• 제목/요약/키워드: sternum

검색결과 230건 처리시간 0.022초

신생아에 있어 TcB[transcutaneous bilirubinometry]를 이용한 고빌리루빈혈증의 사정 (Assessment of Neonatal Hyperbilirubinemia Using a Transcutas Bilirubinometry)

  • 안영미;김미란;이상미;전용훈
    • 대한간호학회지
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    • 제33권1호
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    • pp.51-59
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    • 2003
  • Purpose: The purpose of the study is to investigate the relationship between total serum bilirubin(TSB) and transcutaneous bilirubinometry(TcB) in neonates with jaundice. Method: TcB from various sites(forehead, sternum, abdomen, buttock, hand, dorsalis-pedia) was measured using a JM-102 in a total of 102 neonate, 42 female and 60 male, with the mean 37.5 gestational week and the mean 2,903 gram of birth weight, as well as TSB from capillary punctures. Result: The mean bilirubin was 11.73 in serum, 20.55 on the forehead, 17.23 on the sternum, 16.19 on the abdomen, 18.22 on the buttock, 15.83 on the hand and 15.49 on the dorsalis-pedia. The relationship between TSB and TcBs were formulated by simple regression with 0.406 < r < 0.668(p < .000). A higher relationship was revealed between TSB and TCB at the forehead in infants of full-term, ABO incompatibility, and Hb greater than 16 mg/dl(r =0.725, 0.790, and 0.717, retrospectively). Phototherapy altered the measurement of TcB per site. Conclusion: TcB on the forehead is a reliable, noninvasive and convenient measurement of TSB in normal infants(Institutions need to establish quantitative equations representing the specific relationship between TSB and TCB according to the hemodynamic problems of infants such as ABO incompatibility, or low Hb).

누두흉의 외과적 교정 (Surgical Correction of Pectus Excavatum)

  • 조재호
    • Journal of Chest Surgery
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    • 제27권8호
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    • pp.695-699
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    • 1994
  • Pectus excavatum. the most common congenital chest wall deformity, is manifested by deformity of the costal cartilages resulting in a depressed and often rotated sternum. Surgical correction of this disease is frequently indicated for aesthetic improvement. The most popular current repair involves resection of abnormal costal cartilages, sternal osteotomy and mobilization, followed by fixation of the sternum in the corrected position.12 patients have been operated upon for pectus excavatum by the Adkins` method for 8 years in our hospital and the results were as follows: 1. All the patients were male. Age distribution was 2-26 years[average 10.8 years] and 69.2% were below 7 years. 2. The deformity was found at neonate or infant in the most of the patients [92.3 %] 3. The subjective symptoms were frequent URI[35.7%], dyspena on exertion[21.4%], chest dis comfort[7.1%], asthma [7.1%] and most of the patients didn`t like their appearance. 4. Combined diseases were urticaria in 2 cases, bilateral cryptomhism and pulmonary tuberculosis in 1 case each other. 5. Welch index ranged from 1.7 to 5.0 with the average of 3.47. 6. Postoperative complications were pneumothorax [45.5%], wound infection [36.4%] and skin necrosis [18.2%]. Although the period of follow-up was short in some cases there was no relapse.

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A Successfully Treated Case of Gorham-Stout Syndrome with Sternal Involvement

  • Kim, Bong Jun;Kim, Tae Hoon;Kim, Do Jung;Noh, Dongsub;Haam, Seok Jin;Lee, Sungsoo
    • Journal of Chest Surgery
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    • 제48권1호
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    • pp.90-94
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    • 2015
  • Gorham-Stout Syndrome (GSS) is a rare disease characterized by localized bone resorption. Any part of the skeleton may be affected; therefore, symptoms can vary depending on the site involved. Pathological analysis reveals lymphovascular proliferation and osteolysis in the affected lesion, but the etiology of the disease is poorly understood. When GSS occurs in the chest, chylothorax or respiratory failure may occur. Thus far, a standard treatment for GSS has not been established, and the prognosis remains unknown. The following case report describes a successfully treated case of GSS in a 16-year-old boy with an affected sternum and ribs.

