• 제목/요약/키워드: therapeutic case report

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기관지늑막루를 동반한 농흉의 외과적 치료-3 치험례- (Surgical treatment of postpneumonectomy empyema associated with bronchopleural fistula; A report of Three cases)

  • 김용진;김현순;서경필
    • Journal of Chest Surgery
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    • 제15권3호
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    • pp.295-298
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    • 1982
  • Persistent bronchopleural fistula still presents a troublesome therapeutic challenge and demands an aggressive approach when conventional measures fail. Empyema associated bronchopleural fistula developed after resectional surgery and their primary diseases were lung abscess in one case, bronchiectasis in two cases. Three cases of postpneumonectomy empyema associated bronchopleural fistula were treated surgically with a pedicled intercostal muscle grafting and concomittent thoracoplasty. After the procedure, patients had no recurrent symptoms or signs of bronchopleural fistula and discharged from hospital with improved condition.

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누도를 따라 재발한 직장암의 강내조사 (Intracavitary Irradiation of Locally Advanced Recurrent Adenocarcinoma of Rectum Along the Fistula Tract)

  • 김경애;김성규;신세원;김명세;송선교;심민철;권굉보
    • Radiation Oncology Journal
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    • 제6권2호
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    • pp.289-293
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    • 1988
  • 방사선 치료는 악성 종양의 치료에서 국소 치료의 효과를 높이기 위한 수술 전후의 보조치료로서, 혹은 수술 불가능한 암, 잔여암, 또는 재발암의 치료로서 널리 사용되어 왔으며 외부 방사선 치료, 동위원소를 사용한 자입치료 등에 의한 장기간의 국소 치료효과 및 증상의 호전에 대한보고는 많다. 그러나 수술전후의 방사선 요법과 수술을 병행한 직장암 환자에서의 치료후의 재발은 외과적 치료가 대부분에서 불가능하여 외부 방사선 요법, 화학요법 등이 증상판화의 목적으로 사용되어 왔으나 강내 조사의 보고는 거의 없다. 영남대학교 치료방사선과에서는 수술전 경사에서 수술 불가능으로 판명되어 수술전 방사선 치료를 받은 후 개복 하였으나 절제가 불가능하였던 환자에서 발생한 누도(fistula tract)를 따라 재발된 직장암 환자에서 강내 치료를 실시하여 매우 빠른 증세의 호전을 경험하였기에 문헌 고찰과 함께 보고하는 바이다

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교합 및 외과적 치료를 이용한 악관적 내장증의 치험례 (Surgical and Occlusal Treatment of TMJ Internal Derangement)

  • 황경룡;안재진;장세홍
    • 대한치과의사협회지
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    • 제25권7호통권218호
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    • pp.657-664
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    • 1987
  • The purpose of this article is to report a case of internal derangement of TMJ which was successfully managed with surgical and occlusal treatment. The Obtained results were summarized as follow: 1. The patient surgically operated via high condylectomy with meniscoplasty to correct anteriorly displaced meniscus. 2. During operation, the junction area of bilamina zone and meniscus was easily identified and resected using microscopy. 3. The mandible was relocated into therapeutic position with occlusal splint. 4. The occlusal rehabilitation with selective grinding and prosthodontic treatment was done so that the new patient's intercuspal position should correspond to the therapeutic position.

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Preoperative Diagnosis of Congenital Esophageal Stenosis Caused by Tracheobronchial Remnants Using Miniprobe Endoscopic Ultrasonography in a Child

  • Lee, Kun-Song
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제15권1호
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    • pp.52-56
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    • 2012
  • Congenital esophageal stenosis (CES) can be classified into three types based on the etiology of stenosis: tracheobronchial remnants (TBRs), fibromuscular hypertrophy (FMH), and membranous diaphragm (MD). It is important to make a differential diagnosis because the therapeutic plan for CES is determined by its etiology. Most cases of FMH and MD can be managed with balloon dilatation, whereas cases of TBRs require resection and anastomosis. Thus, the preoperative distinction of TBRs is critical. Recently miniprobe endoscopic ultrasonography (EUS) with a maximum diameter of 2.5 mm has been useful for distinguishing TBRs from FMH in pediatric patients with CES. EUS shows hyperechoic lesions indicating TBR cartilage. Miniprobe EUS is recommended for choosing the correct therapeutic method for CES. We report a case of CES due to TBRs in which a preoperative diagnosis was made in a child using miniprobe EUS without any difficulties.

임신중 자궁 경부암 (Cevix Cancer Associated with Pregnancy - A Case Report and Review of the Literature-)

  • 이태준;권형철
    • Radiation Oncology Journal
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    • 제7권1호
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    • pp.77-80
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    • 1989
  • 임신중의 침윤성 자궁경부암은 비교적 드물다. 임신중 자궁경부암 치료는 암의 제거뿐 아니라 태아의 생명도 고려해야 한다. 임신초기 및 중기에 진단을 받았을 시에는 치료는 즉시 시작되어야 하고 임신후기에는 태아의 생명력이 있을 때까지 치료는 연기되어야 한다.

