, and endorphin 1 between before and after the treatment. 2. In terms of the pain effects had by the smokers with low back pain when no needle electrode electrical stimulation in the auricular therapy was applied, there was a statistical significance in VRS and MPQ between before and after the treatment. 3. In terms of the effects of the needle electrode electrical stimulation in the auricular therapy on pain had by the non-smokers with low back pain, there was a statistical significance in VAS, VRS, and MPQ between before and after the treatment. In terms of the pain effects had by the non-smokers with low back pain when no needle electrode electrical stimulation in the auricular was applied, there was a statistical significance in VAS, VRS, and MPQ between before and after the treatment. 5. The smokers with low back pain were given the needle electrode electrical stimulation in the auricular therapy to see how it affected their pain. There was found pain reduction in number, but no statistical significance. 6. The subject suffering from low back pain were given the needle electrode electrical stimulation to see how it affected their pain according to smoking. There was found pain reduction in number, but no statistical significance. Based upon the results, it can be concluded that smokers with low back pain received the more effects of pain alleviation from the application of the needle electrode electrical stimulation in the auricular therapy compared to the rest of the groups who suffered from low back pain.

• Tuberculosis and Respiratory Diseases
• /
• 제58권1호
• /
• pp.68-73
• /
• 2005

폐격리증 치료의 고식적인 방법에는 폐엽 절제술이 있고 덜 침습적인 방법으로는 기형혈관을 동맥색전술로 폐색시키는 방법이 있다. 최근 국내에서 폐격리증을 동맥색전술만으로 치료한 증례가 있으나 모두 소아에서 치료한 경우였다. 저자들은 17세 남자 환자에서 폐격리증을 젤폼과 코일을 이용한 동맥 색전술로 특별한 합병증 없이 치료 하였고 6개월 후 흉부전산화 단층촬영으로 추적 관찰 하였기에 문헌 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
• /
• 제65권4호
• /
• pp.334-338
• /
• 2008

흉막의 고립성 섬유성 종양은 주로 흉막통, 호흡곤란, 기침 등의 증상으로 발현하거나 무증상으로 발견되는 경우가 대부분이다. 본 증례의 환자는 흉막의 고립성 섬유성 종양의 거대한 종괴 영향에 의한 압박증상과 동반된 폐렴, 패혈 쇼크와 급성 호흡곤란의 진행으로 매우 치명적인 임상 양상을 보였으며, 기계환기법과 항생제, 승압제 등의 치료 후에 종양절제술로 호전되었다. 저자들은 흉막의 고립성 섬유성 종양으로 인한 치명적인 임상 경과를 보인 증례 1예를 경험하였기에 문헌고찰과 함께 보고한다.

• Tuberculosis and Respiratory Diseases
• /
• 제40권4호
• /
• pp.442-448
• /
• 1993

저자들은 최근 약 30년전 치과에서 발치도중 치아 흡인되었으나 환자가 모르고 지내오다 5개월 전부터 시작된 좌상부 흉통을 주소로 내원, 폐엽절제술후 치아 흡인으로 인한 기관지폐쇄로 확인된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
• /
• 제64권5호
• /
• pp.383-386
• /
• 2008

CA19-9의 상승은 췌장 및 담도계 악성 종양을 시사하는 소견이다. 하지만, 최근에 양성 소화기계 질환 뿐 아니라 특발성 간질성 폐렴, 교원성 폐 질환, 미만성 범세기관지염, 기관지확장증 등 다양한 양성 폐 질환에서도 혈중 CA19-9 수치가 증가되어 있다고 보고된다. 저자들은 최근 지속적으로 혈중 CA19-9 수치는 증가되어 있지만, 내시경적 역류성 담도 췌장 조영술, 복부 전산화 단층 촬영, PET-CT에서 악성 종양이 발견되지 않은 기관지확장증 1예를 경험 하였다. 3년 10개월의 추적 관찰 기간 중에도 췌장암과 같은 악성 종양은 발견되지 않아서, 혈중 CA19-9 수치의 상승은 기관지확장증에 의한 것으로 추정 되었다. 혈중 CA19-9 수치의 상승은 환자의 임상 양상과 연관하여 조심스럽게 판단하여야 될 것으로 생각된다.

• Tuberculosis and Respiratory Diseases
• /
• 제76권2호
• /
• pp.75-79
• /
• 2014

Trichloroethylene (TCE) is a toxic chemical commonly used as a degreasing agent, and it is usually found in a colorless or blue liquid form. TCE has a sweet, chloroform-like odor, and this volatile chlorinated organic chemical can cause toxic hepatitis, neurophysiological disorders, skin disorders, and hypersensitivity syndromes. However, the hypersensitivity pneumonitis (HP) attributed to TCE has rarely been reported. We hereby describe a case of HP associated with TCE in a 29-year-old man who was employed as a lead welder at a computer repair center. He was installing the capacitors on computer chip boards and had been wiped down with TCE. He was admitted to our hospital with complaints of dry coughs, night sweats, and weight losses for the past two months. HP due to TCE exposure was being suspected due to his occupational history, and the results of a video-associated thoracoscopic biopsy confirmed the suspicions. Symptoms have resolved after the steroid pulse therapy and his occupational change. TCE should be taken into consideration as a potential trigger of HP. Early recognition and avoidance of the TCE exposure in the future is important for the treatment of TCE induced HP.