• 제목/요약/키워드: surgical diseases

검색결과 918건 처리시간 0.027초

폐실질의 자궁내막증식증 1예 (A Case of Parenchymal Pulmonary Endometriosis)

  • 백상현;이경주
    • Tuberculosis and Respiratory Diseases
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    • 제38권4호
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    • pp.384-388
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    • 1991
  • Parenchymal pulmonary endometriosis is the likely cause in patients with hemoptysis, dyspnea, or chest pain during menstruation. Embolization of endometrial tissue from the uterus to the lungs via the pulmonary arteries has been proposed for the mechanism of the development of parenchymal pulmonary endometriosis. This is a report of a woman with catamenial hemoptysis which was responded successfully to danazol therapy; however, hemoptysis resumed after cessation of therapy. The patient was subsequently treated with danazol again because she refused surgical treatments.

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Pleural Infection and Empyema

  • Kwon, Yong Soo
    • Tuberculosis and Respiratory Diseases
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    • 제76권4호
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    • pp.160-162
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    • 2014
  • Increasing incidence of pleural infection has been reported worldwide in recent decades. The pathogens responsible for pleural infection are changing and differ from those in community acquired pneumonia. The main treatments for pleural infection are antibiotics and drainage of infected pleural fluid. The efficacy of intrapleural fibrinolytics remains unclear, although a recent randomized control study showed that the novel combination of tissue plasminogen activator and deoxyribonuclease had improved clinical outcomes. Surgical drainage is a critical treatment in patient with progression of sepsis and failure in tube drainage.

방사성 동위원소 활액막절제술의 임상응용 (Radiation Synovectomy: when, which disease, and which joint)

  • 최창운
    • 대한핵의학회:학술대회논문집
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    • 대한핵의학회 1999년도 제38차 춘계학술대회
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    • pp.196-199
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    • 1999
  • Radiation synovetomy with various radiopharmaceuticals has been used to alleviate pain and swelling of rheumatoid arthritis and related joint diseases for more than 40 years. It is an attractive alternative to the surgical synovectomy for the management of the various joint diseases. Recently, the development of new radiopharmaceuticals labeled with $^{90}Y,\;^{32}P,\;^{186}Re,\;^{188}Re,\;^{153}Sm,\;^{165}Dy$ and $^{166}Ho$, for the effective management of synovial inflammation and related arthritic problems are gaining attention. In this article the general concepts and the clinical application of radiation synovectomy are reviewed.

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간헐성외사시의 수술 전과 수술 후 재발 환자의 비젼세라피 효과 증례 (A Case Study of the Effects of Vision Therapy on a Recurrent Intermittent Exotropia Patient Before and After Surgical Correction)

  • 이창선;김기홍
    • 한국안광학회지
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    • 제14권1호
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    • pp.127-131
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    • 2009
  • 목적: 이 증례의 목적은 간헐성외사시의 수술 전과 수술 후 재발 환자의 비전세라피(vistion therapy)효과에 관한 것이다. 방법: 대상자는 안과 질환이 없는 환자로 수술 전 간헐성외사시 환자와 수술 후 외사시 재발환자에 대하여 비젼세라피를 실시하였다. 결과: 간헐성외사시 환자의 수술전과 후의 비젼세라피 방법은 기능적이상, 감각적이상 및 자각적 증상이 개선되었다. 결론: 본 연구에서 간헐성외사시 환자의 비젼세라피 훈련이 효과가 있었다.

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Cerebral Syphilitic Gumma Mimicking a Brain Tumor in the Relapse of Secondary Syphilis in a Human Immunodeficiency Virus-Negative Patient

  • Yoon, Young Kyung;Kim, Min Ja;Chae, Yang Seok;Kang, Shin-Hyuk
    • Journal of Korean Neurosurgical Society
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    • 제53권3호
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    • pp.197-200
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    • 2013
  • Diagnosis of cerebral syphilitic gumma is frequently determined at the time of surgery, because imaging and laboratory findings demonstrate the elusive results. A 59-year-old woman presenting dysarthria showed a mass on her brain computed tomography. She was first suspected of brain tumor, but histological results from surgical resection revealed cerebral gumma due to neurosyphilis. After operation, she presented fever and rash with an infiltration on a chest X-ray. Histological assessment of skin was consistent with syphilis. Fluorescent treponemal antibody absorbed test IgG in cerebrospinal fluid was positive. She was successfully treated with ceftriaxone for 14 days.

Pictorial Review of Diffuse Central Airway Diseases: Focus on CT Findings

  • Ahn, Hye-Shin;Hwang, Jung-Hwa;Chang, Yun-Woo;Kim, Hyun-Joo;Kwon, Kui-Hyang;Choi, Deuk-Lin
    • Tuberculosis and Respiratory Diseases
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    • 제70권1호
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    • pp.10-20
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    • 2011
  • Various diseases can diffusely involve central airways, including the trachea and main stem bronchi. Central airway abnormalities are frequently not apparent or are overlooked on chest radiographs, even though the patient may have significant symptoms. Recent advances in spiral and multi-detector computed tomography (CT) with multi-planar reconstruction and three-dimensional demonstration, including virtual bronchoscopy, allow for excellent display of central airway anatomy and abnormalities with visualization of accurate locations of lesions. Early detection and proper diagnosis of airway diseases based on various radiographic findings will help determine appropriate treatment, including surgical planning and evaluation of treatment response. Herein we describe and illustrate the imaging findings of a wide spectra of diffuse central airway diseases.