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Secondary Erythromelalgia - A Case Report -

  • Kang, Byoung Chan;Nam, Da Jeong;Ahn, Eun Kyoung;Yoon, Duck Mi;Cho, Joung Goo
    • The Korean Journal of Pain
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    • 제26권3호
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    • pp.299-302
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    • 2013
  • Erythromelalgia is a rare neurovascular pain syndrome characterized by a triad of redness, increased temperature, and burning pain primarily in the extremities. Erythromelalgia can present as a primary or secondary form, and secondary erythromelalgia associated with a myeloproliferative disease such as essential thrombocythemia often responds dramatically to aspirin therapy, as in the present case. Herein, we describe a typical case of a 48-year-old woman with secondary erythromelalgia linked to essential thrombocythemia in the unilateral hand. As this case demonstrates, detecting and visualizing the hyperthermal area through infrared thermography of an erythromelalgic patient can assist in diagnosing the patient, assessing the therapeutic results, and understanding the disease course of erythromelalgia.

학교폭력에 노출된 후 발생한 흉통환자 1례(例)에 대한 Neurofeedback과 한방치료 병행 치험례(治驗例) (One Case of Typical Oriental Medical Therapy in Combination with Neurofeedback Therapy on Pain disorder induced by School violence)

  • 박소정;변순임;김상호;박종훈;황의완;김종우
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.171-179
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    • 2005
  • School violence is known to cause various emotional, behavioral and social problems. Low self-esteem, lack of self consciousness, sense of alienation, guilty consciousness, somatoform symptoms and low concentration happened to adolescent victims. This patient was suffering for school violence during about a year, then Pain disorder occurred to him. Neurofeedback has been used as a complementary therapeutic relaxation and a increasing self-esteem technique. This patient, is a 13-year- boy, who had been exposed school violence for a year and caused severe and constant pain, was successfully treated by Neurofeedback therapy with oriental medication. This case report is focused on treatment through these methods.

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A Case of Dural Ectasia with Low Back Pain and Sciatica Treated with Integrative Korean Medical Treatment

  • Kwon, Oh-Hoon;Kim, Sang-Gyun;Park, Ju-Hun;Yoo, Dong-Hwi;Choi, Ki-Hoon;Choi, Ki-Won;Ha, Do-Hyung;Cho, Hyun-Woo
    • Journal of Acupuncture Research
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    • 제36권3호
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    • pp.182-185
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    • 2019
  • Dural ectasia is defined as ballooning or expansion of the dural sac surrounding the spinal cord. This report describes a rare case of low back pain and sciatica, suspected as being dural ectasia. The patient was hospitalized for 45 days, and underwent integrative Korean medical treatment, including pharmacopuncture, acupuncture, herbal medicine, Chuna therapy, cupping therapy, and physiotherapy. The effect of the treatment was evaluated using the numerical rating scale, Oswestry disability index, European quality of life 5 dimensions, and subjective symptoms. After inpatient treatment, the pain the patient experienced was significantly reduced and the evaluation indices improved. This case report suggested that integrative Korean medical treatment could be an effective therapeutic choice for low back pain and sciatica, with dural ectasia. Further clinical studies are needed to support this observation.

A Case Report: Effect of Korean Medicine Including Distilled Form of Bosaeng-tang Gagambang on Moderate to Severe Hyperemesis Gravidarum.

  • Kim, Hae-Won;Baek, Seon-Eun;Yoo, Dong-Youl;Yoo, Jeong-Eun
    • 대한한의학회지
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    • 제41권4호
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    • pp.120-132
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    • 2020
  • Objectives: Hyperemesis gravidarum (HG) is defined as severe nausea and vomiting during pregnancy (NVP) with weight loss, ketonuria, and electrolyte imbalance. Many NVP or HG patients get hard to take herbal medicine since the smell and taste of it. Therefore, the distilled herbal medicines are often used in clinical practice. A 32-year-old, 14-week pregnant female was admitted for 3 weeks at a Korean medicine hospital. She was experiencing HG accompanied by 19.61% (10 kg) weight loss, ketonuria, and electrolyte imbalance. The patient received Bosaeng-tang gagambang in its distilled form, acupuncture, electro-acupuncture, sticker needles, cupping, moxibustion, and hydration during admission. The severity and frequency of NVP, weight loss, and ketonuria significantly improved without any side effects. Before the therapy, she admitted to two obstetrics and gynecology hospitals, 1 week each, with no improvement. This case presents the therapeutic potential of Korean medicine including herbal medicine in its diluted form for HG and NVP.

A case report of tubulointerstitial nephritis and uveitis syndrome in children with an unfavorable outcome

  • Sang I Kong;Mun Hyang Park;Eun Jung Cheon
    • Childhood Kidney Diseases
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    • 제27권1호
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    • pp.40-45
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    • 2023
  • Tubulointerstitial nephritis and uveitis (TINU) syndrome is defined as the occurrence of tubulointerstitial nephritis and uveitis in the absence of other systemic diseases. Three pediatric cases have been reported in the Republic of Korea, and we now report a fourth case. A 15-year-old girl presented to the ophthalmology department with a 1-week history of bilateral ocular discomfort that worsened on the day of presentation with redness and pain in both eyes. She was diagnosed with bilateral uveitis, and her baseline examination revealed moderate renal dysfunction and mild proteinuria. A renal biopsy was performed and confirmed the diagnosis of TINU syndrome. She was started on steroid eye drops and a 12-week course of oral steroids at a dose of 40 mg/m2/day, which completely resolved the proteinuria and mild renal function to an estimated glomerular filtration rate of 60 mL/min/1.73 m2. However, the uveitis did not improve, and despite the addition of oral methotrexate as a second-line treatment, the uveitis remains unresponsive to treatment over 21 months. Further evaluation and treatment are ongoing, and active therapeutic intervention is suggested even at a pediatric age, considering the lack of improvement in renal function and uveitis to date.