• 제목/요약/키워드: thoracic region

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개에서 방사선학적으로 진단된 기관협착 발생 조사 99례 (2002-2003) (Retrospective Study of Tracheal Collapse 99 Cases Diagnosed by Radiography in Dogs (2002-2003))

  • 이기창;송경진;최호정;허진영;정주현;장진화;윤정희;최민철
    • 한국임상수의학회지
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    • 제21권3호
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    • pp.276-279
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    • 2004
  • Ninety-nine dogs diagnosed as tracheal collapse were reviewed for 2002-2003 year at Veterinary Medical Teaching Hospital, Seoul National University with clinical records and radiographs. Dogs were ranged in age from 1 to 15 years old (average 8.23 years old) and in weight from 1.2kg to 10.3kg (average 3.3kg). The population included 58 females (6 spayed) and 41 males (8 castrated). It is highly predominant in Yorkshire terrier (64, 64.6%) followed by Pomeranian (10, 10.1 %), Poodle and Chihuahua (8, 8.1%), Maltese (4, 4.0%), mixed breed (3, 3.0%), Cocker Spaniel and Pug (1, 1.0%). The incident rate of female dogs (59%) exhibited relatively higher than that of male dogs (41%). The most prevalent occurrence location was thoracic inlet (60%) of all and carina region (15%), intrathoracic trachea (14%) and cervical trachea (11 %) showed similar rate. Conclusively, tracheal collapse was observed in completely matured or old small breed dogs, largely Yorkshire terrier, on thoracic inlet primarily regardless of gender. These tendencies were apparently similar to previous reports.

간섭전류자극이 말초 혈류속도에 미치는 영향 (Effects of Interferential Current Stimulation on the Peripheral Blood Velocity in Healthy Subjects)

  • 박장성;이재형
    • The Journal of Korean Physical Therapy
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    • 제11권2호
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    • pp.37-42
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    • 1999
  • The purpose of this study was to determine whether percutaneous interferential current stimulation on thoracic sympathetic ganglia with amplitude modulated frequency (AMF) $90\~100$ bps and subthreshold of muscle contraction for 10 minutes on peripheral blood flow velocity in healthy subjects. Thirty-seven healthy volunteers were assigned randomly into an experimental group (n=25) and a control group (n=12). the experimental group received interferential current stimulation with subthreshold of the muscle contraction of current at AMF $90\~100$ bps on $1st\~5th$ thoracic sympathetic ganglial region for 10 minutes. The control group received same handling and electode placement, but no current was applied. Using a Doppler blood flow meter, the radial arterial blood flow velocities and the pulse raters were determined for two-way analysis of variance for repeated measures on time and group. There were no significant difference between the two groups with respect to the changes in arterial blood flow velocity and pulse rate over the four measurement times. Interferential current stimulation did not change in mean blood flow velocity and pulse rate. We conclude that interferential current stimulation on the thoracic sympathetic ganglia, as used in this study, did not dilate peripheral artery. This results suggests that interferential current stimulation dose not alter the activtiy of sympathetic nerve.

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Popliteal Lymphography in a Dog with Chylothorax

  • Bang, Sohyun;Lee, Hanbin;Park, Daehwan;An, Taegeon;Kim, Hyunryung;Yu, Jin;Yoon, Hyunglok;An, Gayeon;Oh, Hyehong;Chang, Jinhwa;Kim, Gonhyung;Chang, Dongwoo
    • 한국임상수의학회지
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    • 제35권6호
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    • pp.290-293
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    • 2018
  • Signalment: A dog which had been hit by car a month prior and had been experiencing recurrent pleural chyle effusion was referred to Chung-buk National University Animal Medical Center. The clinical signs included tachypnea and salivation. Results: Ultrasound-guided popliteal lymphography was performed. The computed tomography imaging revealed that the thoracic duct was ruptured and the lymph was leaking into the cranial mediastinal region. After this discovery, thoracic duct ligation was performed. The ultrasound-guided popliteal lymphography was repeated after the surgery. The second computed tomography imaging revealed that the thoracic duct rupture was resolved. Clinical relevance: We identified the etiology of chylothorax through the computed tomographic lymphography and imaged specific leakage areas. After surgery, the computed tomography imgaing confirmed the lymphatic flow modification and the treatment was successful.

