• Title/Summary/Keyword: 괴사

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Axillary Bud Development and Necrosis for 'Heukgoosul' Grapevine ('흑구슬' 포도의 액아 형성 및 괴사발생)

  • Kwon, Yong-Hee;Kim, Eun-Joo;Park, Seo-Joon;Lee, Han-Chan;Ma, Kyeong-Bok;Park, Hee-Seung
    • Journal of Bio-Environment Control
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    • v.20 no.4
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    • pp.382-386
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    • 2011
  • This study aims to identify the cause for low appearance of flowers in 'Heukgoosul' grapevines, and determine basic characteristics of the axillary buds and types of necrosis in order to find out their influence on necrosis. As for $1^{st}$ to $4^{th}$ node, the closer buds were located to cane, the smaller the size of buds became. However, there was no difference in the size of an axillary bud in the upper part of the shoot above the 4th node. The bud necrosis occurrence in the $1^{st}$ node was the highest with 32% while buds in $4^{th}$ to $10^{th}$ node were normal with 84~96%. The size of buds in July was the largest with 6.40 mm, while buds showed no difference from August to October. The bud necrosis and main bud necrosis occurred most frequently in October, however accessory bud necrosis took place from July demonstrating no difference since then. The analysis on the relationship between shoot vigor and necrosis of axillary buds showed that the shoot diameter and internodes' length have no co-relationship with axillary bud necrosis, but there were negative relationship between the size of buds and necrosis occurrence, which was the most related to accessory bud necrosis. Therefore, despite the low occurrence of bud necrosis and healthy buds in 'Heukgoosul' grapevines, there was little appearance of flowers in the grapevines, which was attributable to the necrosis in the first bud. In conclusion, the research suggests spur pruning with three nodes kept intact yield.

Idiopathic Necrotizing Fasciitis in the Chest Wall -A case report- (흉벽에 발생한 특발성 괴사성 근막염 -1례 보고-)

  • 김병호;허동명
    • Journal of Chest Surgery
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    • v.33 no.12
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    • pp.991-994
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    • 2000
  • 괴사성 근막염은 흔하지 않은 질환으로서 때로 전격적인 진행을 보이며 흉벽에 생기는 경우에는 매우 드물다. 신체의 어느 부위나 생길 수 있으나 주로 복벽이나 서혜부, 사지 등에 가장 많이 발생한다. 이 질환의 특징은 근막의 괴사가 광범위하게 진행되지만 피부나 근육은 비교적 잘 보존되어 있다. 따라서 조기에 진단하기가 어려우므로 진찰당시 이 질환을 염두에 두어야 진단할 수 있다. 조기진단 후 즉각적인 외과적 치료가 가장 중요하다. 본 병원 흉부외과에서 흉벽에 발생한 특발성 괴사성 근막염을 한 례 경험하여 치료하였기에 문헌 고찰과 함께 보고하는 바이다.

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Trachea Necrosis after Thyroidectomy ; Case Report and Review (갑상선절제술 후 발생한 기도 괴사 ; 증례보고)

  • Choi, Ji Woo;Lee, Jeonghun;Song, Youngpeck;Kim, Chul-Ho;Soh, Euy Young
    • Korean Journal of Head & Neck Oncology
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    • v.30 no.2
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    • pp.109-114
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    • 2014
  • 갑상선절제술은 내분비 외과의사가 하는 수술 중 가장 안전한 수술이지만 수술 중 기도나 식도가 손상 받을 수 있으므로 각별한 주의를 기울여야 한다. 특히 기도 괴사와 같이 생명에 위협을 주는 합병증이 있음을 유념해야 한다. 본 논문은 갑상선 전 절제술과 승모판 치환술을 함께 받은 72세 여성환자가 수술 후 3일만에 기도 괴사가 발생한 케이스이다. 3개의 기관륜에 걸쳐 괴사가 발생되어 있었다. 괴사된 조직을 제거하고, 이후 지속적인 괴사조직에 대한 제거와 치료와 적으로 기관개창술을 시행하고, 자연폐쇄를 유도하여 성공적으로 치료되었다. 비슷한 여러 논문들을 살펴본 결과 기도 괴사를 유발하는 요인으로는 조절되지 않는 기침, 여성, 갑상샘중독 결절, 기도 삽관 시 발생되는 손상, 삽관튜브 커프의 과팽창으로 기도가 장시간 높은 압력으로 압박되었을 때, 적절하기 않은 커프 크기, 삽관튜브 커프의 공기를 빼지 않고 무리하게 움직였을 때, 출혈이 많을 때, 과도한 전기소작으로 인한 손상, 기도로 가는 혈관손상으로 인한 혈액공급의 차단, 감염 등으로 보고 있다. 치료는 기도의 괴사와 감염의 정도에 따라 달라질 수 있다. 일차 봉합술, 일시적 스토마 형성, 일시적 기관조루술, 단단연결술, 기도 스텐트 설치술, 근육피판 재건술, 보존적 치료 등을 시행할 수 있다. 기도 괴사에 대한 위험인자와 치료에 대해서는 아직 확실히 적립되지 않은 상태이다. 드문 합병증이지만 생명을 위협할 수 있는 이러한 합병증에 대해 항상 염두 해 두고 수술 시 신중을 기하고 문제 발생시 신속한 대응을 해야겠다.

