• 제목/요약/키워드: chest region

검색결과 247건 처리시간 0.035초

흉강경으로 진단한 미만성 범세기관지염 1예 (A Case of Diffuse Pan bronchiolitis Diagnosed by Thoracoscopic Biopsy)

  • 서해숙;이명선;백수흠;조동일;김재원;유남수
    • Tuberculosis and Respiratory Diseases
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    • 제39권3호
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    • pp.271-277
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    • 1992
  • Diffuse panbronchiollitis (DPB), a rare progressive disorder, has lately been receiving increasing attention. DPB is a disease of obscure etiology, characterized by chronic inflammation localized mainly in the region of respiratory bronchiole just distal to the terminal bronchioles. In 1983, Homma and coworkers reported 82 cases of a new clinicopathological entity, DPB, in Japan. Also DPB is a disease largely restricted geographically to Japan but the prevalence in other countries is extremely low. Histoloically, it is characterized by a suppurative bronchiolitis involving primarily the respiratory and terminal bronchioles with subsequent progression to bronchiectasis. The disease progresses rapidly and results in respiratory failure due to repeated respiratory infections. We experienced a cases of DPB accompanied with chronic maxillary sinusitis in both sinuses. Diagnosis of DPB was comfirmed by pathological results from thoracoscopic lung biopsy, typical radiological findings, clinical symptoms and pulmonary function test. After treatment with erythromycin for 6 months, the patient's condition and the typical micronodular densities on the chest radiography improved. A few case of DPB was reported in Korea. We report a case of DPB through thoracoscopic lung biopsy.

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Intact and Perforated Pulmonary Hydatid Cyst: A Comparative Study from Damascus, Syria

  • Almess, Mohammad;Ahmad, Basel;Darwish, Bassam
    • Journal of Chest Surgery
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    • 제53권6호
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    • pp.387-391
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    • 2020
  • Background: Hydatidosis is a major health problem around the world, especially in the Mediterranean region. Cysts can break open or develop secondary bacterial infections, altering the clinical presentation. Methods: Patients who underwent hydatid cyst surgery at Al-Mouassat University Hospital in Damascus, Syria between January 2006 and December 2017 were evaluated. Cases involving isolated hepatic cysts were excluded. The patients were divided into those with perforated hydatid cysts (group 1) and those with intact hydatid cysts (group 2). Results: This study included 224 cases: 113 in group 1 (50.4%) and 111 in group 2 (49.6%). The median chest tube duration, hospitalization time, and postoperative complication rate were higher in group 1 than in group 2 (p=0.003, p=0.002, and p=0.006, respectively). In both groups, the most common symptom was cough (present in 178 patients in total [79.5%]), while chest pain (121 patients [54%]) and dyspnea (113 patients [50.4%]) were also common. Cough, hemoptysis, fever, and expectoration of cystic contents were significantly more frequent in group 1 than in group 2 (p<0.001). Conclusion: The early discovery and treatment of intact pulmonary hydatid cysts reduced the hospitalization time, chest tube duration, and postoperative complication rate. Relative to intact cysts, perforated cysts are more complex and are associated with more expensive and time-consuming surgical treatment.

흉부 둔상으로 발생한 외이도 출혈이 동반된 외상성 질식 증후군 (Traumatic Asphyxia due to Blunt Chest Trauma with External Auditory Canal Bleeding)

  • 이제호;경규혁;김정원;양희준;홍은석
    • Journal of Trauma and Injury
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    • 제26권4호
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    • pp.297-299
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    • 2013
  • Traumatic asphyxia, also called 'Perthes syndrome', is characterized by subconjunctival hemorrhage, cervicofacialpetechiae and cyanosis resulting from venous hypertension caused by an abrupt, severe, compressive force to the thoracoabdominal region. A 37-year-old male patient who was transferred to the emergency room due to chest trauma by overturning of a forkcrane. His head, neck, and shoulders showed severe ecchymosis, and his upper chest was cyanotic. There was bilateral subconjunctival hemorrhage and bilateral ear bleeding without tympanic rupture. Perthes syndrome is a rare condition and we treated a patient with typical and atypical symptoms; thus we report this case of Perthes syndrome.

