• 제목/요약/키워드: bronchus

검색결과 467건 처리시간 0.029초

기관지내 암육종 (Endobronchial Carcinosarcoma)

  • 조덕곤;곽문섭;김치홍;문성배;장은덕
    • 대한기관식도과학회지
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    • 제3권1호
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    • pp.122-127
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    • 1997
  • Carcinosarcoma of the lung is a rare turner with an admixture of malignant epithelial(carcinomatous) and malignant mesenchymal (sarcomatous) components. Clinicopathologically, pulmonary carcinosarcoma has been divided into two types by its anatomical locations and growth nature, peripheral parenchymal and central endobronchial variants. We experienced an endobronchial carcinosarcoma that induced complete atelectasis of the right lung due to polypoid growing mass from the right upper lobe bronchus in a 67 year old male smoker. The patient underwent a successful right pneumonectomy. The tumor was composed of squamous cell carcinoma with variable sarcomatous differentiation into myogenous and undifferenciated sarcoma that demonstrated by immunohistochemical study. The patient has been doing well for the last seven months since the operation, without metastases or turner recurrence.

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임계치를 이용한 폐 기관지 영상 분할 (Bronchus image segmentation by Threshold transform)

  • 탁정남;김희숙;이귀상;김수형;홍성훈
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2004년도 춘계학술발표대회
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    • pp.785-788
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    • 2004
  • 폐 기관지는 외부의 공기를 폐까지 전달해주는 역할을 하고 있다. 이는 병리학적, 해부학적으로 중요한 역할을 하고 있으며, 의사들에게는 기관지의 상태를 시각적으로 쉽게 판독을 할 수 있다면 폐에서 발생하는 기관지염(bronchitis), 기관지 확장증(bronchiectasis), 폐기종(pulmonary emphysema), 결핵(tuberculosis), 기흉(pneumothorax)등 여러 가지 병명을 쉽게 판독이 가능하다. 지금까지 폐 기관지에 대한 연구가 지속적으로 진행 되었으며, 2D CT 영상에서의 주변의 밀도차가 유사한 폐실 질에서의 폐기관지를 추출해 내는 것은 어려움을 Gray-scale Reconstruction과 임계치를 이용하여 추출하였다. 이는 3D 구성을 위한 전 단계로 인체 내부의 장기를 가상의 영상을 실제와 가까운 영상으로 구현하는데 쓰인다.

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Use of laryngeal mask after repeated endotracheal intubation failure in a patient with tracheobronchopathia osteochondroplastica: case report

  • Kim, Sang Gyun;Kim, Hyun;Son, Jong Chul;Lee, Ji-Hyang;An, Jihyun;Kim, Eunju
    • 고신대학교 의과대학 학술지
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    • 제33권2호
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    • pp.252-256
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    • 2018
  • We report a case of difficult endotracheal intubation in a patient with tracheobronchopathia osteochondroplastica. A 65-year-old man was scheduled to undergo ulnar nerve decompression and ganglion excisional biopsy under general anesthesia. During induction of general anesthesia, an endotracheal tube could not be advanced through the vocal cords due to resistance. A large number of nodules were identified below the vocal cords using a $Glidescope^{(R)}$ video-laryngoscopy, and fiberoptic bronchoscopy revealed irregular nodules on the surface of the entire trachea and the main bronchus below the vocal cords. Use of a small endotracheal tube was attempted and failed. a laryngeal mask airway (LMA $Supreme^{TM}$) rather than further intubation was successfully used to maintain the airway.

Congenital bronchoesophageal fistula in an adult: a case report and radiologic review

  • Kim, Bo Sung;Kang, Eun-Ju;Lee, Ki-Nam;Choi, Pil Jo
    • 고신대학교 의과대학 학술지
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    • 제33권3호
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    • pp.386-390
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    • 2018
  • Congenital bronchoesophageal fistula (BEF) is rarely reported in adults in the English literature. Herein, we present a rare case of congenital BEF in a 43-year-old man that was incidentally found on esophagogastroduodenoscopy. Chest CT and barium esophagography revealed a fistula between his lower esophagus and the right lower lobe segmental bronchus. After the fistula was surgically treated, the fistula was no longer noted on follow-up barium esophagography.

