• Title/Summary/Keyword: 기흥

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Early Results of VATS for Spontaneous Pneumothorax (자연기흉에 대한 비디오흉강경수술의 조기성적)

  • 김응중;박재형
    • Journal of Chest Surgery
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    • v.29 no.7
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    • pp.747-752
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    • 1996

  • Video-assisted thoracic surgery(VATS) has been widely used in the treatment of spontaneous pneumothorax in spite of the absence of definitive data regarding the relative safety and long term results of this procedure. We reviewed 34 patients (group I) who underwent )8 video-assisted surgical procedures for spontaneous pneumothorax from June 1994 to December 1995 and compared the results of these patients with the results of another 14 patients (group ll) who underwent bullectomy through axillary Oho- racotomy during the same period. Average age, sex distribution, site and extent of pneumothorax, surgical indications, and complication rate showed no differences between the two groups. In group ll patients, th number and sites of bullae tend to be multiple compared to patients in group 1. The mean number of ends-GIA used for stapling of bullae was 2. 6 per patient with the range from 2 to 4 in group 1. The mean duration of chest tube drainage was not different between the two groups ().7 days and 3.9 days), but the mean time to discharge was significantly shorter in group I (5.6 days) than in group ll (8.9 days). Mean follow-up time was 12 and 11 months in each groups and ranged from 2 to 21 months. Pneumothorax recurred after three of 38 procedures in group I (7.9 %) with no recurrence in group ll. These data suggest that video-assisted thoracic surgery is a viable alternative to thoracotomy for the treatment of spontaneous pneumothorax with low morbidity and shorter hospital stay. However, it should be applied cautiously to patients with spontaneous pneumothorax because of the relatively high incidence of recurrence compared to axillary thoracotomy.

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현상설계경기 - 기흥상갈지구 주공아파트

  • Korea Institute of Registered Architects
    • Korean Architects
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    • no.9 s.329
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    • pp.116-117
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    • 1996

  • 대한주택공사가 올해 100만호 주택건설을 이룬 기념사업의 일환으로 모범적인 주거환경을 위하여 경기도 용인시 기흥상갈지구를 100만호 시범단지로 지정하여 현상설계를 공모한 결과 총23개 업체(A블럭:10개업체, B블럭:13개업체)가 참여하여 A블럭의 최우(수작으로는 한빛건축사사무소(민승렬)의 안, B블럭의 최우수작은 (주)건축사사무소 창일엔지니어링(문정일)의 안이 당선되었으며 최종 8개 업체가 입선되었다. 특히, 이번 현상설계공모방식에서 특기할 만한 점은 2개 블록으로 나누어 공모함으로써 많은 신진건축가들의 참여도를 높여 그 결과 다양하고 참신한 아이디어를 많이 수렴할 수 있었다는 것이다.

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Surgical Treatment for Spontaneous Pneumothoraxl (자연기흉의 수술적 치료 -123례의 분석-)

  • 장인석;김성호
    • Journal of Chest Surgery
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    • v.29 no.4
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    • pp.403-407
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    • 1996

  • One hundred and twenty three patients underwent 137 thoracostomies for spontaneous pneumothorax in the department of Thoracic and Cardiovascular Surgery, Gyeongsang National University from January 1987 to December 1994. There were 118 men and 6 women and average age was )2.4 years. The two most common surgical Indications were recurrent pneumothorax and continuous air leakage. Other indications were visible bullae on simple X-ray, previous contralateral pneumothorax, incomplete expansion of the lung, and bilateral pneumothoraces. Methods of thoracotomy were subaxillary thoracotomy in 82 cases, lateral minithoracotomy in 12 cases and posterolateral thoracotomy in 43 cases. Operation time was 63.0 $\pm$ 30.8, 98.3 $\pm$ 37.9, 186.9 $\pm$ 87.9 minutes respectively, and postoperative chest tube keeping time was 5.2 $\pm$ 4.1 days in subaxillary thoracotomy, 6.2 $\pm$ 5.0 days in minithoracotomy and 10.0 $\pm$ 5.8 days in posterolateral thoracotomy Bullae were present mostly at the apex in spontaneous and tuberculous pneumothorax comparred to the cases of chronic obstructive or emphysematous lung disease, where there were no redilection of presence of bullae (p< 0.01). Operative procedures were wedge resection, bullae obliteration and lobectomy. Postoperative complications were continuous air leakage, bleeding, brachial plexus injury, empyema, and wound infection, but all the complications were cured by the time of discharge. There was no mortality.

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