선천성 우심실 진성 게실을 동반한 이중방 우심실 수술 1례 보고 (Double Chambered Right Ventricle with Congenital Right Ventricular True Diverticulum -A Case Report-)

  • 이형민
    • Journal of Chest Surgery
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    • 제28권1호
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    • pp.60-65
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    • 1995
  • Congenital diverticula of the cardiac ventricle have been reported as arising either from the left ventricle or, rarely from both ventricles. A diverticulum arising from the right ventricle alone is very rare. Furthermore the diverticulum associated with double chambered right ventricle was extremely rare. We experienced a 62 years old female of double chambered right ventricle combined with congenital right ventricular true diverticulum. She had complained intermittent chest pain and mild dyspnea on exertion during 8 months. The chest X-ray and chest CT showed protruded abnormal density at anterolateral side of right ventricular outflow tract. Preoperative angiography demonstrated a double chambered right ventricle and a right ventricular diverticulum. In operative finding, there was found a anomalous muscle band, dividing the right ventricle into an inflow and outflow portion, and a 5x6cm sized right ventricular diverticulum arised from conus region with a stenotic orifice of 1.5cm in diameter. The diverticulum was open toward the infundibulum, and its orifice was approximately 1cm in diameter. On treatment, the diverticulum orifice was closed directly and the abnormal muscle band was resected in order to widen the right ventricular outflow tract. The postoperative result was satisfactory and good without specific complications.

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시각특성을 고려한 디지털 흉부 X-선 영상의 적응적 향상기법 (Adaptive image enhancement technique considering visual perception property in digital chest radiography)

  • 김종효;이충웅;민병구;한만청
    • 전자공학회논문지B
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    • 제31B권8호
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    • pp.160-171
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    • 1994
  • The wide dynamic range and severely attenuated contrast in mediastinal area appearing in typical chest radiographs have often caused difficulties in effective visualization and diagnosis of lung diseases. This paper proposes a new adaptive image enhancement technique which potentially solves this problem and there by improves observer performance through image processing. In the proposed method image processing is applied to the chest radiograph with different processing parameters for the lung field and mediastinum adaptively since there are much differences in anatomical and imaging properties between these two regions. To achieve this the chest radiograph is divided into the lung and mediastinum by gray level thresholding using the cumulative histogram and the dynamic range compression and local contrast enhancement are carried out selectively in the mediastinal region. Thereafter a gray scale transformation is performed considering the JND(just noticeable difference) characteristic for effective image displa. The processed images showed apparenty improved contrast in mediastinum and maintained moderate brightness in the lung field. No artifact could be observed. In the visibility evaluation experiment with 5 radiologists the processed images with better visibility was observed for the 5 important anatomical structures in the thorax.

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흉폐부에서 발생한 악성소세포 종양의 방사선치료 (Radiation Treatment for Malignant Small Cell Tumor of the Thoracopulmonary Region (Primitive Pluripotent Histogenesis and Differential Diagnosis - A Case Report and Review of Literatures -))

  • 오원용;양진영;황인순
    • Radiation Oncology Journal
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    • 제9권1호
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    • pp.117-122
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    • 1991
  • 흉폐부 또는 흉벽에서 발생하는 악성소세포 종양군인 Ewings sarcoma, 횡문근육종, Askin tumor, 신경아세포종, PNET, 임파종 등은 현미경학적 소견만으로는 감별하기 어렵다. 그러나 최근에는 조직세포화학적검사, 면역세포화학적검사, 세포배양, 세포유전학적 검사등의 도움으로 상기한 악성소세포 종양군들이 모두가 같은 계통의 primitive pluripotent cells로 부터 분화되어 발병되는 것으로 확인되었다. 치료는 외과적 절제술, 방사선치료, 항암요법 등이 시도되고 있으나 예후는 재발 과원격전이로 인하여 불량한 것으로 보고되고 있다. 본 저자들은 본원에서 치료한 예를 보고하면서 흉폐부에서 발생하는 악성소세포 종양군의 조직발생과 감별진단에 대하여 논하고자 한다.

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만져지는 유방 종괴로 발현된 가슴벽 골외 유잉씨 육종의 초음파, 전산화단층촬영 및 자기공명영상 소견 (Extraskeletal Ewing Sarcoma of the Chest Wall Manifesting as a Palpable Breast Mass: Ultrasonography, CT, and MRI Findings)

  • 김민국;이승은;최준혁
    • 대한영상의학회지
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    • 제82권1호
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    • pp.212-218
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    • 2021
  • 유잉육종계열의 종양은 뼈와 연부조직에 발생하는 악성 소원형청색세포종양이다. 골격외 유잉씨 육종은 드문 악성 종양으로 연부조직에 발생한 유잉육종의 한 형태이며, 소아와 젊은 성인에서 호발한다. 흉폐부위에 발생한 골격외 유잉씨 육종은 임상적으로 만져지는 종괴나 통증으로 나타난다. 골격외 유잉씨 육종이 앞가슴벽을 침범한 경우에는 유방 종괴로 나타날 수 있으나, 이러한 보고는 드물다. 저자들은 22세 여성에서 유방 종괴로 나타난 앞가슴벽에 발생한 유잉씨 육종의 증례를 보고한다. 초기의 초음파에서 이 거대 종괴는 유방에서 발생한 종괴로 오인되었으나, 추가적인 전산화단층촬영 및 자기공명영상에서 종괴는 흉벽에서 기원하였음을 알 수 있었다. 영상의학과 의사는 골격외 유잉씨 육종의 영상 소견을 알고, 흉벽의 병변이 임상적으로 유방 병변으로 오인될 수 있음을 이해하는 것이 중요하다.

