• 제목/요약/키워드: bronchoscopy

검색결과 466건 처리시간 0.036초

SSD기반의 가상내시경 S/W시스템 (Virtual Endoscopic S/W System using the SSD Method)

  • 송철규;김남균;이명호
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2000년도 하계학술대회 논문집 D
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    • pp.3245-3247
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    • 2000
  • We present an interactive virtual bronchoscopy method, which uses a tree structure of the objects and physically based camera control model. The proposed method archieves faster response by rendering only visible branches using the tree structure of the bronchus. A collision detection algorithm supplies a convenient and intuitive mechanism for examining the bronchus inner surface while a voiding collisions. We have improved the performances of navigation speed in virtual bronchoscopy.

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굴곡성 기관지경을 이용한 성인의 기도내 이물 제거 (Fiberoptic Bronchoscopy for Removal of Endobronchial Foreign Bodies in Adults)

  • 유지홍;윤기헌;강홍모
    • Tuberculosis and Respiratory Diseases
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    • 제38권2호
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    • pp.116-118
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    • 1991
  • Foreign body aspiration occurs uncommonly in adults. A review of recent reports reveals only a few case reports on this topic. We have experienced 8 cases of endobronchial foreign bodies in adults from June 1988 to February 1991 which were removed successfully with fiberoptic bronchoscope and biopsy forceps. Only one of them had the primary disorder predisposing aspiration. Foreign bodies were located in right lower lobe (3 cases), right intermediate (2 cases), left lower lobe (2 cases) and left upper lobe bronchus (1 cases). Removal of endobronchial foreign boides in adult would be accomplished by fiberoptic bronchoscopy successfully.

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결핵성 기관지협착 환자에 있어서 늑연골을 이용한 기관지성형술 치험 1례 보고- (Plastic Reconstruction of Tuberculous Bronchostenosis with Rib Cartilage)

  • 김주현;이영탁
    • Journal of Chest Surgery
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    • 제21권4호
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    • pp.782-786
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    • 1988
  • We experienced plastic reconstruction of tuberculous bronchostenosis with patient`s rib cartilage. He suffered from coughing and sputum for 2months, and was treated for pulmonary tuberculosis 10 years ago. In preoperative bronchoscopy, left main bronchus was fibrotic obstructive and LUL bronchus was severely destructed. After thoracotomy, we harvested the rib cartilage at the 6th rib, and designed semicircular and tubular graft. And then onlayed the graft over the longitudinal bronchotomy site by simple interrupted sutures with 4-0 Vicryl Postoperative course was good, coughing and sputum disappeared. In postoperative bronchoscopy, the patch graft was good in that position, and the internal diameter was sufficient, but the granuloma was found in the stoma of LUL bronchus. He was discharged without any other event.

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Coil과 Fibrin Glue를 이용한 기관지 내시경하 기관지 늑막강루의 치료- 1예 보고 - (Bronchoscopic Treatment of a Bronchopleural Fistula with using Coils and Fibrin Glue - A case report -)

  • 조성준;류세민
    • Journal of Chest Surgery
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    • 제40권9호
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    • pp.648-650
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    • 2007
  • 기관지늑막강루는 드문 질환이지만, 일단 생기면 높은 이완율과 치명률을 보이며 입원 기간과 비용부담이 초래되는 합병증의 하나이다. 일반적으로 수술적 치료가 우선이지만, 최근 들어 비침습적 방법으로 기관지 내시경을 이용한 치료가 보고되고 있다. 괴사성 폐렴에 합병된 기관지 늑막강루를 코일과 글루를 사용하여 기관지내시경을 이용, 성공적으로 치료하였기에 그 결과를 보고한다.

A Case of Bilateral Bronchial Foreign Body

  • Sungchul, Ko;Jaeha, Lee;Sothearith, Loek;Ki Nam, Park
    • 대한후두음성언어의학회지
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    • 제33권3호
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    • pp.179-182
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    • 2022
  • Foreign body (FB) aspiration remains a serious health problem, particularly in children. The complications due to occlusion by FB or related to procedures for removal can lead to morbidity and mortality. Most of the FBs are located in the unilateral bronchus, however, the organic FB can be multiple or bilaterally located when children chewed the FB. Here, we present a case of successful retrieval of bilateral bronchial FBs. Preoperatively, FB in the left main bronchus was diagnosed, however, FB of the right upper bronchus was not definitive on X-ray and CT scan. During the rigid bronchoscopy, occult FB in the right upper bronchus was detected and successfully removed.

