• 제목/요약/키워드: Trachea bronchus

검색결과 91건 처리시간 0.023초

기관에서 발생한 점액선 선종 1예 (A Case of Mucous Gland Adenoma of the Trachea)

  • 권한진;설재일;채수엽;최혜영;엄민섭;김현일;오용열;조호;김휘정;이종환;이효진
    • Tuberculosis and Respiratory Diseases
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    • 제48권1호
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    • pp.91-95
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    • 2000
  • 성인의 기관에서 발생한 점액선 선종은 매우 드문 종양으로 대부분 양성이다. 저자 등은 객혈을 주소로 내원한 환지에서 발견된 기관의 점액선 선종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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폐암에 의한 기관침범 환자에서 자가심막을 이용한 기관 성형술 (Tracheaoplasty with autologous pericardium for tracheal invasion in lung cancer)

  • 조현민;이두연;정은규
    • 대한기관식도과학회지
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    • 제8권1호
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    • pp.66-70
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    • 2002
  • In patient with lung cancer, the resection margin of right main bronchus was invaded by tumor intraoperatively. So we performed tracheal reconstruction with autologous pericardium after resection of lower trachea including carina. Postoperatively, the patient discharged well and followed up for 5 months without any evidence of tumor recurrence or restenosis.

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Technical Aspects of Lung Transplantation: Adverse Events and Circumstances

  • Kim, Do Hyung
    • Journal of Chest Surgery
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    • 제55권4호
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    • pp.307-312
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    • 2022
  • Adverse events or emergency situations that are unacceptable in the context of lung transplantation may occur during the procedure. These adverse events and circumstances are not problems that are caused by insufficient experience or can be solved by increasing surgical experience. The purpose of this review is to describe the adverse events and circumstances that occur during lung transplantation and to identify an appropriate surgical approach through an analysis of case reports in the global literature.

특발성 종격동섬유화에 의한 상공정맥증후군일예 (Superior Vena Caval Syndrome -Report of A Case-)

  • 박강식
    • Journal of Chest Surgery
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    • 제12권2호
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    • pp.140-144
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    • 1979
  • This is a report of a case of superior vena caval syndrome due to idiopathic mediastinal fibrosis, which was surgically treated. The patient was 35-year-old Korean male who progressively complained shortness of breath about for 40 days prior to operation. Phlebogram of SVC showed indentation of SVC at the site of cavoatrial junction. The operation was performed under impression of bronchogenic cancer of right hilum. After thoracotomy, it was found a irregular mass in the mediastinum at the level of cavoatrial junction, which was developed to surrounding with SVC, pericardium, trachea and bronchus and they fixed together to immobile. Bypass graft between SVC and right atrial appendage was performed using a pericardial roll tube This is a report of a case of superior vena caval syndrome due to idiopathic mediastinal fibrosis, which was surgically treated. The patient was 35-year-old Korean male who progressively complained shortness of breath about for 40 days prior to operation. Phlebogram of SVC showed indentation of SVC at the site of cavoatrial junction. The operation was performed under impression of bronchogenic cancer of right hilum. After thoracotomy, it was found a irregular mass in the mediastinum at the level of cavoatrial junction, which was developed to surrounding with SVC, pericardium, trachea and bronchus and they fixed together to immobile. Bypass graft between SVC and right atrial appendage was performed using a pericardial roll tube [$1.3{\times}5$ cm]. After that SVC was decompressed very well. SVC pressure was markedly reduced from 32 cm $H_2O$ in preoperative to 21 cm $H_2O$in postoperative. Mediastinal fibrosis was confirmed by histopathological examination postoperatively. The postoperative course was uneventful.

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최근 경험한 흥미있는 기도이물 7증례 (Interesting Cases of Foreign Bodies in Air way -Report of Seven Cases-)

  • 이화식;문영철;조승호;김훈
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
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    • pp.8.1-8
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    • 1982
  • 기도 이물은 이비인후와 영역에서 중요한 위치를 차지하고 있는 질환으로서, 타 질환에 비하여 그리 드문 것은 아니며 지금까지 국내외에서 많은 보고가 있어왔다. 기도 이물은 때로는 순식간에 생명을 위협하거나 중증의 합병증을 초래하기도 하며, 이물의 종류와 형태도 다양할 뿐 아니라 그 개재부위도 달라서 이물적출은 항상 낙관을 불허하는 것으로 수술적 방법을 요할때도 있다. 저자들은 최근에, 이물이 자연 객출된 1예와 기관지경술로 성공한 4예 및 외과적 수술로 제거한 2 예를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다.

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정천화담항기탕(定喘化痰降氣湯)이 ovalbumin으로 유발된 천식(喘息)에 미치는 영향(影響) (The Histopathologic Effects of Jungcheonwhadamgangki-tang on the Experimental Asthma induced by Ovalbumin)