Effect of pre-miRNA-1658 gene polymorphism on chicken growth and carcass traits

  • Shi, Jianzhou;Sun, Guirong
    • Asian-Australasian Journal of Animal Sciences
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    • 제30권4호
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    • pp.455-461
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    • 2017
  • Objective: Polymorphisms occurring in the precursor region of microRNAs (miRNAs) affect the target gene and alter the biogenesis of miRNAs, resulting in phenotypic variation. The purpose of the study was to investigate the genetic effects of rs16681031 (C>G) mutation in the precursor region of gga-miR-1658 on the economic traits of the Gushi-Anka chicken F2 resource population. Methods: To explore the effect of miR-1658 polymorphisms on chicken economic traits, the SNP was genotyped by MassArray matrix-assisted laser desorption/ionization-time of flight mass spectrometry. The association between the SNP and chicken body size, growth and carcass traits was determined by linear mixed models. Results: The SNP was not only significantly associated with body weight at the age of 6, 8, 10, 12 weeks, respectively, but also with the breadth of the chicken chest, body slanting length and pelvic breadth at 4 weeks, chest depth at 8 weeks of age, and body slanting length at 12 weeks (p<0.05), respectively. Conclusion: Our data serve as a useful resource for further analysis of miRNA function, and represent a molecular genetic basis for poultry breeding.

Effects of Local Cooling on Heat Strain in the Hot Environment -On the Trunk Region-

  • Hwang, Kyoung-Sook;Choi, Jeong-Wha;Lee, Kyung-Suk
    • 한국환경보건학회지
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    • 제33권3호
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    • pp.211-216
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    • 2007
  • This study was to determine the effect of cooling part of the trunk without harm for the health. The results provide basic data for the development of clothing which could increase work efficiency and reduce body strain in hot environment. Eight males took part in the study. The experiment was conducted in a climate-chamber controlled with $37{\pm}1^{\circ}C,\;50{\pm}5%R.H$. The trunk was divided into six areas to be cooled: head, neck, chest, abdomen, the upper back, the lower back. According to preceding studies, permissible safety cooling limits of skin temperature, of each part of the trunk for four hours cooling were $25^{\circ}C$ on the head, $20^{\circ}C$ on the neck, $27^{\circ}C$ on the chest, $25^{\circ}C$ on the abdomen, $20^{\circ}C$ on the upper back, $20^{\circ}C$ on the lower back. So cooling temperatures of each region set up temperatures above mentioned. In conclusion, the head, the neck and the upper back cooling could reduce sweating amount, rectal temperature and heart rates and reduce the heat stress of workers exposing in the hot environment by decreased subjective sensations of heat and comfort. Thus, it was concluded that effectiveness of cooling among the trunk was best on the head and the neck.

사상체질과 인체 흉복부길이와의 관계 (Relationship between Sasang Constitution and Length of Chest and Abdominal Region)

  • 안지선;박상균;유준상
    • Korean Journal of Acupuncture
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    • 제30권2호
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    • pp.131-134
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    • 2013
  • Objectives : This study was performed to investigate the relationship between Sasang Constitution and length of chest and abdomen region. Methods : Forty eight participants were enrolled. Weight, height, and lengths from CV22 to CV16, from CV16 to CV8, and from CV8 to CV2 were measured. Ratios of last three lengths to total CV22 to CV2 were calculated respectively. On the other hand, Sasang Constitution was analyzed with QSCCII(Questionnaire of Sasang Constitutional Classification II). The analysis of relationship between the measurements and Sasang Constitution was carried out with SPSS to compare the mean values according to Sasang Constitution. Results : All the mean values were not significantly different depending on the Sasang Constitution, except the ratio of the length from CV16 to CV8 to the length from CV22 to CV2, only in female participants. The ratio was higher in the female Soeumin participants than any other constitutional groups. Conclusions : This result showed that Soeumin could be assumed that they might have weak digestion abilities.