Traumatic Coronary Artery Dissection in a Young Woman after a Kick to Her Back

  • Ipek, Emrah;Ermis, Emrah;Demirelli, Selami;Yildirim, Erkan;Yolcu, Mustafa;Sahin, Bingul Dilekci
    • Journal of Chest Surgery
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    • 제48권4호
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    • pp.281-284
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    • 2015
  • We present the case of a 38-year-old woman admitted to our outpatient clinic with accelerating back pain and fatigue following a kick to her back by her husband. Upon arrival, we detected ST segment elevation in the D1, aVL, and V2 leads and accelerated idioventricular rhythm. She had pallor and hypotension consistent with cardiogenic shock. We immediately performed coronary angiography and found a long dissection starting from the mid-left main coronary artery and progressing into the mid-left anterior descending (LAD) and circumflex arteries. She was then transferred to the operating room for surgery. A saphenous vein was grafted to the distal LAD. Since the patient was hypotensive under noradrenaline and dopamine infusions, she was transferred to the cardiovascular surgery intensive care unit on an extracorporeal membrane oxygenator and intra-aortic balloon pump. During follow-up, her blood pressure remained low, at approximately 60/40 mmHg, despite aggressive inotropic and mechanical support. On the second postoperative day, asystole and cardiovascular arrest quickly developed, and despite aggressive cardiopulmonary resuscitation, she died.

심낭막 절편을 이용한 기관지성형 (Bronchoplasty using to Pericardial Patch)

  • 이준영;강정호;지행옥
    • Journal of Chest Surgery
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    • 제20권1호
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    • pp.177-181
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    • 1987
  • For the treatment of bronchial stenosis due to trauma, inflammatory and neoplastic lesion, bronchoplastic procedure in the interest of preservation of lung tissue are relatively new developments in the field of thoracic surgery. We reported on case of bronchoplasty using to pericardial patch for the treatment of bronchial stenosis due to chronic inflammation. The patient was 26 years old female and chief complaint was respiratory difficulty. Bronchogram revealed diffuse stenosis of left main bronchus about 4cm and especially, at just below the carina marked narrowing of lumen and fine serration in the wall. At the time of operation, longitudinal incision was made at left main bronchus about 5cm and reconstructed bronchus using to pericadial patch at membranous compartment of bronchus. The postoperative course was uneventful and post-operative follow up bronchography showed that improvement of bronchoplastic segmented region.

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급성 골수성 백혈병에서 발생한 흉추부 경막외 과립구육종 - 증례보고 - (Epidural Granulocytic Sarcoma Causing Cord Compression at Thoracic Region in Acute Myelogenous Leukemia - A Case Report -)

  • 박우민;장지수;이창훈;곽호신;이승훈
    • Journal of Korean Neurosurgical Society
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    • 제29권11호
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    • pp.1533-1537
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    • 2000
  • Granulocytic sarcomas are solid tumors resulting from the localized proliferation of myelogenous leukions cells. Epidural involvement of granulocytic sarcoma is very rare in acute myelogenous leukemia(AML). We report a patient with a thoracic epidural granulocytic sarcoma whose presentation with acute paraparesis led to the diagnosis of relapsing of alleged AML. Early recognition of the etiology of the paraparesis and treatment with emergency decompressive, laminectomy, radiation therapy and chemotherapy resulted in an excellent neurological and hematological outcome.

