• Journal of Chest Surgery
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• 제36권8호
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• pp.623-626
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• 2003

데스모이드는 재발빈도가 높은 양성 종양이다. 본 저자들은 흉강 및 복강에 걸쳐 있는 거대한 데스모이드를 충분한 절단면을 확보한 후 절제하고 간좌엽절제술, 좌폐하엽 쐐기절제술, 부분적 심막절제술 후 우심막을 이용하여 심막재건술을 시행하였고 횡격막을 부분 절제한 후 마렉스 메쉬로 횡격막 재건술을 시행하였다.

• 대한핵의학회지
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• 제21권1호
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• pp.79-82
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• 1987

염증성 복부질환에서 늑막침윤이 일어나는 기전에 대하여는 잘 알려져 있으나, 비염증성 복수의 늑막강내로의 이동에 관여하는 기전에 대하여는 여러가지 가설이 제시되어 있다. 저자들은 만성 신부전증 환자에서 Tenckhoff 카테타의 복강내 이식후 발생한 우측 수흉이 투석액의 이동에 의한 것임을 동위원소주사법을 통하여 확인하였는 바, 이에 관여하는 기전에 대한 문헌고찰과 함께 보고하는 바이다.

• The Journal of Korean Physical Therapy
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• 제25권3호
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• pp.143-148
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• 2013

Purpose: The purpose of this study was to investigate whether changes in electromyography (EMG) activations of spinal stability muscles with respiratory demand change were due to changes in respiratory demand or in postural demand. Methods: Forty healthy subjects (19male, 21female, $20.8{\pm}1.9$years old) performed quiet breathing and four different forced respiratory maneuvers (FRM) (Pulsed Lip Breathing, Diaphragmatic Breathing, Combination breathing, and respiratory muscle endurance training breathing) while in sitting and standing positions. EMG data for four muscles (TrA/IO, EO, RA, and ES) were collected and filtered using a band pass filter (20~200Hz) and a notch filter (60, 120, 180Hz). Results: There were no significant differences on percentage of change on %MVIC between QB and FRM (PLB, CB, DB, and RMET) between positions (all p>0.05).

• 대한수의학회지
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• 제57권4호
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• pp.253-255
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• 2017

A 2-year-old, female Pomeranian dog was referred for dyspnea. Thoracic radiographs revealed left-sided mediastinal shift, increased soft tissue opacity in the caudal aspect of left thorax with loss of the left diaphragmatic silhouette, and dorsal elevation of mediastinal structures and heart from the sternum by lung tissue. The left main bronchus was visualized as an air-bronchogram and observed to abruptly discontinue at the level of the 10th rib. Thoracic computed tomography (CT) revealed absence of the left lung parenchyma and left pulmonary vessels with a rudimentary left main bronchus. The case was congenital pulmonary aplasia diagnosed via radiography and CT.

• The Korean Journal of Pain
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• 제24권2호
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• pp.105-107
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• 2011

Hiccups have more than 100 etiologies. The most common etiology has gastrointestinal origins, related mainly to gastric distention and gastroesophageal reflux disease. Intractable hiccups are rare but may present as a severe symptom of various diseases. Hiccups are mostly treated with non-invasive or pharmacological therapies. If these therapies fail, invasive methods should be used. Here, we present a patient on whom we performed a blockage of the phrenic nerve with the guidance of a nerve stimulator. The patient also had pneumothorax as a complication. Three hours after intervention, a tube thoracostomy was performed. One week later, the patient was cured and discharged from the hospital. In conclusion, a stimulator provides the benefit of localizing the phrenic nerve, which leads to diaphragmatic contractions. Patients with thin necks have more risk of pneumothorax during phrenic nerve location.

• 대한수의학회지
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• 제7권2호
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• pp.25-30
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• 1967

Pathological studies, on the lung of 27 cases of bovine parasitic bronchitis which were secured from abattoirs in Korea, were performed and discussed. The chief pathological findings were as follows. Grossly, the lungs were shown various degree of lobular consolidation, collapse and alveolar emphysema around the bronchi in which nematodes of Dictyocaulus viviparus were present. Emphysema and edema were observed in the interlobular septa. The lesions were encountered mostly in the caudal and ventral borders of the diaphragmatic lobes. In all the cased of parasitic bronchitis in which thickening of the visceral pleura and fibrinous deposition on the pleural surfaces were not seemed to be entirely due to the lungworm infection. Microscopically, bronchopneumonia, peribronchial and peribronchiolar lymphoid hyperplasia, lympho-reticular broncho-occlusive legion, and bleakthrough lesion were examined in the affected lungs.

