• 제목/요약/키워드: 선천적

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선천성 심장질환에 있어서 우심도자법의 임상적 연구 (Right Heart Catheterization as Study of Congenital Heart Disease)

  • 김규태
    • Journal of Chest Surgery
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    • 제11권4호
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    • pp.523-528
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    • 1978
  • Recent advances in the surgical treatment of congenital disorders of the heart have necessitated an accurate preoperative diagnosis. Right heart catheterization has become widely accepted as a research tool and diagnostic test to detect the heart diseases, especially in the congenital heart anomalies. Right heart catheterizations were carried out in 50 cases of congenital heart diseases at Department of Thoracic and Cardiovascular Surgery, , Kyungpook National University Hospital, during the period of June, 1975 through September 1978. In age distribution, 27cases were below 10 years of age, 18 cases between 11 and 20, and 5 cases above 20 male to female ratio was 2.8:1. The distribution of congenital heart diseases was VSD [42%], TOF [36%], PDA [10%], ASD [8%], and PS[4%]. Of these, 44 cases [88%], were compatible with the clinical impressions that were made preliminarily before cardiac catheterization, and all the cases except 1 case of VSD was correlated well with the postoperative diagnosis. The right heart catheterization is considered to be reliable and accurate toll in the preoperative diagnosis of congenital heart diseases. These procedures caused complications such as left side hemiplegia [lcase], occlusion of the femoral artery [lcase], and transient ventricular tachycardia [1case], and so the complication rate of right heart catheterization was 6% [3 cases]. None of patients who have undergone right heart catheterization was died.

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부계의 균형전좌에 의해 발생한 과잉 염색체 22 증후군 1례 (A Case of Supernumerary Derivative (22) Syndrome Resulting from a Paternal Balanced Translocation)

  • 전윤수;소철환;유승택;박도심;조은해;오연균
    • Neonatal Medicine
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    • 제17권1호
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    • pp.127-131
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    • 2010
  • 저자들은 저긴장증과 다발성 선천성 기형을 보인 신생아에서 염색체 검사 및 FISH로 확인된, 부계의 균형적 전좌에 의한 Emanuel 증후군 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

복부접근법을 이용한 Morgagni Hernia의 교정 - 1예 보고 - (Repair of Morgagni Hernia through the Abdominal Approach - A case report -)

  • 황정주;김도형;이양덕;김길동
    • Journal of Chest Surgery
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    • 제40권10호
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    • pp.722-725
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    • 2007
  • Morgagni 탈장은 선천성 탈장의 약 3%를 차지하며 주로 증상이 없이 우연히 성인기에 발견된다. 단순 흉부촬영으로 쉽게 진단될 수 있으나 탈장이 없는 경우는 흉부 전산화 단층 촬영 등으로 진단된다. 장관의 감돈 위험이 있으므로 발견되면 수술적 치료가 바람직하다. 흉강이나 복강으로 접근이 가능하나 본 저자들은 복강경을 이용하여 교정이 가능하였기에 보고하는 바이다.

선천성 사경 환자에 대한 임상적 고찰 (A Clinical Study of Congenital Muscular Torticollis)

  • 권춘숙
    • The Journal of Korean Physical Therapy
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    • 제4권1호
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    • pp.19-25
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    • 1992
  • The purposes of this study is to survey the clinical findings of congenital muscular torticollis. The subjects were 44 congenital muscular torticollis patients who were treated at physical therapy department of rehabilitation medicine, presbyterian medical center during the period Jan. Dec. 1991 The results were as follows : 1. Patients were evenly divided by gender(22 bodys, 22 girls). Left-sided involvement was found in 27 cases$(61.4\%)$, and right side in 17 cases$(38.6\%)$. 2. Abnormal delivery was 29 cases$(65.9\%)$. Those included resarean section, breech presentation with vaginal delivery and difficulty delivery. 3. Most of torticollis were primipara infant 33 cases$(75\%)$ 4. Associated congenital anomalies were noted in 12 cases, the most common cases were central co-ordination disturbance. 5. Patients was most commonly referred form the department of pediatrics. 6. Sternocleidomastoid fibrotic nodules were noted in 32 cases$(72.7\%)$. 7. Four cases had excision of the sternocleidomastoid fibrotic nodules in infancy and average at which operation was twelve months of life(range from nine months to fourteen months). 8. Facial asymmetry was noted in 13 cases at the begining of treatment, and the asymmetry was corrected after treatment in 10 cases. 9. The average duration of treatment was 3 months when the treatment was started in 3 weeks old. 10. The result was good in 22 cases$(50\%)$, fair in 12 Cases$(27.3\%)$.

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선천성 식도 폐쇄증에 대한 임상적 고찰 (A Clinical Review of Esophageal Atresia : One Surgeon's Experience)

  • 김성식;임시연;정풍만
    • Advances in pediatric surgery
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    • 제14권1호
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    • pp.12-20
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    • 2008
  • From 1979 to 2006, fifty eight patients with esophageal atresia were treated by one pediatric surgeon at Hanyang University Hospital. We analyzed the clinical findings and outcome of these 58 patients. There were 30 males and 28 females. Their mean birth weight was $2,960{\pm}400g$ (1,170~4,020 g). The most common type of anomaly was Gross type C (49 patients; 84.5 %). There was no type B. Fifty-two patients underwent definitive surgery. Postoperative complications were as follows: anastomotic leakage in 17 patients (32.7 %), anastomotic site stricture in 15 (28.8 %), gastroesophageal reflux in 10 (19.2 %) and recurrent TEF in 1 (1.9 %). A total of 152 associated anomalies were detected from 48 patients (82.2 %). The cardiovascular system was the most commonly affected (30 patients with 46 anomalies). The VACTERL association was present in 14 patients (24.1 %). Operative mortality was 17.3 % including self-discharge patients after operation.