  • 안태호;황희정;김대준;박지현;최해윤;김종대
    • 대한한의학방제학회지
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    • 제8권1호
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    • pp.191-211
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    • 2000
  • Objectives: In order to evaluate the effect of jungcheonwhadamgangki-tang on Balb/c mouse of allergy-sensitive to bronchial asthma induced by ovalbumin. Methods: The changes of diameter lumen of trachea which was upper respiratory organ, weight and gross appearance of lung, histology of lung and trachea, numbers of inflammatory cells in the bronchoalveolar lavage fluld(BALF) were observed. Results : The results are obtained as follows. 1. The diameters of trachea lumen were significantly increased in Jungcheonwhadam gangki-tang treated group as compared with control group. 2. Inflammatory cells including neutrophil and eosinophil in BALF were significantly. in Jungcheonwhadamgangki-tang treated group as compared with control group. 3. Weight of lung and black spots, which resulted from infiltration of inflammatory were significantly decreased in Jungcheonwhadamgangki-tang treated group as compared with control group.4. Hypertrophy of mucous membrane of trachea and bronchus and bronchioles in the lung, peritracheal, peribronchus and peribronchiolar inflammatory cell infiltration, and mucoid exudate deposit in the lumen were significantly decreased in Jungcheonwhadamgangki-tang treated group as compared with control group. Conclusions : It is considered that Jungcheonwhadamgangki-tang has somewhat favorable effect on the bronchial asthma because the bronchial asthma specific series of abnormalities in respiratory system were decreased after oral administration of Jungcheonwhadamgangki-tang in this study. In future, it is needed that the toxicological and dosage specific study of Jungcheonwhadamgangki-tang to use against bronchial asthma with safe.

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기관 및 기관지 결핵 61예의 임상적 고찰 (A Clinical Study on 61 Cases of Tuberculous Tracheobronchitis)

  • 안철민;김형중;황의석;김성규;이원영;김상진
    • Tuberculosis and Respiratory Diseases
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    • 제38권4호
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    • pp.340-346
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    • 1991
  • Tuberculous tracheobronchitis is defined as a specific inflammation of the trachea or major bronchi caused by the tubercle bacillus and recognized as one of the most common and serious complication of pulmonary tuberculosis. It had been a diagnostic challenge in prebronchoscopic era and since 1968, fiberoptic bronchoscopy has been accepted as a safe and valuable diagnostic procedure of tuberculous tracheobronchitis. Now, it remains a troublesome therapeutic problem due to its sequelae such as bronchostenosis, bronchiectasis and bronchial deformity. The authors analyzed the clinical features, radiological findings and bronchoscopic findings with pathologic and bacteriologic study on 61 cases of tuberculous tracheobronchitis and following results were obtained. 1) The peak incidence was in the fourth decade and male to female ratio was 1:3.4. 2) The most common symptom was cough (86.9%) and followed by sputum (49.2%), dyspnea (27.9%), fever (19.8%), weight loss (11.5%), hemoptysis (6.6%), hoarseness (6.6%) and chest discomfort (3.3%) and localized wheezing was heard in 18%. 3) In chest X-ray, consolidation with collapse was observed in 70.5%, and followed by consolidation only (18.0%), mediastinal node enlargement (8.2%), cavitary lesion (6.6%), suspicious hilar mass (3.3%) and miliary lesion (1.6%) and there was no abnormal findings in 4.9%. 4) Bronchoscopy showed hyperplastic lesion in 67.2%, mucosal lesion (18.0%), ulcerative lesion (9.8%) and stenotic lesion (4.9%). The most common site of bronchial lesion was right upper bronchus (36.1%) and followed by right main bronchus (34.4%), left main bronchus (29.5%), left upper bronchus (16.4%), right middle bronchus (8.2%), right lower bronchus (6.6%) and left lower bronchus (3.3%). 5) Chronic granulomatous inflammation with or without caseation necrosis on microscopic examination was confirmed in 69.7%, bronchial washing AFB stain was positive in 34.1%, prebronchoscopic sputum AFB stain was positive in 88.1% and postbronchoscopic sputum AFB stain was positive in 30.1%.

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기관지내 발생한 과오종치험 1례 (Endobronchial hamartoma: one case)

  • 김영호;김수성;김공수
    • Journal of Chest Surgery
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    • 제16권1호
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    • pp.161-166
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    • 1983
  • The origin of hamartoma from the Greek words for "error" and "tumor" is credited to Albrecht who in 1904 described a disorganized arrangement of tissues normally present in an organ and applied also to tumors found in many organs other than the lung. The hamartoma is the most common benign tumor of the lung and revealed accidentally as asymptomatic coin lesion on routine chest X-ray, but the incidence is very low and especially endobronchial origin extremely low. We have been successful surgical experienced one case of a 36-year-old female having endobronchial hamartoma, 4x2.Sx2 cm in size and located at right main bronchial lumen near the carina, which consists of a hard, nodular surfaced mass and adhered to the cartilaginous portion of the right upper lobe bronchus by dense fibrous band and migrate to trachea on expiration or coughing. This case was not suspected by chest X-ray or bronchogram and confirmed bronchoscopy with biopsy. Right pneumonectomy was inevitable because of bronchiectatic change of right bronchus due to tumor obstruction. She was discharged with relatively good general condition on 21 days postoperatively.

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흥미있는 이물례 (Interesting Foreign Bodies)

  • 박옥희;김기주;김호성;조중환
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1981년도 제15차 학술대회연제순서 및 초록
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    • pp.5.1-5
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    • 1981
  • 흥미있는 이물 5례를 치험하였기에 보고하는 바이다. 증례 1 : 7세남아에세 Tracheostomy outer cannula관이 삭아 부러져서 Rt. main bronchus례 들어있었던 예. 증례 2 : 51세 남자 trachea에 걸쳐 있었던 한의 침구용 침. 증례 3 : 10개월 여아의 식도제이협착부에, 입밖까지 실 달린채로 걸려 있었던 낚시 바늘. 증례 4 : 16세 남자의 식도제삼협착부에 끝(첨단)이 위로 향해 열려있었던 안전 pin. 증례 5 : 20세남자에서 큰 엽총총알이 Rt. mastoid process 밑을 통하여 Rt. mastoid process와 foramen magnum(skull babe) 중간점에 있는 것을 관혈적으로 제거하였다.

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