NECROTIZING GINGIVOSTOMATITIS : CASE REPORT (괴사성 치은구내염환아의 증례보고)

  • Jung, Hee-Kyung;Yang, Kyu-Ho;Kim, Seon-Mi;Choi, Nam-Ki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.1
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    • pp.85-90
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    • 2006
  • Necrotizing ulcerative gingivitis(NUG), necrotizing ulcerative periodontitis(NUP), necrotizing stomatitis (NS), and Noma (cnacrum oris) are rapidly destructive debilitating and potentially serious oral infection which considered to be different clinical stages of the same process. These have been collectively referred to as: Vincent's infection, infectious oral necrosis, or necrotizing gingivostomatitis(NG). Prevalence of necrotizing gingivostomatitis is $0.19{\sim}0.5%$ and peak incidence is 2-6 years of age. The etiology and pathogenesis of necrotizing gingivostomatitis have been associated with virulent bacteria and impaired host defense and the primary diagnostic signs are pain, interdental ulceration or necrosis, and gingival bleeding. Secondary diagnostic sign is pseudomembrane. This case report was about oral conditions and treatment of the patient who referred from the Dept. of PED and diagnosed a necorotizing gingivostomatitis.

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Total Hip Arthroplasty in Patients with Avascular Necrosis of the Entire Femur (전체 대퇴골에 발생한 골괴사 환자에서 인공 고관절 전치환술)

  • Yi, Seung Rim;Im, Se Hyuk;Park, Sang Hoon
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.3
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    • pp.281-286
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    • 2019
  • Avascular necrosis (AVN) is defined as the cellular death of bone and bone marrow components due to the loss of blood supply, and associated with post-traumatic or non-traumatic events. AVN usually involves the epiphysis of a long bone, such as the femoral and humeral heads, which are susceptible to osteonecrosis. Many studies have been conducted but they were restricted to investigations of femoral head avascular necrosis. The presence of osteonecrosis in the proximal femur may impair biological fixation after total hip arthroplasty. We report a 56-year-old male patient with avascular necrosis located not only at the femoral head, but also in the entire femur, including the medullary cavity, who underwent total hip arthroplasty 2 years earlier along with a review of the relevant literature.

Extraction of the Femoral Heads in MR Images and Measurement of the Parameters for the Diagnosis of the Avascular Necrosis (MR 영상에서 대퇴골두 영역의 추출과 무혈성 괴사의 진단에 필요한 인자의 측정)

  • Lee, Kyung-Su;Lee, Sung-Kee
    • Journal of KIISE:Software and Applications
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    • v.27 no.8
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    • pp.846-854
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    • 2000
  • In this paper, we propose effecient methods to extract the femoral head region in MR images. The femoral head area in MRI is approximated using Hough transform and the anatomical features of the femoral heads. Then, modified region growing method is applied to extract the femoral head region. We measured the parameters for the diagnosis of the avascular necrosis of the femoral heads from the segmented femoral head region. The proposed methods are proved very effective to extract the femoral head of healthy volunteer and of the patient having heavy avascular necrosis. The measured parameters can be used very efficiently for the quantitative analysis and the diagnosis of the avascular necrosis of the femoral heads.