음압 진동을 이용한 유방확대에 대한 연구 (Study on the Extension of the Breast by the Vaccum Vibration)

  • 김경철
    • 동의생리병리학회지
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    • 제20권5호
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    • pp.1223-1225
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    • 2006
  • The purpose of this study was to examine the effects of enlarging the breast by the B-secret I , II( vaccum vibrator) in women. This study was one group in a pre-test / post-test desgian with repeated measures. The experimental group of 30 patients were selected through sampling from L-oriental medicine in the P-city. The subjects received B-secret 1 , 11 ( vaccum vibrator) for 15 - 20minutes / 1 day during three months . All of the subjects were examined on the volume-size of the breast & the degree on the improvement. Prior and post surveys were measured before and after the experiment. The volume and size of the breast were measured the girth of the chest on the breast and below breast, the range on nipple and the middle point of the clavicle, the range on nipple and the middle point of the sternum, the range out of two nipple, the lineal and obligue line distance on nipple and the under crumples of breast, the height on the nipple and the under crumples of the breast, the diameter of the girth of nipple. As the effect on enlargement and the degree on the improvement of breast by B-secret 1 , 11 ( vaccum vibrator) were observed the girth of the chest on the breast, the range on nipple and the middle point of the clavicle, the range on nipple and the sternum, the height on the nipple and the under crumples of the breast.

Percutaneous osteoplasty for painful bony lesions: a technical survey

  • Kim, Won-Sung;Kim, Kyung-Hoon
    • The Korean Journal of Pain
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    • 제34권4호
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    • pp.375-393
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    • 2021
  • Percutaneous osteoplasty (POP) is defined as the injection of bone cement into various painful bony lesions, refractory to conventional therapy, as an extended technique of percutaneous vertebroplasty (PVP). POP can be applied to benign osteochondral lesions and malignant metastatic lesions throughout the whole skeleton, whereas PVP is restricted to the vertebral body. Common spinal metastases occur in the thoracic (70%), lumbosacral (20%), and cervical (10%) vertebrae, in order of frequency. Extraspinal metastases into the ribs, scapulae, sternum, and humeral head commonly originate from lung and breast cancers; extraspinal metastases into the pelvis and femoral head come from prostate, urinary bladder, colon, and uterine cervical cancers. Pain is aggravated in the dependent (or weight bearing) position, or during movement (or respiration). The tenderness and imaging diagnosis should match. The supposed mechanism of pain relief in POP is the augmentation of damaged bones, thermal and chemical ablation of the nociceptive nerves, and local inhibition of tumor invasion. Adjacent (facet) joint injections may be needed prior to POP (PVP). The length and thickness of the applied needle should be chosen according to the targeted bone. Bone cement is also selected by its osteoconduction, osteoinduction, and osteogenesis. Needle route should be chosen as a shortcut to reach the target bony lesions, without damage to the nerves and vessels. POP is a promising minimally invasive procedure for immediate pain relief. This review provides a technical survey for POPs in painful bony lesions.

Rehabilitation of an Amur Leopard Cat (Prionailurus bengalensis) with Complex Injury by a Road Accident

  • Sungryong Kim;Sungin Lee;Ok-Joo Lim;Ki-Jeong Na;Dong-Hyuk Jeong
    • 한국임상수의학회지
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    • 제39권6호
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    • pp.411-416
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    • 2022
  • A 2.2 kg adult female Amur leopard cat (Prionailurus bengalensis) injured in a road accident was rescued. Severe abrasions on the left chin were washed daily with an antiseptic and silver sulfadiazine ointment was applied. Corneal edema of the oculus sinister (OS) was treated with ofloxacin and 5% sodium chloride eye drops. The skin wounds gradually improved, but the eye condition did not improve and the lens was also found to be detached. In addition, on the 6th day of hospitalization, melena was observed. On radiographic examination, foreign bodies in the stomach and a fracture of the sternum were confirmed. Subsequently, endoscopic removal of foreign bodies and enucleation of the OS using an electrothermal vessel sealer were performed sequentially over several days. However, corrective surgery of the fractured sternum was not carried out because a natural union of the fracture had occurred, which was found to be fairly stable. The patient completely recovered on the 83rd day and was successfully released into the wild on the 97th day, after two weeks of adaptation training in a natural environment. This report describes the rehabilitation of a wild Amur leopard cat injured in a road accident through a series of diagnostic and treatment steps until its eventual return to the wild and highlights some improvements needed in the process.