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Delaire 개념에 기반한 선천성 구순열의 치료 II: 기능적 구순비성형술 (Congenital Cleft Lip Repair Based on Delaire Philosophy II: Functional Cheilo-rhinoplasty)

  • 김성민;서미현;어미영;이석근;명훈;이종호;최진영
    • 대한구순구개열학회지
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    • 제13권2호
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    • pp.63-76
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    • 2010
  • After introduction of Delaire's basic philosophy, to consider the normal and pathologic anatomy, the role of some structures, such as nasal septum, musculature, and tongue, and some functions, such as dental occlusion or nasal respiration, which play important roles in maxillary and particularly premaxillary growth, on the Korean Journal of cleft lip and palate in 2009, Delaire's primary functional cheilorhinoplasty (FCR) in the unilateral and bilateral cleft lip patients was summarized and introduced according to already published literatures and lectures. This paper will be the second publishment of Delaire philosophy with Korean language.

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갑상선 설관낭종 및 설관루 (Report of eight cases of thyroglossal duct cyst and fistula)

  • 김교완;김종훈;김중강
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1977년도 제11차 학술대회연제 순서 및 초록
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    • pp.10.1-10
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    • 1977
  • 상갑선 설관낭종 및 설관루는 선천성 경부질환중 가장 많은 빈도를 차지하는 질환으로 설저에서 강상선에 이르기까지 갑상선설관의 경로중 어디서나 발견될 수 있으며, 다른 종양이나 낭종과 구별이 용이치 않을 경우가 많다. 단순한 낭종 또는 결절로 오인되어 근치절제가 되지 않았을 경우 흔히 재발을 잘 일으키며 또한 갑상선 조직이 포함될 수 있다. 경우에 따라서는 이것이 유일한 갑상선 조직일 수 있어 절제시에 더욱 신중을 요한다. 저자는 최근 2년동안 본병원 이비인후과에서 낭종또는 루를 가진 갑상선설관 환자 8명을 수술적 요법으로 치료하였던바 이에 대한 문헌고찰과 아울러 보고하는 바이다.

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발살바동 동맥류 파열의 외과적 치료 - 10례 보고 - (Surgical Treatment of Ruptured Sinus of Valsalva Aneurysm)

  • 김우찬;윤정섭;김치경;조규도;왕영필;곽문섭
    • Journal of Chest Surgery
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    • 제29권11호
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    • pp.1207-1211
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    • 1996
  • 본 가톨릭대학교 의과대학 흉부외과학 교실에선 최근 10년간 10예의 발살바동 동맥류 파열환자를 경험하였다. 8명은 선천성이었으며 2명은 세균성 심내막염에 의한 후천성이었다. 동반된 심질환으로는 대동맥판막폐쇄부전증 4예, 심방중격결손증 2예, 심실중격결손증 1례, 승모판막폐쇄부전증 1례 그리고 삼첨판막폐쇄부전증 1례가 있었다. 전례에서 동맥류가 우관상동에서 발생하였으며, 8명의 환자에서 우심실으로 2명의 환자에서 우심방으로 파열하였다. 저자들은 대동맥절개와 동맥류가 파열된 심방 또는 심실절개를 통한 수술을 선호하였으며, 8명의 환자에서 Dacron 첩포를 사용하여 봉합하였고 2명의 환자에서는 단순봉합하였다. 전 환자에서 양호한 결과를 보였으며, 술후 사망예는 없었다.

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소형견의 선천성 어깨관절 탈구에 관한 운동역학적 보행 분석 (Kinetic gait analysis in a small sized dog with congenital shoulder luxation)

  • 이신호;김충희;조재현
    • 한국동물위생학회지
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    • 제46권2호
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    • pp.175-179
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    • 2023
  • This study was conducted to find out the compensation strategy through kinetic gait analysis by comparing dog with congenital luxation of the shoulder joint and normal dog. Ground reaction forces were recorded for all limbs while normal poodle dog and poodle dog with shoulder joint luxation was allowed to walk on an instrumented platform. The dogs were evaluated for maximal vertical force (MVF), body load distribution (BLD), and symmetry index (SI). The MVF was increased in the contralateral forelimb of luxated shoulder joint. The SI was also increased in a dog with dislocated shoulder joints in the forelimbs. For BLD, the maximum load distribution increased centrally, but the total load distribution decreased in the ipsilateral forelimb paw. In contrast, total load distribution was increased in the contralateral forelimb paw. During forelimb lameness, changes in weight-bearing load showed compensatory load redistribution. These biomechanical changes may lead to changes in the musculoskeletal system in a dog with luxated shoulder.

작약(Paeonia lactiflora) 뿌리 추출물의 대식세포에서 p62/SQSTM1 증가를 통한 자가포식 유도 (Induction of Autophagy by Paeonia lactiflora Root Extracts through Upregulation p62/SQSTM1 in RAW264.7 Cells)

  • 정진부
    • 한국자원식물학회지
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    • 제36권4호
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    • pp.275-281
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    • 2023
  • 본 연구에서 우리는 작약 뿌리 추출물이 TLR4/PI3K/Nrf2 신호전달을 통해 p62/SQSTM1을 증가시켜 대식세포에서 자가포식을 유도한다는 것을 확인하였다. 대식세포의 자가포식 유도는 선천성과 적응성 면역 반응 간의 연결을 강화해 백신 보조제 개발에 있어서 중요한 표적으로 사용되기 때문에, 작약 뿌리 추출물은 백신개발에 필수적인 백신보조제로의 활용이 가능할 것으로 생각된다.