아스페르길루스 기관기관지염에 의한 사망: 부검 1예 (Death due to Aspergillus Tracheobronchitis: An Autopsy Case)

  • 유택균;최병하;이봉우;최영식
    • The Korean Journal of Legal Medicine
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    • 제42권4호
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    • pp.164-167
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    • 2018
  • Aspergillus infection is the most common cause of death due to fungi in immunocompromised hosts. Aspergillus tracheobronchitis is an uncommon but severe form of invasive pulmonary aspergillosis, which is limited entirely or mainly to the tracheobronchial tree and can often be life-threatening. We report a case of a 54-year-old man who died from Aspergillus tracheobronchitis without an underlying disease. Autopsy revealed an extensive yellowish plaque adhering to the trachea and bronchial wall. The microscopic examination of the trachea and bronchus revealed septate branching hyphae of Aspergillus.

Removal of a Left Upper Lobar Bronchial Foreign Body Using Fogarty Catheter and Rigid Bronchoscope

  • Woo, Hyunjun;Kim, Seo Young;Kwon, Seong Keun
    • 대한후두음성언어의학회지
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    • 제33권1호
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    • pp.37-41
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    • 2022
  • Airway foreign body aspiration in children can lead to accidental death, due to the foreign body itself or the removal procedure. Depending on its location, removal of the foreign body can be challenging. Here, we present a case of successful removal of a foreign body from the left upper lobar bronchus via ventilating bronchoscopy with a rigid bronchoscope and Fogarty arterial embolectomy catheter. Tracheobronchial foreign bodies in locations that are difficult to reach with forceps, due to an acute angle or the small diameter of the pediatric bronchial tree, can be effectively removed with a Fogarty arterial embolectomy catheter.

Multimodal Treatment of Poorly Differentiated Tracheobronchial Carcinoma in a Persian Cat

  • Park, Yohan;Song, Kunho
    • 한국임상수의학회지
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    • 제39권2호
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    • pp.87-92
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    • 2022
  • A 14-year-old castrated male Persian cat presented with a 2-week history of respiratory difficulty. On physical examination, the patient showed intermittent open-mouth breathing and thoracic auscultation revealed wheezing. Thoracic radiographs revealed a narrowed upper airway and pulmonary infiltration. Computed tomography detected a mass occluding the lumen of the trachea at the level of the entrance to the thorax, a mass causing right main bronchus stenosis, and a nodule on the right caudal lung lobe. Bronchoalveolar lavage cytology tentatively diagnosed a carcinoma. Tracheal mass resection was performed through tracheostomy. Histopathology confirmed the presence of tracheobronchial carcinoma. The survival time after diagnosis was 10 months, during which time the cat underwent tracheostomy, debulking by endotracheal tube, and tracheal stent placement procedures in combination with toceranib phosphate adjuvant chemotherapy.

Successful Management of Eosinophilic Bronchopneumopathy in a Dog

  • Kim, Sol;Seo, Kyoungwon;Song, Kunho
    • 한국임상수의학회지
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    • 제38권6호
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    • pp.269-273
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    • 2021
  • A dog was presented with a cough, dyspnea, nasal discharge, gagging, and exercise intolerance. The dog showed leukocytosis, peripheral eosinophilia, and an increase C-reactive protein. The radiographic findings noted bronchointerstitial infiltration, intrathoracic lymphadenopathy, and soft tissue opacity mass. Computed tomography findings showed thickening of the bronchus and bronchiole. Also, peri-bronchial consolidation and generalized intrathoracic lymphadenopathy was present. On blind bronchoalveolar lavage and pulmonary cytology, there were significantly increased eosinophils. Canine pulmonary respiratory pathogens from a real-time polymerase chain reaction analysis was negative. Consequently, the dog was diagnosed with eosinophilic bronchopneumopathy. Clinical signs improved significantly within a few days after treatment with an oral corticosteroid.