허혈성뇌졸중의 수술치료시 동반되는 합병증과 관리 (Surgical Complication and Its Management in Ischemic Stroke)

  • 김달수;유도성;허필우;조경석;강준기
    • Journal of Korean Neurosurgical Society
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    • 제29권8호
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    • pp.1107-1112
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    • 2000
  • Recently various operative procedures including microsurgery or endovascular surgery have been increasing for the management of ischemic cerebrovascular diseases. Carotid endarterectomy(CEA), extracranial-intracranial(EC-IC) arterial bypass, embolectomy, decompressive craniectomy, arterial transposition, intravascular thrombolysis, and percutaneous transarterial angioplasty and stenting (PTAS) are available surgical modalities for ischemic stroke. This article focuses the complications and perioperative management of patients treated with CEA and carotid PTAS among various surgical managements for ischemic stroke.

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양측성 기관지 환장증의 수술적 치료에 관한 검토 (Surgical Treatment of Bilateral Bronchiectasis)

  • 박상섭
    • Journal of Chest Surgery
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    • 제23권4호
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    • pp.691-697
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    • 1990
  • We reviewed medical records of 179 patients with bronchiectasis admitted in our department in our department in Pusan Paik Hospital, Inje University from Dec. 1979 to Jun. 1989. Surgical resections were performed in 167 patients [bilateral disease 29, unilateral 138]. To evaluate the results of surgical treatment of bilateral bronchiectasis, it was compared with that of unilateral one. The results were as follows: 1.Bilateral disease was 20.1% of all patients with bronchiectasis. The average age of patients with bilateral disease treated surgically was 28.8 2. There was no significant difference in age, clinical symptoms and disease distribution between bilateral and unilateral bronchiectasis. 3. The numbers of diseased segments in bronchography were 6.86$\pm$2.00 and 4.33$\pm$2.01 in bilateral and unilateral diseases respectively. 4. Six patients underwent bilateral resections, and 25 patients had some of diseased segment [average 2.24$\pm$1.51] after resections, 5. After resections, 48.3% of patients with bilateral disease were free of symptoms and it was less than that in the unilateral one [87%]. But the remaining 51.7% of bilateral disease presented much improved clinical symptoms without aggravation.

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성인의 선천성 심장질환의 외과적 교정

  • 김광호
    • Journal of Chest Surgery
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    • 제13권1호
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    • pp.34-40
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    • 1980
  • Total 193 patients over 16 years of age who have underwent a surgical correction of congenital heart diseases during the period 1964 to September of 1979 were reviewed. 106 patients were male and 87 patients were female. 85 patients were in the ages of 16 years through 20 years. The oldest patient was 54 years old male who had atrial septal defect. The commonest defects were atrial septal defect that accounted for 66 cases [34.2%]. Ventricular septal defect was next one that accounted for 66 cases [34.2%]. Patients with tetralogy of Fallot defects were 34 cases [17.6%]. 25 cases had patent ductus arteriosus [13.0%]. Patients with pulmonary stenosis were 17 cases [8.8%] and transposition of the great arteries cases were 2 cases [1%]. There were 14 cases of operative death in this series. So operative mortality rate was 7.3%. The commonest cause of death was low output syndrome and next was renal failure. This reviewed series reveals the incidence of operable congenital heart defects appearing in adult cardiac surgical patients and an aggressive surgical approach can be justified with low operative mortality like as pediatric age group.

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Double Outlet Right Ventricle: In-Depth Anatomic Review Using Three-Dimensional Cardiac CT Data

  • Hyun Woo Goo
    • Korean Journal of Radiology
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    • 제22권11호
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    • pp.1894-1908
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    • 2021
  • Double outlet right ventricle (DORV) is a relatively common congenital heart disease in which both great arteries are connected completely or predominantly to the morphologic RV. Unlike other congenital heart diseases, DORV demonstrates various anatomic and hemodynamic subtypes, mimicking ventricular septal defect, tetralogy of Fallot, transposition of the great arteries, and functional single ventricle. Because different surgical strategies are applied to different subtypes of DORV with ventricular septal defects, a detailed assessment of intracardiac anatomy should be performed preoperatively. Due to high spatial and contrast resolutions, cardiac CT can provide an accurate characterization of various intracardiac morphologic features of DORV. In this pictorial essay, major anatomic factors affecting surgical decision-making in DORV with ventricular septal defects were comprehensively reviewed using three-dimensional cardiac CT data. In addition, the surgical procedures available for these patients and major postoperative complications are described.