• Title/Summary/Keyword: experience report

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Fatal Subdural Empyema Following Pyogenic Meningitis

  • Lee, Seok-Ki;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.49 no.3
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    • pp.175-177
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    • 2011
  • Subdural empyema is a rare form of intracranial sepsis associated with high morbidity and mortality. The most frequent cause is extension of paranasal sinusitis through emissary veins or of mastoiditis through the mucosa, bone, and dura mater. Development of subdural empyema after pyogenic meningitis is known to be very unusual in adults. We report a rare case of fatal subdural empyema, an unusual complication of pyogenic meningitis. Our bitter experience suggests that subdural empyema should be borne in mind in patient with pyogenic meningitis who exhibit neurological deterioration.

The Right Understanding Of Value Engineering(VE) (VE에 대한 올바른 이해)

  • Kim, Tae-Joon
    • Journal of the Korean Professional Engineers Association
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    • v.39 no.4 s.187
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    • pp.38-41
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    • 2006
  • Value Engineering(VE) is the systematic activity to make a Alternatives for user's needs with an access by function analysis, creative thoughts, and the lowest life cycle cost. However, the current activity called VE is to make a Alternatives by experience and to make a report in similar to VE format. The right understanding of the concept and the process of VE is required for more effective Alternatives and VE activity with reliability.

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Achalasia with Esophageal Carcinoma - A case report - (식도 아카라지아에 동반된 식도암;1레 보고)

  • 전영진
    • Journal of Chest Surgery
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    • v.25 no.10
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    • pp.1098-1101
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    • 1992
  • Esophageal achalasia is a disease with characteristic disorder of esophageal motility. Also, this disorder is known to be predisposing factor of malignancy. Although the incidence of esophageal cancer in patients with achalasia varies widely, the incidence hed been reported from l% to 29% in many articles. It is known that delay in management of achalasia is believed to increase the risk of malignant degeneration. We experience a case with esophageal cancer complicating longstanding esophageal achalasia.

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Fatal Rhabdomyolysis in a Patient with Head Injury

  • Park, Yong Jin;Kim, Seok Won
    • Journal of Korean Neurosurgical Society
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    • v.53 no.5
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    • pp.303-304
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    • 2013
  • Rhabdomyolysis is a rare but potentially life-threatening disorder caused by the release of injured skeletal muscle components into the circulation. The authors report a case of severe head injury, in which a hyperosmolar state and continuous seizure complicated by severe rhabdomyolysis and acute renal failure evolved during the course of treatment resulted in a fatal outcome despite intensive supportive treatment. Our bitter experience suggests that rhabdomyolysis should be born in mind in patients with severe head injury who may develop hyperosmolar state and continuous seizure.

Ebstein`s anomaly ; St. Jude Medical valve replacement using partial artificial annulus formation - A Case Report - (Ebstein 기형에 인공판윤을 이용한 금속형 St. Jude Medical 인공판막 대치술)

  • Lee, Jong-Guk;Jo, Jae-Min
    • Journal of Chest Surgery
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    • v.25 no.8
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    • pp.826-831
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    • 1992
  • Ebstein`s anomaly is characterized by a downward displacement of a malformed tricuspid valve, The ideal surgical management of Ebstein`s anomaly is not yet established. Recently we experience one case of Ebstein`s anomaly, which was treated sussessfully by partial artificial annulus formation, and tricuspid valve replacement with St. Jude Medical valve. We have achieved excellent results with mechanical valve replacement and partial artificial annulus formation using wessex pericardial patch. On follow up for 4 years, the patient is well and in functional class I.

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Pleural Lipoma; A Case Report (흉막지방종의 수술치험;1례 보고)

  • 양성린
    • Journal of Chest Surgery
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    • v.26 no.6
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    • pp.505-506
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    • 1993
  • Lipomas are common tumors occuring mostly in the skin and subcutaneous tissue. This tumors are rare in the thorax. They frequently represent on incidental roentgengraphic finding or symptomes depending primarily on their location and size. The patient was 23-month-old male complained of fever and coughing. His chest X-ray and CT scan were revealed soft tissue density featured of pleural mass in the left lower hemithorax. And thoracotomy was performed for accurate diagnosis and treatment. So, experience of parietal pleural lipoma is reported here in.

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Lung Actinomycosis - A Report of one Case - (폐방선균증;1례 보고)

  • Im, Seung-U;Lee, Jeong-Cheol;Han, Seung-Se
    • Journal of Chest Surgery
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    • v.24 no.12
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    • pp.1220-1224
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    • 1991
  • A 39 year-old woman presenting with a hemoptysis, pulmonary infiltrate was found to have thoracic actinomycosis by the specimens of excised lung. Recently, pulmonary actinomycosis is very rare by the widespread use of antibiotics. Clinical, radiological, and microbiological findings can be nonspecific. The diagnosis is dependent on a high index of suspicion. Chances for cure are excellent with lengthy antibiotic administration. The purpose of this paper is to review our experience and to remind us of pulmonary actinomycosis.

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Surgical Experience of Pulmonary Blastoma -A Report of a Case - (폐아세포종 수술치험 1례)

  • 박성혁
    • Journal of Chest Surgery
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    • v.22 no.2
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    • pp.357-363
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    • 1989
  • We experienced very rare case of pulmonary blastoma in a 5 year old girl. She complained of right chest pain and productive cough for 3 months. With computerized tomography and echocardiography it is disclosed that huge mediastinal solid tumor is occupied to whole right thoracic cavity and compressed mediastinal structures to left and extended to left atrium. We removed the thoracic tumor and its extended intracardiac portion completely using the technique of intrapericardial pneumonectomy with cardiopulmonary bypass. Postoperatively the patient recovered without any problem and received adjuvant chemotherapy and radiotherapy. But she was succumbed 2 months later because of opportunistic pulmonary infection with pneumocystis carinii.

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Management of Infected Axillo-bifemoral Graft; A Case Report (액와동맥-양측대퇴동맥우회술후 발생한 인조혈관 감염의 치료)

  • 정철하
    • Journal of Chest Surgery
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    • v.26 no.7
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    • pp.552-556
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    • 1993
  • Infection after reconstructive surgery is one of the most catastrophic postoperative complication in vascular surgery. Mortality rates reported from a world-wide experience range between 25 and 88 percent. The surgeon faced with such a complication must choose among many diagnostic and management options to maximize limb salvage and survival based on the presentation and site of the infectiota the degree of ischemia of the lower extremities, and the overall medical condition of the patient. We successfully managed with descending thoracic aorta-to-bifemoral arteries bypass after the entire removal of the infected axillo-bifemoral graft because of bypass graft infection.

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Delayed Diaphragmatic Hernia after Left Nephrectomy -2 cases report- (좌신 절제후 발생한 지연성 횡격막 탈장 2례)

  • 김광휴
    • Journal of Chest Surgery
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    • v.28 no.12
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    • pp.1197-1200
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    • 1995
  • Since diaphragmatic injuries are difficult to diagnose, those that missed may present with latent symptoms.Delayed diaphragmatic hernia is very rare and occurs commonly after penetrating or blunt trauma. Recently we had experience with two cases of delayed diaphragmatic hernia after left nephrectomy.They were operated by herniolysis and closure of diaphragm using prosthetic patch[Dura, Dacron through the left thoracotomy. Postoperative courses were uneventful.

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