흉쇄관절에 발생한 화농성 관절염과 결핵성 관절염의 수술적 치료 - 증례 보고 - (The Surgical Treatment of Pyogenic and Tubercular Infection in the Sternoclavicular Joint - Case Report -)

  • 김영율;권종범;이연수;김상일;지종훈
    • Clinics in Shoulder and Elbow
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    • 제13권1호
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    • pp.99-105
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    • 2010
  • 목적: 흉쇄관절에는 드물게 발생하는 화농성 관절염과 결핵성 관절염에서 조기에 흉쇄 관절의 완전한 절제와 철저한 변연 절제술을 시행하여 그 치료 결과를 보고하고자 한다. 대상 및 방법: 2003년 9월에서 2008년 9월까지 본원에서 흉쇄관절에서 발생한 2예의 화농성 관절염과 1예의 결핵성 관절염에 대하여 수술적 치료를 시행한 환자들 세 예를 대상으로 진단 및 그 임상적 결과를 평가하였다. 결과: 1년 이상 추시한 단순 방사선 소견 및 혈액 검사상 염증의 소견은 호전되었으며, MRI소견상 원위 쇄골단과 흉골에 골부종과 함께 흉쇄 관절에 경도의 활액막염이나 액체 저류 소견 등이 관찰되었으나, 임상 증상은 호전되었으며 1년 이상 추시하여 더 이상의 재발 없이 좋은 결과를 얻을 수 있었다. 결론: 흉쇄관절에서 화농성 관절염과 결핵성 관절염은 드물게 발생하는 질환으로, 진단 시 이미 흉쇄관절 주위의 골로 파급되어 골수염의 소견이 관찰되므로 조기에 흉쇄 관절의 골수염에 대한 완전한 변연 절제술과 철저한 소파술을 조기에 시행하여 만족스러운 결과를 얻을 수 있을 것으로 보인다.

좌심실게실을 동반한 칸트렐씨 5증후군 1례 보고 (A case report of Cantrell`s pentalogy associated with left ventricular diverticulum)

  • 성숙환;노준량
    • Journal of Chest Surgery
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    • 제15권3호
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    • pp.325-330
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    • 1982
  • A case of a 7 year old girl with rare congenital anomalies is reported. The anomalies as called Cantrell`s pentalogy is consisted of defect in supraumbilical abdominal wall, ventral diaphragm, adjacent pericardium, and lower sternum associated with cardiac malformation. Her cardiac lesion was muscular diverticulum of left ventricle. The diverticulum was resected and the other defects were repaired successfully.

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흉벽종양 21례에 대한 임상적 고찰 (A Clinical Review of Chest Wall Tumors: 21 Cases)

  • 성상현
    • Journal of Chest Surgery
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    • 제15권1호
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    • pp.12-14
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    • 1982
  • 21 cases of the chest wall tumors that were operated and proved by pathologically at the dept. of thoracic & cardlovascular surgery, SNUH during 16 years from 1965 to 1981 were reviewed. The results are as follows: 1.Benign tumors were 11 cases. Primary malignant tumors were 7 cases. Metastatic tumors were 3 cases. 2.Incidence rate of male to female was 1.5:1. 3.Main symptoms were palpable mass [52.4%] and localized chest pain [14.3%]. 4.Locations of tumors were rib [61.9%], soft tissues and muscle [33.3%] and sternum [4.8%]. We excluded the Tbc, rib carles from the chest wall tumors.

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