Bronchopneumonia 치료예(治療例)와 소음인(少陰人) 해수(咳嗽)의 고찰(考察) (Review of Bronchopneumonia and Soeumin's Cough)

  • 이의주
    • 사상체질의학회지
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    • 제13권3호
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    • pp.126-133
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    • 2001
  • Peumonia is the infection of the lungs. Bronchopneumonia is the infection of the bronchus. But their symtoms are simillar. I took care of a patient in bronchopneumonia. And then I reviewed Haemophilus influenzae and Soeumin's cough through west-east medicine books. Cough is divided with the outter disease and the inner disease on the pathology of the Korean Medicine(Sansang Constitutional Medicine). And the outter disease is divided with the outter symptom and the inner symptom. The inner disease is divided too. I wanted to discuss Soeumin's cough is the outter symptom of the outter disease and the inner disease. Finally the outter symptom of the outter disease must be applied with the thrapeutic method of the removal wind-cold and the elevation of YangGi in Soeumin's cough. And the outter symptom of the inner disease must be applied with the thrapeutic method of the heating AbdominalGi and the going down of EumGi in Soeumin's cough.

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주기관지 폐색환자에서 종양내 ETHANOL 주입치료 효과 (Direct Intratumoral Injection of Ethanol in the Patients with Obstruction of Major Bronchus)

  • 이봉춘;염호기;최수전;김동순
    • Tuberculosis and Respiratory Diseases
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    • 제40권5호
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    • pp.495-500
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    • 1993
  • 연구배경 : 수술이 불가능한 주기도의 종양성 병변에 의한 기도 폐쇄를 치료하는 방법으로서 Yag-laser 치료, 체외부 방사선치료나 기관지내 방사선치료법 등이 있다. 최근 조기 간암 환자들에서 직접 ethanol을 암조직내로 투입해서 좋은 효과가 보고되고 있어 저자들도 주기도 폐쇄를 일으킨 폐암환자 11명을 대상으로 기관지경을 통해 직접 암종괴내로 ethanol을 주입하여 기도폐쇄를 호전시킬 수 있었기에 보고하는 바이다. 방법 : 지속적인 산소 주입하에 굴곡성 기관지 내시경을 통해 경기관지 흡입침을 이용하여 종양내로 직접 ethanol을 0.5~1.0ml씩을 수회 주입한 후 생검 겸자로 종양을 제거하였으며 필요시는 3~4일후 이 조작을 되풀이하였다. 결과 : ethanol 주입 직후 점막이 창백해지고 출혈이 즉시 멎었으며 지연 효과로서 종양의 괴사가 발생하였으며, 대부분의 환자에서 2~3회 치료후 기간지가 개방되었고 증상 및 흉부 X-선 사진의 호전을 보였다. 11명 환자들에서 폐기능 검사상 FVC가 $2.1{\pm}0.84L$에서 $2.44{\pm}0.92L$$FEV_{1.0}$$1.48{\pm}0.69L$에서 $1.80{\pm}0.64L$로 증가하였고, $PaO_2$$68.1{\pm}9.2$ mmHg에서 $83.9{\pm}8.1$ mmHg로 (p<0.005), $SaO_2$$94{\pm}8.5%$에서 $96.6{\pm}1.1%$(p<0.005)로 증가하였으며, $AaDO_2$$26.5{\pm}8.5$mmHg에서 $10.9{\pm}9.1$mmHg(p<0.005)로 감소하였다. 결론 : 종양에 의한 주기관지 폐색환자에서 ethanol을 종양 조직내 직접 주입하는 것은 주기도 폐쇄를 치료하는데 빠른 효과를 볼 수 있으며, 저렴한 비용으로 비교적 안전하게 시행할 수 있는 방법이라 생각한다.

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