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Steroid and enalapril therapy - possible cause of toxic epidermal necrolysis (부신 피질 호르몬제와 안지오텐신 수용체 길항제 사용 후 발생한 독성 표피괴사 증후군)

  • Kim, Dong Wook;Jung, Da Eun;Koo, Ja Wook
    • Clinical and Experimental Pediatrics
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    • v.49 no.3
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    • pp.332-336
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    • 2006
  • Toxic epidermal necrolysis (TEN) is a rare, acute and life-threatening cutaneous drug reaction. TEN is characterized by the sudden onset of extensive necrosis in the epidermis and frequent mucous membrane involvement. The pathogenesis has not yet been elucidated. In addition, no particular treatment for TEN has been established. We report a case of TEN in a 14-year-old-boy, which might have been caused by steroids with enalapril treatment for membranous nephropathy. He recovered after intravenous immunoglobulin therapy.

A Comparison of Surgical Methods of Inducing Femoral Head Osteonecrosis in Rats (랫드에서 대퇴골머리 골괴사 유발 외과적 방법의 비교)

  • Kim, Jun-Soo;Park, Jin-Uk;Choi, Seok-Hwa;Kim, Gon-Hyung
    • Journal of Veterinary Clinics
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    • v.27 no.3
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    • pp.240-245
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    • 2010
  • Osteonecrosis of the femoral head is an idiopathic and progressive disease. It was reported that several animal models have been used for the research of osteonecrosis. However, no standardized animal model for the study of osteonecrosis has been developed to date. This study was conducted to compare the degree of osteonecrosis of three surgically induced osteonecrosis models in rats. Twenty Sprague-Dawley rats (24 weeks old, male) were divided into three experimental groups and a control group, five heads each. Three groups were surgically induced into osteonecrosis; the ligamentum teres were cut and the periosteum of the femoral neck was stripped (Group S), the steel wire was ligated to the neck of the femoral head (Group W), and the femoral neck was tied up with a wire in the same way as in the W group, and burned by attaching the electrode tip to the wire and then the wire was removed (Group B). After two weeks, rats were sacrificed and the femoral head and neck were collected. Histological findings were evaluated with H/E stains, Safranin-O and TUNEL for osteonecrotic lesions in the bones and cartilages of the femoral head. Osteonecrosis was induced successfully in all groups (Group S, W and B) in two weeks, a short period of time. Significant necrotic changes of the cartilage were detected only in Group B. In the modified cautery model in particular, the method of removing the wire after cautery was completed in the experimental model of osteonecrosis more efficiently than any other method.

Pathological Findings of Necrotizing Skeletal Myopathy in Layer Breeder Chickens (산란 종계 골격근의 괴사성 근증에 대한 병리학적 소견)

  • 권용국
    • Korean Journal of Poultry Science
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    • v.30 no.1
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    • pp.55-59
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    • 2003
  • A necrotizing skeletal myopathy was diagnosed in three flocks of 30,000 thirty-eight-week-old layer breeder chickens. The mortality attributed to the myopathy was 17.7%, 12.3% and 21.1% in flock A, B and C, respectively. Clinically, chickens were showed depression, anorexia, posterior paresis, inability to rise, incoordination, reluctance to move, and leg trembling and weakness. The most striking findings at necropsy was pale streaking in the muscles of the thighs and legs. Microscopic lesions included myofiber degeneration and necrosis with massive cellular proliferation interpreted as sarcolemmal nuclei proliferation. Plasma creatine kinase, asparte aminotransferase and akaline phosphatase were markedly elevated. In conclusion, author suggested that submitted chickens were affected by ionophores poisoning.

Acute Descending Necrotizing Mediastinitis Secondary to Spontaneous Rupture of Hypopharynx -A Case Report- (자연성 인두천공에 의한 급성하행 괴사성 종격동염 - 1례 보고 -)

  • 조규도;박찬범;조덕곤;김치경;왕영필;곽문섭
    • Journal of Chest Surgery
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    • v.35 no.11
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    • pp.842-846
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    • 2002
  • A rare case of acute descending necrotizing mediastinitis(DNM) secondary to spontaneous rupture of hypopharynx is reported. Due to the right lower cervical abscess the patient had undertaken limited right anterior cervical drainage at other department. After transferring to our department he undertook combined wide cervical mediastinal drainage and mediastinal drainage via right thoracotomy. However mediastinal drainage was ineffective. So the second operation was performed and chest tubes were relocated. He had an uneventful postoperative course. As far as the cause of acute descending necrotizing mediastinitis was concerned, we couldn't find any literature in Korean or English except one case that dealt with spontaneous rupture of the hypopharynx.