• 대한수의학회지
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• 제10권1호
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• pp.33-38
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• 1970

1. Hepatic ascariasis represented by milk spots on the liver surface was found in 475(31.7%) out of 1,500 pigs. 2. For histopathological studies, 170 cases were collected at random from the milk spotted liver From these cases ascaris larva was found in 14 cases(8.2%). 3. Grossly, the occurrence of milk spots was not confined to any particular lobes of the liver. The lesions, however, were more frequently found in the diaphragmatic surface than in the visceral surface. The extent of the spots was limited to the subcapsular region and the deeper tissue was not affected. 4. Histologically, hemorrhage and eosinophilic infiltration were observed in the area invaded by the larva. The increase of connective tissue followed by a form of chronic lymphocytic hepatitis was observed at the late stage of infection. There was numerous eosinophilic infiltration around the larva trapped in the liver tissue. Consequently, encapsulation of the larva was followed by organization and calcification.

• Journal of Trauma and Injury
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• 제32권2호
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• pp.122-125
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• 2019

A 73-year-old man, who, in an inebriated state, had slipped in a flowerbed and was wounded on the left flank, was transferred to Trauma Center, Gil Medical Center, Gachon University College of Medicine. Based on the chest and abdominopelvic computed tomography, he was diagnosed with multiple rib fractures and hemopneumothorax on the left hemithorax and was found to have a bony fragment in the spleen. He had not presented peritonitis and exsanguinous symptoms during the observation period. Seven days later, computed tomography of the abdomen showed suspected diaphragmatic injury and a retained foreign body in the spleen. On exploration by video assisted thoracoc surgery (VATS), a herniated omentum through the lacerated site of the diaphragm was observed. After omentectomy using Endo Gia, the foreign body in the spleen was observed through the lacerated site of the diaphragm. Traumatic diaphragm rupture with a foreign body, in the spleen, was successfully managed by video assisted thoracic surgery via the lacerated site of the diaphragm.

• Journal of Chest Surgery
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• 제30권10호
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• pp.1005-1009
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• 1997

흉부와 복부장기 두 곳에 손상을 심하게 받으면 쇼크와 급성 호흡곤란이 동시에 발생하여 치명적일 수 있 다. 둔상이나 관통상으로 인해 발생되는 외상성 횡격막 손상은 대부분 홉부와 복부에 퐁반 손상이 유발 됨 으로 이에 대한 요인 및 평가는 중요하다 본 연구는 1993턴 3월 부터 1997년 2월 까지 5년간 서을 위생병원 흉부외과에서 치료받은 17명의 횡격막 손상 환자를 대상으로 이루어졌다. 환자의 평균 나이는 36.2세였고 남 녀 성별 비율은 3.2 1이었다. 들상에 의한 손상(N=5, 우측=4, 좌측긱)은 29.5%, 관통상에 의한 손상(N=12, 우측f5, 좌측:7)은 70.5%이었다. 호흡곤란이 가장 흔한 증상(76%)이었고, 손상의 크기(mean$\pm$ SD)는 둔상(9.8 $\pm$3.7 Cm)이 관통상의 경우(3.2$\pm$1.3 Cm) 보다 컸으며(P<0.05) 모든 환자에서 동반 손상이 있었고 치료는 수 술적 방법으로 개흉술 11례(64%), 개복술 3례(18%)그리고 개흉복술 3례(18%)였다. 다른 장기의 손상으로 수 술 중 발견된 횡격막 손상은 관통상의 경우 5례(41%)였다 흉부나 복부에 둔상이나 관통상을 입은 환자에 일 단 횡격막 손상을 의심해 보고 평가하여 뒤늦게 나타날 수 있는 합병증을 예방하는 것이 필요하다고 사료된다.

• Journal of Chest Surgery
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• 제40권11호
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• pp.802-804
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• 2007

선천성 횡격막 탈장이 동반된 흉강내 이소성 간은 드물지 않게 보고되고 있으나 횡격막 탈장이 동반되지 않은 흉강내 이소성 간은 매우 희귀한 선천성 질환이다. 횡격막 탈장이 동반되지 않은 흉강내 이소성 간을 체험하였기에 증례를 보고한다. 환자는 37세 여자로, 우연히 발견된 폐종양의 치료를 위해 내원하였다. 흉부 컴퓨터단층촬영 스캔상 우측 폐하엽에 횡격막에 인접해 있는 폐종양이 확인되었으며, 기관지 유암종을 의심하고 수술을 시행하였다. 수술 소견상, 우측 횡격막 중심부에 지름 3.5cm와 2.0 cm정도의 2개의 둥근 종양이 위치하고 있었으며, 종양의 절제를 시행하였다. 병리학적으로 흉강내 이소성 간으로 확진되었고, 환자는 수술 후 특별한 문제없이 퇴원하였다.