Primary tooth aspiration during conscious sedation with N2O: foreign body removal with rigid bronchoscopy

  • Yeeun Jo;Kyungmin Rim;Dohyun Kwon;Jaemyung Ahn;Jun-Young Paeng
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제24권3호
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    • pp.205-211
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    • 2024
  • A 7-year-old girl visited the Samsung Medical Center emergency room for primary tooth aspiration during primary tooth extraction under conscious sedation with N2O. The patient showed no signs of respiratory complications. Chest radiography and CT revealed a tooth in the right bronchi. Foreign body removal using rigid bronchoscopy was performed on the day of aspiration. With close monitoring of the airway in the pediatric ICU, extubation was performed the next day, and the patient was discharged the same day. The primary objective of this case report was to highlight the potential risk of aspiration associated with the use of N2O gas for conscious sedation.

중증 승모판 협착증에 동반된 기관지 정맥류 (A Case of Bronchial Varices in a Patient with Severe Mitral Stenosis)

  • 문선유;김선영;천원석;엄광석;장승훈;반준우;김동규;정기석
    • Tuberculosis and Respiratory Diseases
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    • 제58권2호
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    • pp.174-178
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    • 2005
  • 기관지 정맥류는 기관지 정맥압이 상승하는 승모판 협착증이나 폐정맥 폐쇄증에서 이차적으로 발생할 수 있다. 기관지 정맥류는 주로 좌측 주기관지에서 관찰되며, 드물지만 기관지 정맥류의 파열로 대량 객혈이 가능하고 사망할 수도 있다. 저자들은 중증 승모판 협착증 환자에서 동반된 기관지 정맥류를 기관지내시경에서 우연히 관찰하였고 승모판치환술 후 기관지 정맥류가 호전되어 이를 문헌고찰과 함께 보고하는 바이다.

기관지내시경을 통해 치료한 활성탄 흡인 1예 (A Case of Activated Charcoal Aspiration Treated by Early and Repeated Bronchoalveolar Lavage)

  • 이한민;박재석;김재연;이지연;안병규;길효욱;최재성
    • Tuberculosis and Respiratory Diseases
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    • 제72권2호
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    • pp.177-181
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    • 2012
  • Activated charcoal is an inert substance and it is used in standard therapy in patients with acute intoxication. Charcoal has some side effects such as pulmonary aspiration, gastrointestinal complications, and electrolyte abnormalities. Although aspiration of charcoal is a rare complication, it can cause fatal sequelae. We report a 69-year old man who developed acute respiratory failure associated with charcoal aspiration after management of glyphosate poisoning. The patient was drowsy and suffered severe vomiting during transport to our hospital. On arrival, acute respiratory failure was observed due to charcoal aspiration, but the clinical state was improved with repeated bronchoscopy with a bronchoalveolar lavage (BAL). We presumed that the aspirated charcoal was an important factor in evoking a lung injury. Early bronchoscopy with a BAL might be an effective method for eliminating charcoal from the lung, especially in the case of a large amount of aspiration, and be helpful in decreasing respiratory failure due to charcoal aspiration.

Successful Removal of Endobronchial Blood Clots Using Bronchoscopic Cryotherapy at Bedside in the Intensive Care Unit

  • Lee, Hongyeul;Leem, Cho Sun;Lee, Jae Ho;Lee, Choon-Taek;Cho, Young-Jae
    • Tuberculosis and Respiratory Diseases
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    • 제77권4호
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    • pp.193-196
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    • 2014
  • Acute airway obstruction after hemoptysis occurs due to the presence of blood clots. These conditions may result in lifethreatening ventilation impairment. We report a case of obstruction of the large airway by endobronchial blood clots which were removed using bronchoscopic cryotherapy at the bedside of intensive care unit. A 66-year-old female with endometrial cancer who had undergone chemotherapy, was admitted to the intensive care unit due to neutropenic fever. During mechanical ventilation, the minute ventilation dropped to inadequately low levels and chest radiography showed complete opacification of the left hemithorax. Flexible bronchoscopy revealed large blood clots obstructing the proximal left main bronchus. After unsuccessful attempts to remove the clots with bronchial lavage and forceps extraction, blood clots were removed using bronchoscopic cryotherapy. This report shows that cryotherapy via flexible bronchoscopy at the bedside in the intensive of intensive care unit is a simple and effective alternative for the removal of endobronchial blood clots.