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성인에 발생한 Bochdalek 허니아 2례 보 (Bochdalek hernia: 2 cases report)

  • 유시원;최형호;장정수
    • Journal of Chest Surgery
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    • 제17권4호
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    • pp.723-728
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    • 1984
  • Congenital diaphragmatic hernia through of Bochdalek foramen, posterolateral diaphragmatic hernia, is the result of a congenital malformation of the posterolateral region of the diaphragm. Bochdalek hernia is not a rare anomaly and is the most common type of congenital diaphragmatic hernia. The defect is more frequently on left [about 5 times]. The purpose of this paper to present the Authors recent experience with two cases of the congenital posterolateral diaphragmatic hernia adult women which was treated surgically in the Dept, Thoracic Surgery, Chosun University Hospital. The postoperative course was uneventful and both of them were discharged without any other complications. Our study and surgical experience was discussed and the literature reviewed.

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누두흉의 수술교정 (Correction of Funnel Chest: A Report of 4 Cases)

  • 노준량
    • Journal of Chest Surgery
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    • 제7권2호
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    • pp.153-162
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    • 1974
  • Four patients with funnel chest deformity corrected in the Department of Thoracic Surgery, Seoul National University Hospital are presented. The first case was a 21-year old female with cyanosis, clubbed fingers and systolic murmur on the left infrascapular region on physical examination associated with agenesis of the right lung. The deformity was of asymmetrical funnel chest, in which the left hemithorax was more sunken. She was corrected by the method of Funnel Costoplasty of Wada. The second case was a three years old boy whose anterior chest wall was symmetrically deformed, and he was corrected by the method of Ravitch using Adkins strut under the sternum. The third was a 22-year old man with symmetrical deformity, and was corrected by the method described by Shannon in 1973. The last patient was a 22-year old man and he had dyspnea on exertion, palpitation and apical systolic murmur with symmetrical funnel chest deformity. He was also corrected by Ravitch operation, All of them has excellent result.

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폐암의 임상적 고찰 (Clinical Evaluation of the Lung Cancer)

  • 최순호
    • Journal of Chest Surgery
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    • 제11권1호
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    • pp.26-34
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    • 1978
  • We observed 82 cases of primary lung cancer clinically and statistically, which had been experienced at the dept. of thoracic surgery, Chonnam University Hospital, during the period of 13 years from 1964 to 1967. The results obtained were as follows: Peak incidence of age was from 5th decade to 6th decade, and the ratio of male to female was 3: 1. The frequency of lung cancer was higher in the heavy smoker than in the lighter smoker, and undifferentiated carcinoma showed low resectability in spite of the shorter clinical duration. Major symptoms were coughing and chest tightness & pain, especially coughing was initial symptom in the majority of patients. Of the 82 cases, operation was performed in the 32 cases [39%], but resection was possible in the 22 cases [27%]. The delaying factors led patients to an inoperable stage were physician’s misdiagnosis of bronchogenic carcinoma due to non-specific symptoms and signs of the patients, old age patients were dependence on herb medicine, and poor economical condition of the patients in our region especially. Basic conditions of treatment in lung cancer were early detection & early surgery, so, chest P-A would be checked per 3 to 6 months interval associated with sputum cytology in the smoker over 45 age routinely.

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Two New Records of Scolecid Polychaetes (Annelida: Polychaeta: Scolecida) in Korean Fauna

  • Choi, Hyun Ki;Kim, Jong Guk;Yoon, Seong Myeong
    • Animal Systematics, Evolution and Diversity
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    • 제32권4호
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    • pp.266-271
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    • 2016
  • Two new records of scolecid polychaetes, Praxillella pacifica Berkeley, 1929 and Naineris dendritica (Kinberg, 1867), collected from Korean waters are reported here with descriptions and illustrations. Praxillella pacifica can be distinguished from its congeners by the number of asetigerous segments on the posterior region of the body and features of the anal cone and neuropodial spines on setigers 2 and 3. Naineris dendritica is distinguishable from its relatives by the morphology of thoracic neuropodial lobes and the thoracic uncini at the inferior position. In the present paper, keys to Praxillella and Naineris species from Korean waters were also provided.